- 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
- 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 ... the applicable plan documents and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …addition to Level II qualifications) * Two (2) years of experience in a Level II Claims Specialist role. * Ability to multi-task efficiently to resolve a ... indexing items independently. Level III (in addition to Level II Accountabilities) * Performs complex claims processing,...One (1) year of experience in a Level I Claims Specialist role. * Adept at multi-tasking… more
- City of New York (New York, NY)
- …of the Corporation Counsel and other City agencies to investigate and resolve claims pre-litigation. The Claim Specialist II , Sidewalk/Roadway Liability ... 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... and related health plan functions such as member services, claims , and the referral process. As well as functions...+ Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Prioritizes… more
- Molina Healthcare (Yonkers, 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
- Cardinal Health (Albany, NY)
- …and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- MTA (Brooklyn, NY)
- …Test and Measurement Specialist I (TA): $67,933 - $80,421 Test and Measurement Specialist II (TA): $78,874 - $87,847 Test and Measurement Specialist III ... I (OA): $67,933 - $80,421 Test and Measurement Specialist II (OA): $78,874 - $87,847 Test...classification documents * Performing audits in regard to employee claims that they are not performing duties that are… 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
- WSP USA (New York, NY)
- …and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate action. + ... and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in...of full time, progressively responsible work as a technical specialist in one or more construction and design related… more
- University of Rochester (Rochester, NY)
- …which includes but is not limited to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed + Hold Bill Worklists + Statement Edits + ... a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement… 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
- Stony Brook University (East Setauket, NY)
- Patient Financial Experience Specialist **Position Summary** At Stony Brook Medicine, a **Patient Financial Experience Specialist ** will support the patient ... and collections and financial assistance. **Duties of a Patient Financial Experience Specialist ** **may include the following, but are not limited to:** + Provides… more
- WMCHealth (Poughkeepsie, NY)
- Quality Improvement Specialist - RN Company: MidHudson Regional Hospital City/State: Poughkeepsie, NY Category: Clerical/Administrative Support Department: Quality ... and alerts the department director, medical staff leadership, and claims manager. + Conducts special studies in collaboration with...year. MidHudson Regional Hospital operates the area's only Level II trauma center, is home to the Redl Center… more
- Guidehouse (New York, NY)
- …this position include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity ... and associated coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system. +… 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
- WTW (New York, NY)
- …Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial ... Knowledge of (or an interest in) insurance industry practices and regulation (eg Solvency II ). **You will work closely with:** + The Head of Model Research and other… 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
