Claims Review Specialist jobs in Buffalo, NY

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Contracting Specialist
Air Force Civilian Service - United States
Review requisition package for. You MUST provide transcripts to support your educational claims. The mission of the United States Air Force is to fly, fight and...
Sponsored by Professional Diversity Network - 18 days ago
Appeals and Grievances, Clinical Specialist
Healthfirst 94 reviews - United States
In addition, the AG Clinical Specialist is responsible for receiving, investigating and responding in writing to member and provider appeals and grievances...
Sponsored by TweetMyJobs.com - 4 days ago

Medical Billing Specialist

Tara Cares - Orchard Park, NY
Electronic claim review and submission of Medicare and Medicaid. Follow up regarding outstanding claims and status of payment....

Product Operations Specialist I/II *2 openings

Excellus BlueCross BlueShield - Buffalo, NY
Performs claim reviews and reconciliation to established standards and develops processes to remediate errors detected....

Product Operations Specialist I/II *2 openings

Univera Healthcare 2 reviews - Buffalo, NY
Performs claim reviews and reconciliation to established standards and develops processes to remediate errors detected....

Clinical Pharmacist I/II

Excellus BlueCross BlueShield - Buffalo, NY
Drug Utilization Review:. Conducts drug prior-authorization, exception and medical necessity reviews. Knowledge and skill to conduct a thorough drug regimen...

Clinical Pharmacist I/II

Univera Healthcare 2 reviews - Buffalo, NY
Drug Utilization Review:. Conducts drug prior-authorization, exception and medical necessity reviews. Knowledge and skill to conduct a thorough drug regimen...

Medical Auditor Coder I

HealthNow New York Inc. 14 reviews - Buffalo, NY
Performs Quality Assurance reviews on Third Party vendors with assistance. Interacts with providers and hospital representatives at all levels to facilitate...

Network Reimbursement Specialist - Intermediate

Independent Health 27 reviews - Buffalo, NY
The Network Reimbursement Specialist-Intermediate will support claim processing via Network Reimbursement claim queues as directed....

MAC Network Analyst/Specialist

Independent Health 27 reviews - Buffalo, NY
Experience in pharmacy claim analysis preferred. The MAC and Network Specialist will perform an ongoing review of generic drug pricing in order to achieve...

Medical Billing Authorization Specialist – Fulltime

Windsong Radiology Group - Williamsville, NY
Consults with claims clerks at insurance provider’s office about any disputed claims. Follow Up on Open Claims....
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Repossession Redemption Specialist

M&T Bank 381 reviews - Getzville, NY
Repossession Redemption Specialist. Review and assign accounts out for repossession. Responsible for managing an assigned portfolio for open or non-performing...

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