- CenterLight Health System (NY)
- JOB PURPOSE: The Claim Appeals and Audit Specialist ...by timely and accurate processing of claims appeals and performing claims audit , ... to determine if system or procedural changes could enhance claim workflow and efficiency. + Analyze patient and medical...is strongly preferred. + Experience in claims appeals and/or claims audit within… more
- Lincoln Financial (Albany, NY)
- …applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for...multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and… more
- Independent Health (Buffalo, NY)
- …correlating coding complexity. They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise and ... knowledge and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit in accomplishing all aspects… more
- Shinda Management Corporation (Queens Village, NY)
- …required processing and reviewing EIV reports/corrections, repayment agreements, and process special claims + Pre- audit LIHTC/HUD and HOME tenant files for all ... Compliance Specialist About the Organization For over three decades,...and applications, including remarketing assessments, interviewing applicants, and processing appeals + Process tenant rental payments, Housing Assistance Payments… more