- City of New York (New York, NY)
- …SNAP-CR is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review , process, determine ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
- City of New York (New York, NY)
- …SNAP-CR is recruiting for six (6) Eligibility Specialists IIs to function as a Claims Review Specialists, who will: - Review , process, determine and/or ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review… more
- City of New York (New York, NY)
- …Department of Financial Services correspondence; 6) When appropriate, negotiate and settle claims within delegated monetary authority level; 7) Review medical ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- Axis (New York, NY)
- …referrals to senior members of the team where necessary * Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which… more
- City of New York (New York, NY)
- …the following: - Supervise the daily work of claim specialists, coordinate their work, and review claims submitted by staff to ensure they are complete, and that ... 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
- City of New York (New York, NY)
- …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... review and completion of staff in the Supplemental Nutritional Assistance Program- Claims and Recovery program. - Review and maintain statistical reports on… more
- Northeast Family Services (New Rochelle, NY)
- …needed + Communicate with payers, third party vendors and patients in regard to claims , payments, and outstanding balances + Review explanation of benefits to ... Northeast Family Services is currently seeking a Billing Specialist to join their growing team! NFS is...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… more
- AIG (Wilton, CT)
- Reinsurance Specialist This role is responsible for managing reinsurance claims and collections within Reinsurance Finance and reports to the Head of Reinsurance ... Claims and Collections. The individual should have solid claim...financial and claim data. + Assist with the analysis, review and resolution of aged receivables impacting Schedule F… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality… more
- Hackensack Meridian Health (Hackensack, NJ)
- …documentation, coding, billing and licensure. Coordinates and participates in the record/ claims review process, provides documentation and compliance education ... Participate in meetings with coding, billing, abstraction and reimbursement staff to review claims , evaluate accuracy and develop appropriate strategies for… more
- Deloitte (Stamford, CT)
- Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer What we do Operations and Technology Transformation delivers ... on July 31, 2024 Work you'll do As an OTT Insurance Transformation Specialist Master, you will bring considerable technical expertise to deliver effective solutions… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....is seeking qualified candidates for the position of Claim Specialist in the Litigation Support Unit. This position, with… more
- City of New York (New York, NY)
- …and operations, DEP is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office. BLA's staff provide critical ... is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position,...specialists in the Litigation Support unit, and includes conducting review of their work. - Testify in depositions and… more
- The Mount Sinai Health System (New York, NY)
- …coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 2 - 46091 Occupational Category Other Professional Careers Salary Grade 23 Bargaining ... Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 2; OR current NYS employee with one year or more of permanent… more
- Educational Alliance, Inc. (New York, NY)
- …and civic engagement. The Role: Reporting directly to the Billing Manager, the Specialist will perform billing functions for the Center for Recovery and Wellness ... team in A/R functions and is responsible for maintaining claims and receivables reports for all billable services at...Support the billing team with all billing functions + Review all Millin billing/AR reports for accuracy, + Assist… more
- State of Connecticut, Department of Administrative Services (Stamford, CT)
- Paralegal Specialist Recruitment # 240904-6142AR-001 Location Stamford, CT Date Opened 9/6/2024 12:00:00 AM Salary $74,750* - $96,734/year (*New to state service to ... a quasi-judicial agency responsible for the adjudication of disputed workers' compensation claims and administration of various programs. If you enjoy working in a… more
- Walgreens (Tappan, NY)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- City of New York (New York, NY)
- …motivated individual to serve as a Workers' Compensation and Extended Leave Specialist . The selected candidate will be responsible for the following: Oversee, ... and agency protocols, standards, policies, and procedures. Process Workers' Compensation claims in the Workers' Compensation System (WCS) and in CityTime, as… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Specialist Department Quality Management Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... completed OPWDD 149s prior to submission to the IRC Committee for review .8. Completes IRC Committee recommendations and follow-up within mandated timeframes. 9.… more