Claims Supervisor

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...

About the job Cash Claims Processor Cash Claims Processor needs 2+ years' experience Cash Claims Processor requires: Onsite Job is in Brooklyn, NY Monday 8:30 -5:00 Tuesday 8:30 5:00 Wednesday 8:30 5:00 Thursday 8:30 4:30 Friday 8:30 2:00 Working knowledge of mainframe computers and systems in general, ie: AS400 Minimum 10, 000 keystrokes per hour,...

Do you have experience as a medical claims examiner and looking for the next step in your career? Are you looking to work for a company that makes a difference in your community? APEX Placement and Consulting has partnered with a local company in Ossining, NY looking to add an experienced Senior Claims Examiner to their already amazing team! This person...

Our position of Claims Supervisor is responsible for supervising and coordinating activities within an assigned Claims Division area. This also includes the responsibility of involving the products or services of the Company by working individually or through associates. Work is performed independently.  Responsibilities Make suggestions and...

**Job Summary**: The Accounts Receivable Follow-Up and Claim Edits Specialist II is responsible for follow-up duties to collect on all open A/R with insurance companies and third parties, as well as the daily review of claim edits from the Epic system. The Account Receivable Follow-Up and Claim Edits Specialist II is part of a team that works to review,...

Excellence In Everything We Touch: Position Summary: Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case inventory to ensure proper/timely closing and billing of files. Makes decisions on claims within delegated limited...

Excellence In Everything We Touch: Position Summary: Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case inventory to ensure proper/timely closing and billing of files. Makes decisions on claims within delegated limited authority.    *Salary...

Our position of Claims Operations Supervisor is responsible for supervising and coordinating activities within an assigned Claims Division area. This also includes the responsibility of involving the products or services of the Company by working individually or through associates. Work is performed independently.  Responsibilities Make suggestions and...

This Branch Claims Representative handles bodily injury and general liability claims through their life-cycle including - but not limited to - investigation, evaluation and claim resolution. The purpose of this position is to provide service to agents, insureds and others to ensure claims resolve accurately and timely. Work is performed under general...

STATEMENT OF THE JOB: Under the direct supervision of the Service Fee Manager, the Service Fee Supervisor works with Netsmart’s Revenue Cycle Management (RCM) to provide a broad suite of business office services to enhance revenue collection and timely receipt of payments. The billing service includes all insurance carriers; Medicaid, Medicare and...

Responsibilities • Supervise Staff: monitor and control the flow of life insurance claims processing. Assign and distribute new claims. Ensure that life payments are processed timely once all required documents are received and in accordance with policy and procedures • Maintain a spreadsheet log of all assigned work for follow-up at specified times and...

Hours: 9am-5pm; 8:30am-4:30pm; or 8:00am-4:00pm OVERVIEW We are looking for a Benefits Specialist who specializes in Leaves of Absence and FMLA. Our firm manages most of our leave of absences in-house. This person should have experience coordinating the leave of absence process for multiple states, especially New York, New Jersey and California. A good...

Duties: A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. They will perform related functions in support of the Patient Financial Services operations and other duties,...

Hours: 9am-5pm; 8:30am-4:30pm; or 8:00am-4:00pm OVERVIEW We are looking for a Benefits Specialist who specializes in Leaves of Absence and FMLA. Our firm manages most of our leave of absences in-house. This person should have experience coordinating the leave of absence process for multiple states, especially New York, New Jersey and California. A good...

Duties: A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. They will perform related functions in support of the Patient Financial Servics operations and other duties, as...

  Duties: A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. They will perform related functions in support of the Patient Financial Servics operations and other duties,...

Duties: A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. They will perform related functions in support of the Patient Financial Servics operations and other duties, as...

Duties: A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. They will perform related functions in support of the Patient Financial Servics operations and other duties, as...

Overview: The Call Center Supervisor provides day to day departmental leadership; this individual is responsible for overseeing the training, assignment of duties and responsibilities for Central Registration line staff. The supervisor is responsible for reviewing the quality of work performed, and ensure that performance benchmarks and completion of...

Job Title: Hospital Care Investigator Location: 462 1st Avenue, Bellevue Hospital Center, NY, NY 10016 Duration: 8 Weeks Work Schedule: Mon-Fri 9am-5pm Pay Rate: $25/hr. - $30/hr. Job Description: A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to...