- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Mar 20, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position...throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim … more
- Axis (New York, NY)
- …is available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...files is accurate. + Collaborate with Underwriting, Distribution, and Senior Claim Management in driving deeper relationships… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The ... Senior Billing Specialist is responsible for multiple...these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution.… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical ... audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital...Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to… more
- CVS Health (Albany, NY)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( ... claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines....every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Gilead Sciences, Inc. (Brooklyn, NY)
- …will improve the lives of patients with life-threatening illnesses worldwide. As a Senior Field Activation Specialist within Gilead's HIV Prevention team, you ... insurance plans*. For additional benefits information, visit: https://www.gilead.com/careers/compensation- benefits -and-wellbeing * Eligible employees may participate in benefit… more
- Molina Healthcare (NY)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and… more
- Axis (New York, NY)
- …coverage, investigation, damages, reserve rationale, negotiations, etc. associated with claim *Investigates potentially fraudulent claims and takes appropriate ... claims *Identifies opportunities for contribution, subrogation and contribution to the claim *Prepares required reports to senior management *Travels to… more
- Axis (New York, NY)
- …selection process. 'Key Duties and Responsibilities: * Excels in best practices claim environment, thoroughly documenting the claim process * Conducts ... and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the… more
- CRC Insurance Services, Inc. (NY)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to… more
- CVS Health (Albany, NY)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (Amherst, NY)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14032/ senior - benefit -operations- specialist ... position will act as a lead role within the Benefit Operations Specialist team and be a...**Experience:** + Required: 1 year experience using the RxIQ claims adjudication platform + Preferred: 2 Years experience with… more
- Transdev (Garden City, NY)
- Purchasing Specialist OVERVIEW: Under direction of the Senior Director of Procurement, the Purchasing Specialist will select and qualify vendors and ... transportation organization. Transdev is proud to offer: + Competitive compensation $75,000/year Benefits include: + Vacation: minimum of two (2) weeks + Sick days:… more
- The Institute for Family Health (New Paltz, NY)
- …payments and denials accurately upon receipt. + Provides clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for ... REVENUE CYCLE SPECIALIST I Job Details Job Location New Paltz...be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims … more
- ManpowerGroup (Chester, NY)
- …their dependents on various benefit plans, while serving as back-up to Employee Benefits Senior Manager. + Administer benefit programs and oversee the ... a leading telecommunications company, is seeking a Jr. HR Specialist - Benefits to join their team. As a...experience preferred. + Knowledge of benefits and claims processes, as well as HR benefit … more
- CS Energy (Albany, NY)
- The Project Controls Specialist works under the guidance of our Project Controls Leadership and in partnership with our Operations Team to provide a single point of ... Schedules, Project Forecast Sheets, and 4 Week Lookahead Reports. The Project Controls Specialist will report to the Edison, Albany, or Worchester office at least… more
- Shinda Management Corporation (Queens Village, NY)
- Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in the ... Our property management portfolio consists of rental housing for family and senior residents, developments funded by the low-income housing tax credit program,… 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 ... governance and quality. This is a unique opportunity to work closely with senior leadership and contribute to the evolution of data management within a fast-paced… more
- Highmark Health (Albany, NY)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more