- 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)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties**… more
- AIG (Jersey City, NJ)
- … claims governance guidelines. What you will need to succeed + Good specialist knowledge in trade credit insurance ( claims and/or underwriting), credit risk ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are… 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
- 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 ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… 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 ... assigned Specialty Liability related 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 ... 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 (Morristown, NJ)
- **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 ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… 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
- Travelers Insurance Company (Morristown, NJ)
- **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 ... Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...handling experience. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff ... manner consistent with maintaining and furthering a positive public perception of Bronxcare Health System and its employees. - Contributes to and participates in the… more
- Travelers Insurance Company (Morristown, NJ)
- **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 ... reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …Specialist , under the direction of the Supervisor, is responsible for providing patient health care services enabling access to care for prescription ... with extreme customer empathy soft skills, experienced in patient care / health care case...will Do: + Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians,… more
- Mount Sinai Health System (Elmhurst, NY)
- …advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific ... accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs...its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics,… 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
- City of New York (New York, NY)
- …and Integrity in the Division of Child and Family Well-Being (CFWB), the Child Care Risk and Integrity Specialist will have the following tasks and ... and community supports. ACS manages community-based supports and foster care services, and provides subsidized child care ...Track cost savings and avoidance - Review of complex claims for improper payments or false claims … 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
- 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