Claims Processing Jobs in New York State
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Search Results - Claims Processing Jobs in New York State
Sierra Solutions Group-New York
Job Summary
We are seeking an experienced Health Plan Claims Subject Matter Expert (SME) to support BPaaS (Business Process as a Service) readiness programs. The ideal candidate will have deep expertise in healthcare claims processing, payer...
resume-library.com -
Topaz HR-Valley Cottage
Proven experience in pharmacy rejection management and insurance claims processing.
• Strong leadership skills with a background in managing and developing teams.
• Experience in long-term care pharmacy billing is a plus.
• Excellent analytical skills...
mindmatch.ai -
Athari-New York
coding, ICD-9/ICD-10 coding principles and practices.
• Ability to research authoritative citations related to coding, compliance, and additional reporting requirements.
• Demonstrates overall knowledge of claims processing for various insurance both...
resume-library.com -
Course-New York
of healthcare policies, payment methodologies, and advanced analytical skills are essential.
Key Responsibilities:
Claims Payment Integrity:
• Oversee and ensure accurate and timely claims payment processing, including managing vendor relationships...
mindmatch.ai -
Phaxis LLC-Bronx
data to improve processes and workflows.
Collaborate with providers, members, and vendors to ensure smooth claim processing.
Validate DRG grouping and (re)pricing outcomes.
Manage refund checks, identify trends, and propose process enhancements...
resume-library.com -
Tandym Group-Purchase
at the start of the underwriting partnership, before a claim is reported. We believe this approach is critical not only to ensure efficient and responsive claims processing for each client, but also to provide valuable insights to our clients and underwriters...
mindmatch.ai -
Nesco Resource-Rochester
solving, and communication skills.
• Ability to multitask efficiently across multiple computer systems.
• Experience in a call center or contact center environment (preferred).
• Knowledge of employee benefits, health insurance, or claims processing...
carstar-Ronkonkoma
in a polite, courteous and cheerful manner.
• Asks for the sale and/or attempts to schedule customers for an estimate to achieve a closing ratio of 75% (minimum).
• Explain CARSTAR's repair process, including insurance claims processing, payment procedures...
Nesco Resource-Rochester
solving, and communication skills.
• Ability to multitask efficiently across multiple computer systems.
• Experience in a call center or contact center environment (preferred).
• Knowledge of employee benefits, health insurance, or claims processing...
mindmatch.ai -
carstar-Elma (NY)
in a polite, courteous and cheerful manner.
• Asks for the sale and/or attempts to schedule customers for an estimate to achieve a closing ratio of 75% (minimum).
• Explain CARSTAR's repair process, including insurance claims processing, payment procedures...
5 similar jobs: Depew, Lynchburg, Cary, South Orange, Blasdell
Sierra Solutions Group-New York
cross-functional collaboration to ensure provider data readiness supports network management, claims processing, and member experience.
Education and Experience
10+ years of experience in health plan provider data management within a Medicare...
resume-library.com -
Gallagher Bassett-New York
Webster proprietary ClaimsConsole® platform.
Meeting and where possible exceeding client SLAs to ensure robust audit results.
About You
Required: High school diploma and 5 years related experience required. Good understanding of claims processing...
Black Systems LLC-Albany
Windows environment, including experience in branching, Merging, and check-in/check-out.
• 60 months experience with HP Quality Center
• 84 months experience with Workers Compensation Claims Processing
60 months experience with Innotas...
jobvertise.com -
Nesco Resource, LLC-Rochester
solving, and communication skills.
Ability to multitask efficiently across multiple computer systems.
Experience in a call center or contact center environment (preferred).
Knowledge of employee benefits, health insurance, or claims processing (a plus...
resume-library.com -
National Coalition Of Healthcare Recruiters-Geneva (NY)
Responsible for monitoring duplicate medical record numbers created and insurance errors that delay claims processing. Corrects errors, provides feedback and training and identifies opportunities for process improvement.
Experience:
Minimum: Prior medical...
nchcr.com -
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