Claims Review Specialist jobs in Schenectady, NY

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Utilization Management Specialist
Synectics 14 reviews - United States
Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent post-service and retrospective claims medical review....
Sponsored by Resume-Library - 7 days ago
EH&S Manager
CB&I Federal Services - Niskayuna, NY
Please review the below summary, responsibilities, and qualifications for this position. This classification may include EHS Site Managers, Industrial...
Easily apply
Sponsored by CB&I Federal Services - 30+ days ago

Litigation Specialist

American National Family of Companies - Glenmont, NY
The Farm Family Casualty Insurance Company has an opportunity available for a Litigation Specialist to investigate, evaluate and negotiate casualty claims...
11 days ago - save job - email - more...

Claim Specialist WCCS Deployed

State Farm Mutual Automobile Insurance Company 1,995 reviews - Malta, NY
Provides claim informationto stewardship claim specialist to assist in claim resolution. As business needs dictate, some proximity Claim Specialists act in a...
19 days ago - save job - email - more...

CLAIMS RECOVERY AUDITOR

Value Options 133 reviews - Latham, NY
Conducts retrospective paid claims reviews utilizing internal claims reports and other internal sources such as;...
30+ days ago - save job - email - more...

Spec Provider Relations & Contractin

HealthNow New York Inc. 14 reviews - Albany, NY
Onsite reviews, Access Compliance reviews, After Hour access review, assistance with demographic change forms & new provider forms, government list reviews,...
24 days ago - save job - email - more...

ELIGIBILITY SPECIALIST I

Value Options 133 reviews - Latham, NY
8.Perform administrative evaluation, completion, and correction of authorizations and reviews in relation to clinical contract requirements....
30+ days ago - save job - email - more...

EH&S Manager

CB&I Federal Services - Niskayuna, NY
Please review the below summary, responsibilities, and qualifications for this position. This classification may include EHS Site Managers, Industrial...
Easily apply
30+ days ago - save job - email - more...

Nurse Case Manager

York Risk Services Group Inc. - Albany, NY
Organizes and review medical records to identify specific medical issues; Schedules appointments to avoid delays in treatment by primary care physicians,...
30 days ago - save job - email - more...

Regional Medical Director, Albany

Landmark Health - Latham, NY
Assist claims processing staff in review of inpatient or outpatient medical claims for unbundling of services or other inappropriate billing practices....
30+ days ago - save job - email - more...

Albany CONTRACT Medical Record Specialist - HEDIS

CareNational Healthcare Services, LLC - Albany, NY
$12 an hour
Schedule HEDIS office reviews. CONTRACT Medical Record Specialist - HEDIS. Research within the company’s claim systems to assist abstractors to identify...
Easily apply
30+ days ago - save job - email - more...

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