- AON (Garden City, 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 ... the applicable plan documents and policies. #li-am4 2558520 Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and… more
- City of New York (New York, NY)
- …Assistant Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and ... 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
- Molina Healthcare (Buffalo, NY)
- …or GED **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 1-3 years' experience in claims adjudication, Claims Examiner II , or other relevant work ... **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Procedural Billing Specialist II - Oncology & Therapeutic Infusion Centers Billing- Corporate 42nd Street Full-Time Days** Responsible for ... coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to… more
- SUNY Westchester Community College (Valhalla, NY)
- …Budget Specialist III and the Manager of Fiscal Operations, the Budget Specialist II will participate in the preparation, development and monitoring of the ... to supervisor(s) and/or communicate to departments. The incumbent will also review claims and process payments, input and prepare departmental claims payments,… more
- Ellis Medicine (Schenectady, NY)
- This position can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group ... and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… 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
- 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
- Trinity Health (Syracuse, NY)
- …ENVIRONMENT AND HAZARDS:** Office and/or Clinical Setting. Exposure Class I or II - dependent on service. **PHYSICAL DEMANDS:** Sedentary work: requires sitting, ... identify potential risks and mitigation associated with that risk. **LIABILITY CLAIMS SUPPORT:** Works collaboratively with assigned Trinity Health Area Claims… more
- Entergy (Buchanan, NY)
- **Job Title:** Capital Projects Procurement Specialist **Work Place Flexibility:** Onsite **Legal Entity:** Entergy Services, LLC This position may be filled in New ... Jackson, MS; The Woodlands, TX This position may be filled as a Procurement Specialist Senior or Senior Staff based on the qualifications and experience of the… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... & Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant Commissioner...Qualification Requirements: To be assigned to Assignment Level (AL) II , candidates must have one year of experience at… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Eligibility Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... Program (SNAP) for all applicable service recipients (those in congregate care level II facilities). + Monitor monthly EBT SNAP Redemption Schedule as a safety… more
- Entergy (New York, NY)
- …with a focus on rotating and reciprocating generation and/or renewables. The specialist will support the identification, development, and execution of projects by ... the demonstrated technical, professional, inter-personal and leadership skills. The specialist operates autonomously but may require minimal supervision or… more
- Guardian Life (New York, NY)
- …Overview:** We are seeking a highly skilled and proactive **Data Management Operations Specialist ** to join our Data Management team in the insurance industry. This ... Knowledge:** Familiarity with industry regulations such as GDPR, HIPAA, and Solvency II , ensuring data management practices are compliant with legal standards. +… more
- City of New York (New York, NY)
- …and Eligibility Verification (BCIEV) is recruiting one (1) Principal Administrative Associate II to function as an Eligibility Verification Specialist in its ... evaluate Information Technology Services (ITS) computer printouts relating to MAP reimbursement claims as well as be assigned to special assignments on MAP as… more
- City of New York (New York, NY)
- …Eligibility Verification (BCIEV) is recruiting for one (1) Principal Administrative Associate II to function as Field Eligibility Verification Specialist in its ... Evaluate Information Technology Services (ITS) computer printouts relating to MAP reimbursement claims . - Work on various MAP projects. - Conduct surveys and special… more
- University of Rochester (Rochester, NY)
- …Supervision and Direction Exercised: The Billing and Charge Correction Specialist is responsible for self-monitoring performance on assigned tasks, following ... judgment: 35% For hospital billing: - Review Coverage Manager II work queues. Review payer coverage changes made at...correct dollar amount charged) to create compliant and billable claims for service. For professional billing: - Verify that… more
- Highmark Health (Albany, NY)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures… more
- Capital Region BOCES (Albany, NY)
- …where policies have not been determined. This class differs from that of Secretary II by the increased time spent on operating software and the more limited scope ... sorts and distributes incoming mail. + Checks, codes and processes requisitions, claims and bills. + Prepares and maintains financial, statistical and personnel… more