- City of New York (New York, NY)
- …SNAP-CR is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review , process, determine ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
- City of New York (New York, NY)
- …SNAP-CR is recruiting for six (6) Eligibility Specialists IIs to function as a Claims Review Specialists, who will: - Review , process, determine and/or ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review… more
- City of New York (New York, NY)
- …Department of Financial Services correspondence; 6) When appropriate, negotiate and settle claims within delegated monetary authority level; 7) Review medical ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- Axis (New York, NY)
- …referrals to senior members of the team where necessary * Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which… more
- City of New York (New York, NY)
- …the following: - Supervise the daily work of claim specialists, coordinate their work, and review claims submitted by staff to ensure they are complete, and that ... employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume… more
- City of New York (New York, NY)
- …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... review and completion of staff in the Supplemental Nutritional Assistance Program- Claims and Recovery program. - Review and maintain statistical reports on… more
- Northeast Family Services (New Rochelle, NY)
- …needed + Communicate with payers, third party vendors and patients in regard to claims , payments, and outstanding balances + Review explanation of benefits to ... Northeast Family Services is currently seeking a Billing Specialist to join their growing team! NFS is...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… more
- AIG (Wilton, CT)
- Reinsurance Specialist This role is responsible for managing reinsurance claims and collections within Reinsurance Finance and reports to the Head of Reinsurance ... Claims and Collections. The individual should have solid claim...financial and claim data. + Assist with the analysis, review and resolution of aged receivables impacting Schedule F… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality… more
- Fair Haven Community Health Care (New Haven, CT)
- …accuracy in choice of codes, as observed in quarterly auditing. + Prepares by review the submission of clean claims to various insurance companies + Including ... Fair Haven prides itself on efficient billing services including the filing of claims , appeals processing, and authorizations and, above all, a great passion for… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Deloitte (Stamford, CT)
- Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer What we do Operations and Technology Transformation delivers ... on July 31, 2024 Work you'll do As an OTT Insurance Transformation Specialist Master, you will bring considerable technical expertise to deliver effective solutions… more
- Travelers Insurance Company (Melville, NY)
- …reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer ... Do?** + CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or...documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality… more
- Fair Haven Community Health Care (New Haven, CT)
- …Haven prides itself on efficient billing services including the filing of claims , appeals processing, authorizations, and, above all, a great passion for helping ... individuals obtain treatment. The Billing Specialist /Dental Authorization Coordinator works with the Billing and Dental department verifying benefits for patients… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....is seeking qualified candidates for the position of Claim Specialist in the Litigation Support Unit. This position, with… more
- City of New York (New York, NY)
- …and operations, DEP is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office. BLA's staff provide critical ... is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position,...specialists in the Litigation Support unit, and includes conducting review of their work. - Testify in depositions and… more
- Mount Sinai Health System (New York, NY)
- …coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 2 - 46091 Occupational Category Other Professional Careers Salary Grade 23 Bargaining ... Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 2; OR current NYS employee with one year or more of permanent… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …with MSKCC? The Physician Billing Insurance team is seeking an Insurance Receivable Specialist I to review , analyze, follow-up, and resolve insurance balances on ... on to pursue our mission at MSK and around the globe. Please review important announcements about vaccination requirements and our upcoming EHR implementation by… more
- Weill Cornell Medical College (New York, NY)
- …Office Suite. **Knowledge, Skills and Abilities** + Experience with provider relations, claims review and/or denials resolution. + Previous experience in an ... Title: Managed Care Specialist Location: Midtown Org Unit: Contracting Work Days:...regularly with clinical departments and Business Office staff to review key issues and concerns. + Supports arrangements for… more