- 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …the claims administration system. The incumbent processes and adjudicates Long-Term Care claims . Essential Accountabilities: Level I * In accordance with ... processing of nursing home, assisted living facility and home care claims . * Obtains telephone verification from...One (1) year of experience in a Level I Claims Specialist role. * Adept at multi-tasking… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... sick leave laws, short-term disability and optional long-term disability, health savings account, health care ...and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you have experience… more
- Molina Healthcare (Yonkers, NY)
- …software programs proficiency. **Preferred Qualifications** * Claims recovery experience. * Health insurance experience in a managed care setting. To all ... simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims … more
- Healthfirst (NY)
- …equivalent + Direct experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, etc ... not limited to new product implementation, regulatory initiatives, and other various health plan business objectives + **_Serving as an advocate for Hospital… more
- CDPHP (Latham, NY)
- …High school diploma or GED required. + Minimum of one (1) year experience in health care claims review and adjudication to payment/denial utilizing CPT-4, ... The incumbent will work closely with all departments such as Member Services, Claims Operations, Provider Relations, Health Care Network Strategy,… more
- CVS Health (Albany, NY)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... Avoidance Research Effort_ ) team. The **Meritain Pharmacy Solutions CARE Specialist ** will engage with patients, helping...our CARE savings strategies to navigate the health care system, as well as respond… 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
- Northwell Health (New Hyde Park, NY)
- …programs for the staff and pharmacy students. + Provides educational programs for health care staff regarding medication use; provides training as measured by ... **Req Number** 171104 **Job Description** The Clinical Pharmacy Specialist is responsible for the development, implementation, and...a significant portion (4+ years) directly in a managed care organization, Pharmacy benefit manager, or health … 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
- Rochester Regional Health (Rochester, NY)
- …in medical billing and denials, customer service and relevant finance experience in a health care organization a plus + Certification in medical billing UNION: ... actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health ),… more
- CVS Health (Amherst, NY)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …administrative support for any of the programs of Utilization Management, Behavioral Health , Quality Management, or Member Care Management. This position acts ... members' specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims , and the… more
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Oct 17, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in the financial management of the company. The… more
- Elevance Health (Latham, NY)
- … for our communities. Join us and together we will drive the future of health care . The **FEP Performance Specialist ** is responsible for providing subject ... **FEP Performance Specialist ** **Location** : This role requires associates to...FEP** , is a proud member of the Elevance Health , Inc. family of companies, it is a powerful… more
- Sedgwick (Albany, NY)
- …or related experience. **Skills & Knowledge** + Knowledge of current medical practices in health care management in a variety of areas (including, but not ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims… more
- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more
- CVS Health (Albany, NY)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...each and every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit… more
- Travelers Insurance Company (New York, NY)
- …As a Technical Specialist , you are responsible for handling complex, high-exposure claims . In this technical role, you will leverage your background in claims ... **Who Are We?** Taking care of our customers, our communities and each...guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating… more
- Excelsior Orthopaedics Group (Amherst, NY)
- Job Summary The Billing Specialist plays a critical part in maintaining the financial integrity of the practice by ensuring accurate and efficient billing and ... from insurance carriers and patients on a timely basis. The Billing Specialist must possess comprehensive experience in orthopedic or surgical billing, a solid… more