- CVS Health (Albany, NY)
- …of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate ... and fostering collaboration with internal and external stakeholders to optimize claim processing , minimize errors, and enhance overall operational effectiveness… more
- Axis (New York, NY)
- …any issues arising Prepare coverage positions to be reviewed and approved by Claim Manager Work closely with Insureds, Claimants, attorneys and brokers ensuring ... exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim...these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches… more
- Sedgwick (Syracuse, NY)
- …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... world's most reputable brands + An assigned mentor and manager who will guide you on your career journey...+ Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability… more
- City of New York (New York, NY)
- …Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing . - Monitor and distribute cases in the Automation ... Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate… more
- New York State Civil Service (Albany, NY)
- …Cost Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on ... of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC...project documents and contractor records to determine if the claim has merit and the value of the … more
- Mount Sinai Health System (New York, NY)
- …HIS Systems, Clearing House Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims to third party payers ... **Job Description** **Accounting Clerk- Patient Financial Services (Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the… more
- Stony Brook University (Commack, NY)
- …experience working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding certification. ... under minimal supervision. S/he will be responsible for assisting the Claims Manager with the following duties: + Verifying accuracy, completeness and compliance… more
- Molina Healthcare (Yonkers, NY)
- …experience in healthcare claims review and/or Provider appeals and grievance processing /resolution, including 2 years in a manager role. * Experience ... Medicare standards and requirements related to non-contracted provider dispute/appeals processing . * Establishes member and non-contracted provider grievance/dispute and… more
- Albany Medical Center (Albany, NY)
- …Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, ... + Knowledge in billing codes and EDI requirements. + Knowledge of electronic claims processing and edits. + Excellent decision-making skills, detail oriented,… more
- Elevance Health (Latham, NY)
- **Title: Claims Representative I (Health & Dental) - FEP** **Latham, NY** **Location:** This role enables associates to work virtually full-time, with the exception ... 9/8/2025** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
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