Medical Claims Specialist jobs in New York, NY

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Electronic Health Record Support Specialist
CASES - 15 reviews - New York, NY 10027
CASES is seeking an EHR Support Specialist to provide front line support for our two EHR databases:. The EHR Support Specialist will work closely with the...
Physicians Medical Billing Specialist New York City
Billing Services Inc. - New York, NY 10021
Physicians Medical Billing:. All positions require knowledge of Medical Billing, Medical Billing Software, MS Word and Excel....
Easily apply
Accounts Receivable Specialist
Transitional Services for New York, Inc. - Whitestone, NY
Updating Medical Billing Practice Management software and resubmitting. Responsible for following up with Medicaid, Medicare and all Managed Care on unpaid...
Easily apply

Utilization Management Team Leader

MetroPlus Health Plan - 51 reviews - New York, NY
$100,000 - $104,580 a year
Will also consider foreign medical school graduates. Investigation and resolution of clinical claims related issues....

Claims Specialist II

Aon - 2,212 reviews - New York, NY 10171 (Midtown area)
The Claims Specialist sets adequate reserves to ensure proper reporting. Compares data on claim form with insurance plan to ascertain completeness and validity...

Claim Specialist, Level III-Motor Vehicle Claims Division

OFFICE OF THE COMPTROLLER - 4 reviews - Manhattan, NY
$64,347 - $70,000 a year
Evaluation of the claim; The Motor Vehicle Claims Division investigates and resolves pre-litigation claims involving City-owned motor vehicles....

MLTC Team Leader

MetroPlus Health Plan - 51 reviews - New York, NY
$50,000 - $60,000 a year
Understanding of medical terminology. Managed Care background required in Medical Management. Investigation and resolution of claims related issues as...

Provider Relations Representative

WellCare - 617 reviews - New York, NY 10004 (Financial District area)
Provides oversight on claims issues. Addresses RxEffect, P4P, Medical Home, Cultural Competency, FWA, open/closed panels, ADA, PaySpan, ER overuse, et al....

In-Field Navigator

MetroPlus Health Plan - 51 reviews - Manhattan, NY  +1 location
$56,822 - $65,000 a year
Maintain knowledge of medical record review and EMR systems. Facilitate retrieval of medical record documentation and work with provider group(s) to retrieve...

G & A Specialist - Dental

EmblemHealth - 343 reviews - New York, NY
Liaisons with claims to ensure determinations are effectuated within stringent timeframes. Has extensive knowledge and experience in claims, benefits and member...

Safety Representative

Yeshiva University - 45 reviews - New York, NY
This may be done in conjunction with the Safety Specialist or independently Coordinate FIT testing for staff....

Fee Schedule Specialist

MetroPlus Health Plan - 51 reviews - New York, NY
$55,176 - $80,000 a year
Strong familiarity with health plan claims systems and interdependent applications. Extensive understanding of the full claims reimbursement cycle and testing...

Underwriting Specialist

Liberty Mutual - 1,427 reviews - New York, NY
Communicates with other product line underwriters and claims analysts in order to provide top level customer service....
Senior Property Field Claims Specialist - Private Client (Tr...
Obtains medical reports, appraisals, estimates of property damage and evaluates bodily injury claims as needed. Reports to Claims Manager....
G & A Specialist - Dental
EmblemHealth - 343 reviews - New York, NY
Liaisons with claims to ensure determinations are effectuated within stringent timeframes. Has extensive knowledge and experience in claims, benefits and member...

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