- Sharp Electronics Corporation (Montvale, NJ)
- **Overview** The Quality Assurance Specialist is responsible for pre-production evaluation and post production life testing of Sharp and Sharp branded devices to ... ensure they meet or exceed Sharp Standards. The QA Specialist is accountable and responsible for the initial quality...on issues such as product performance, parts usage, warranty claims , or other reports as required. + Maintains department… more
- Terumo Medical Corporation (New York, NY)
- …This position is responsible for sales and market development in the acute care setting and developing rapport with key decision makers; penetrating accounts within ... thought leaders. This position may manage Imaging Field Clinical Specialist . **Job Details/Responsibilities** + Call on targeted Imaging accounts, physicians,… more
- Axis (New York, NY)
- …part in the selection process. About the Team AXIS is hiring a Claims Specialist , Health Care Claims , for its North America Claim Team. This role ... involves managing primary and excess healthcare liability claims for AXIS US policies. How does this role...which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid… more
- Molina Healthcare (Yonkers, NY)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties**… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims , with experience in IDX billing systems in a health ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly...all people, everywhere, by taking on the most complex health care challenges of our time -… more
- Mount Sinai Health System (New York, NY)
- …3 years of relevant experience + Certified coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems in a ... **Job Description** The Billing Specialist is responsible for multiple components of the...health care or insurance environment preferred **Responsibilities**… more
- Performance Optimal Health (Stamford, CT)
- Join Performance Optimal Health , a leading wellness organization that takes a holistic approach to health through the Four Pillars of Optimal Health - ... We empower clients to live better lives through exceptional care , service, and teamwork. We are seeking a Billing..., service, and teamwork. We are seeking a Billing Specialist to join our growing Practice Administration/Billing team. This… more
- Molina Healthcare (Yonkers, NY)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...program), or medical office/hospital setting. * Completion of a health care related vocational program in … more
- Travelers Insurance Company (New York, NY)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… more
- Travelers Insurance Company (New York, NY)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Travelers Insurance Company (New York, NY)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Nuvance Health (Danbury, CT)
- …and accounts receivable functions. Responsible for the assigned areai? 1/2s claims submission, payment application, denial management, and account follow-up to ... ensure optimal reimbursement. Responsibilities: 1. Accurately processes claims , payments, rejections, refunds, credit balances and unapplied cash on a daily basis… more
- Molina Healthcare (Yonkers, NY)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...program), or medical office/hospital setting. * Completion of a health care related vocational program in … more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff ... manner consistent with maintaining and furthering a positive public perception of Bronxcare Health System and its employees. - Contributes to and participates in the… more
- Nuvance Health (Danbury, CT)
- …submission for designated groups of accounts by payer. Insures that all claims are compliant with State and Federal billing regulations and contractual obligations. ... Confirmation of electronic and hard-copy billing of any delinquent claims . Rebilling & follow-up of all delinquent claims...with education of rules and regulations in the managed care system, as well as, State & Federal guidelines.… more
- Nuvance Health (Danbury, CT)
- …10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 2092 Department: Care Coordination Exempt: Yes Salary ... payer practices, successfully challenging payers as they prevent obstacles and deny claims and escalating any egregious payer behaviors to internal leadership for… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- QA/QI Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6269) Job Brief The QA/QI Review Specialist is responsible for completing internal quality reviews within… more
- City of New York (New York, NY)
- …and Integrity in the Division of Child and Family Well-Being (CFWB), the Child Care Risk and Integrity Specialist will have the following tasks and ... and community supports. ACS manages community-based supports and foster care services, and provides subsidized child care ...Track cost savings and avoidance - Review of complex claims for improper payments or false claims … more
- Molina Healthcare (Yonkers, NY)
- …2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- AIG (New York, NY)
- …Philadelphia, Atlanta, Los Angeles, Houston, San Francisco, Scottsdale OR Denver. Production Specialist , Builders Risk This underwriting role will be an ideal next ... transferable skills. Lexington has an opportunity for a Production Specialist on the US Builders Risk team specializing in...with AIG subject matter experts and robust reviews of claims history and general company information. + Your relationships… more
