Claims processing jobs in New York, New York (NY) State

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. MetroPlusHealth provides...

The ideal candidate will have 10 years or more of management consulting experience serving dental clients, and bring a broad understanding of dental insurance operations and a deep knowledge of the dental value chain, The candidate will demonstrate knowledge of but not limited to claims processin...

Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts, Medical Policies and Payment procedures as well as capable of manually processing claims according to all outlined Policies and Procedures....

Claims Account Specialist (Medical) - Remote. The Claims Account Specialist (Medical) - Remote is responsible for the review, investigation, decision making, and processing of production claim types, and all related claim functions and activities. Troubleshoot utilization review and medical neces...

The Operations Manager will oversee a team of Claim Administrators and Team Managers, exercise independent judgment in identifying problems, offer solutions, and formulate and implement new procedures for the smooth and efficient processing of VCF Claims. Under the direction of the Director of Op...

Medical Claims Specialist - Remote. The Medical Claims Specialist - Remote is responsible for the review, investigation, decision making, and processing of production claim types, and all related claim functions and activities. Troubleshoot utilization review and medical necessity related issues ...

A Claim Administrator, "CA", will work with their VCF Team to ensure that all claims are properly recorded in our systems and that all information has been correctly submitted on behalf of the client to the VCF. Timely processing and managing of clients' Victim Compensation Fund, “VCF”, claims. R...

Lovell, the largest safety group administrator in NYS, is looking for a Full-Time Entry-level Workers’ Compensation Claims Examiner/Clerk with excellent organizational and communication skills. Will be required to perform other administrative or claims (clerk) processing duties as necessary. ...

We are looking for an Accounts Payable Specialist to join our team and work with our accounting department to oversee our organization’s expenses. Accounts Payable Specialist responsibilities include processing payments, verifying invoices and performing account reconciliations as needed. ...

Job description The incumbent will assist employees with benefits enrollment and questions, manage all insurance billing, maintain benefits database and files, payroll administration, wellness programs, employee morale programs and other special projects. Job Responsibilities Include but are not ...

About the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to analyze, define and manage requirements to launch new product & services. The ideal candidate will have worked in-depth for to...

Pay Range: $27.80-$43.08 Company Overview: The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at o...

About NYC Health + Hospitals Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yo...

... distributing billing information. Responsible for processing and filing insurance claims and ... Complies with applicable state and local laws governing nondiscrimination in employment in every ...

Knowledge of Medicare and Medicaid billing & payment and coverage guidelines * Strong experience in the analysis and processing of claims, quality assurance, CMS payment methodologies (i.e., DRGs ...

Acting as point person with third-party loan closing staff * Processing of loan settlement funding wires * Researching / resolving reconciliation breaks for loans and bankruptcy claims settlements

As a Medical Biller, you will be working closely with clients to answer questions related to ... Responsibilities * Assist clients with processing insurance claims through both private insurance ...

Thorough review of claims and medical documentation. * Prepare cases for clinical review. * Advanced claim processing including professional, facility and ancillary claims. * Provide accurate and ...

... administrators, insurance carriers, computer system representatives, etc.) and governmental ... Proficiency in relevant computer applications and software to include automated claims processing ...

Claims include property damage, product recall, liability, theft/fidelity, and business ... processing, use, and storage of your personal information as required and described therein

Minimum of at least 1 year Medical Billing experience required. Job duties/responsibilities include: * Heavy data entry * Processing Claims and/or denials * Entering information from the EHR system ...

Position Overview The Claims Supervisor is responsible for the daily oversight of claims processes ... Identifies system processing issues and assist with the root cause analysis process. * Develops ...

... charge entry, professional coding, claims processing, cash posting, denial management and ... Minimum 10 years-experience in revenue cycle management and optimization, patient financial ...

As the Insurance Agency Representative (Auto Insurance), you will assists clients with their auto insurance needs by providing knowledgeable guidance, processing policy changes, and handling claims ...