- 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
- 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
- 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
- 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
- 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
- Performance Optimal Health (Stamford, CT)
- Join Performance Optimal Health , a leading wellness organization that takes a holistic approach to health through the Four Pillars of Optimal Health - ... We empower clients to live better lives through exceptional care , service, and teamwork. We are seeking a Billing..., service, and teamwork. We are seeking a Billing Specialist to join our growing Practice Administration/Billing team. This… more
- Molina Healthcare (Yonkers, NY)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...program), or medical office/hospital setting. * Completion of a health care related vocational program in … more
- Travelers Insurance Company (New York, NY)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Travelers Insurance Company (New York, NY)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… more
- Nuvance Health (Danbury, CT)
- …and accounts receivable functions. Responsible for the assigned areai? 1/2s claims submission, payment application, denial management, and account follow-up to ... ensure optimal reimbursement. Responsibilities: 1. Accurately processes claims , payments, rejections, refunds, credit balances and unapplied cash on a daily basis… more
- Molina Healthcare (Yonkers, NY)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...program), or medical office/hospital setting. * Completion of a health care related vocational program in … more
- Constructive Partnerships Unlimited (Manhattan, NY)
- QA/QI Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6269) Job Brief The QA/QI Review Specialist is responsible for completing internal quality reviews within… more
- Nuvance Health (Danbury, CT)
- …10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 2092 Department: Care Coordination Exempt: Yes Salary ... payer practices, successfully challenging payers as they prevent obstacles and deny claims and escalating any egregious payer behaviors to internal leadership for… more
- AIG (New York, NY)
- …way we help customers to manage risk. Join us as a Senior Production Specialist , Lexington Healthcare to play your part in that transformation. It's an opportunity ... Healthcare AIG Healthcare has an opportunity for a Senior Production Specialist , specializing in Medical Malpractice and General Liability. The Specialist… more
- Molina Healthcare (Yonkers, NY)
- …2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- 32BJ Benefit Funds (New York, NY)
- …with customers. Education and/or Experience: High School diploma, some college preferred; Health Care , Employee Benefits and/or Customer Service experience are ... To 54964.76 (USD) Annually Job Title: Member Services Representative (Benefits Specialist ) Extended Hours * *Differential Pay Added for Working Extended Hours**… more
- Sharp Electronics Corporation (Montvale, NJ)
- **Overview** The Quality Assurance Specialist is responsible for pre-production evaluation and post production life testing of Sharp and Sharp branded devices to ... ensure they meet or exceed Sharp Standards. The QA Specialist is accountable and responsible for the initial quality...on issues such as product performance, parts usage, warranty claims , or other reports as required. + Maintains department… more
- AIG (New York, NY)
- …Philadelphia, Atlanta, Los Angeles, Houston, San Francisco, Scottsdale OR Denver. Production Specialist , Builders Risk This underwriting role will be an ideal next ... transferable skills. Lexington has an opportunity for a Production Specialist on the US Builders Risk team specializing in...with AIG subject matter experts and robust reviews of claims history and general company information. + Your relationships… more
- Molina Healthcare (Yonkers, NY)
- …in claims , and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience. * ... program), or medical office/hospital setting experience. * Completion of a health care related vocational program (ie, certified coder, billing,… more
- Guidehouse (New York, NY)
- …Parental Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + ... plan when needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold… more