Claims Review Specialist jobs in Ozone Park, NY

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No Fault Customer Claims Specialist
Liberty Mutual - 1,652 reviews - Uniondale, NY 11553
No Fault Customer Claims Specialist. Manages, evaluates and resolves claims assigned by Claims Team Manager. Makes effective use of loss management techniques...
Medical Billing Specialist
NY Orthopedics - 6 reviews - New York, NY 10075
Research and resolution of claims based on assignment, the process of which could include:. Illustrate excellent knowledge of healthcare industry in regard to...
Easily apply
Authorization Clerk/Claims-Billing Specialist
Edison Home Health Care - 11 reviews - Brooklyn, NY 11218
Review payments, address denials and partial payments. We are looking for a right individual to join our Billing Team....
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Project Officer - Level II

NYC School Construction Authority - 13 reviews - Long Island City, NY
$72,229 - $122,584 a year
Reviews contractors' claims or disputed work and advises senior management as to appropriate action. Reviews and makes recommendations on Authority-wide...

Marketing/Outreach Liaison

The City University of New York (CUNY) - 3 reviews - New York, NY
$56,528 - $61,593 a year
Review, approve and carry out local advertising plans as well as review and approve invoices and process advertising claims;...

Utilization Review (UR) Specialist (60 - 65K)

Phoenix House - 183 reviews - New York, NY 10023 (Upper West Side area)
The *Utilization Review (UR) Specialist*. Candidates must understand all aspects of the managed care system, ASAM criteria, behavioral health benefits,...
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Equal Opportunity Specialist

Department of Housing And Urban Development - 29 reviews - New York, NY
$82,304 - $106,998 a year
Review our benefits. As an Equal Opportunity Specialist, you will:. Click "Print Preview" to review the entire announcement before applying....

Utilization Review

Phoenix House - 183 reviews - Brooklyn, NY
Understand all aspects of the managed care system, ASAM criteria, behavioral health benefits, precertification, utilization review, peer reviews, discharge...
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A/R Chargeback Specialist

L & R Distributors, Inc. - Brooklyn, NY 11232 (Greenwood area)
$17 an hour
As a A/R Chargeback Specialist, you will need to process claims, coupons and rebates. Prepare reports from Management on a weekly basis for review....
Easily apply

Validation Specialist (phone validations)- Midtown

Grant Associates - 24 reviews - New York, NY 10001 (Chelsea area)
PAVU Validation Specialist (*). Reviews service records corresponding with pending outcome claims for all aspects of compliance;...
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Utilization Management Team Leader

MetroPlus Health Plan - 62 reviews - New York, NY
$100,000 - $104,580 a year
Support Member Care Management and utilization review activities in conjunction with Case Management/Utilization review teams....

Workers Comp Claims Specialist - Lost Time Adjuster

CorVel Corporation - 189 reviews - Brooklyn, NY
Identifies potential subrogation claims. Three years of Worker Compensation lost time claims management required....
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Utilization Management Specialist

Goodwill Industries of Greater NY and Northern NJ... - 9,370 reviews - Astoria, NY
Review EHR to determine compliance with funders/regulators requirements. Obtain and review documents from outside agencies required for service authorization....
Subrogation/Arbitration Specialist
SECOND LOOK INC. - Hauppauge, NY 11788
$40,000 a year
Guide claims through process, diary and conducts reviews of losses to determine potential for each claim. Secure itemization of damages on claims;...
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Grievance & Appeals Specialist
EmblemHealth - 388 reviews - New York, NY
Reviews complex cases. Liaison with claims to ensure determinations are effectuated within stringent timeframes....

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