- 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
- Northwell Health (New Hyde Park, NY)
- …programs for the staff and pharmacy students. + Provides educational programs for health care staff regarding medication use; provides training as measured by ... **Req Number** 171104 **Job Description** The Clinical Pharmacy Specialist is responsible for the development, implementation, and...a significant portion (4+ years) directly in a managed care organization, Pharmacy benefit manager, or health … 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
- 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 ... 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 (Melville, 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 ... 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 (Melville, 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 ... 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 (Melville, 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 ... reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer… 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
- 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 ... housing tax credit program, government assisted rental housing and rent stabilized properties.We care about your concerns and take excellent care of your… more