- Axis (Princeton, NJ)
- …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
- 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
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + Works hospital claims to assure timely billing and appropriate reimbursement from Non-Governmental Insurance Companies. Primary Position ... and/or Advanced Specialized or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist … 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
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary Billing Specialist will work at the HMC Business Office and will be assigned to report to a Supervisor within the Business Office. The position is ... to maintain an efficient system for the daily electronic submission of claims , identifying errors and making the necessary corrections to ensure timely submission… more
- Sedgwick (Trenton, NJ)
- …or related experience. **Skills & Knowledge** + Knowledge of current medical practices in health care management in a variety of areas (including, but not ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims… more
- CVS Health (Trenton, NJ)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...each and every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit… more
- Hunterdon Health Care System (Flemington, NJ)
- …establish goals. + Responsible for the timely and accurate submission of claims , paper and electronic and/or electronic personal statements. Qualifications + Minimum ... terminology preferred. Strong customer service and multitasking abilities required. Hunterdon Health is committed to providing a competitive benefit package to our… more
- Intermountain Health (Trenton, NJ)
- …Healthcare. + Understands ERISA, self-funded and federal and state laws around health insurance claims . + Develops and maintains collaborative relations with ... **Job Description:** The RCO Appeals Hearing Specialist is responsible for investigating, coordinating and managing...coordinating and managing legal insurance cases and represents Intermountain Health in OIG hearings and 1st level grievances with… more
- Travelers Insurance Company (Trenton, 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 ... negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices....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 ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… 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 ... 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 (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
- 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 ... 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
- Cardinal Health (Trenton, NJ)
- …to meet and exceed revenue and profitability objectives. The _Sr. Specialist , Business Intelligence_ provides Product & Solutions Marketing support to internal ... analytics that provide critical information, insights, and decision support to Managed Care , Marketing, and Sales leadership. + Work and communicate effectively with… more
- Prime Therapeutics (Trenton, NJ)
- …If you're ready for a purpose-driven career and are passionate about simplifying health care , let's build the future of pharmacy together. Prime Therapeutics ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...of pharmacy with us. **Job Posting Title** Provider Relations Specialist Associate - Remote **Job Description** The Associate Provider… 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
- 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
- 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