Claims Resolution Expert

Capital Cardiology Associates OverviewEmbark on a rewarding journey with Capital Cardiology Associates, where your skills and passion contribute to the well-being of our community. Our team is dedicated to excellence in cardiac care.Job SummaryWe are seeking an experienced Insurance Claims Specialist to join our team. As a key member of our team, you will...

Job Title: Roofing Professionals WantedAbout Us: Hancock Claims Consultants Technicians is a leading provider of roof and property inspection services working with insurance carriers and adjusters nationwide.Salary Range: $60,000 - $80,000 per year (dependent on experience)Job Description:We are seeking professional inspectors to join our dynamic field team....

Job OverviewThis is a unique opportunity to join Delta Group, a renowned investigative firm dedicated to combating insurance fraud. As an SIU Investigator, you will play a crucial role in identifying and preventing suspicious claims across various lines of insurance.About the JobThe successful candidate will conduct thorough investigations, gathering...

We are seeking a highly skilled Healthcare Resolution Specialist to join our team at the New York State Department of Health. As a key member of our team, you will be responsible for managing complaints, interfacing with residents, and processing cases.In this role, you will work independently with minimal supervision, utilizing your strong interpersonal...

About IPROIPRO is a leading organization in the healthcare industry, dedicated to improving quality and reducing costs. Our team of experts works closely with government agencies, healthcare providers, and patients to ensure that high-quality care is delivered.Job SummaryWe are seeking a skilled Nursing Facility Resolution Reviewer to join our team. As a key...

Job Title: Project Manager - Architectural and Engineering ExpertAbout the JobWe are seeking an experienced Senior Project Manager to lead architectural and engineering projects from inception to completion. This role is ideal for a licensed architect or engineer with 10+ years of experience in project management, including post-occupancy phases.Key...

Job OverviewWe are seeking a skilled Customer Service Representative to join our team at Maximus. This role will provide telephonic assistance to the Complaints Unit at the State Department of Health (DOH), ensuring efficient complaint resolution and customer satisfaction.Key Responsibilities:Interface with clients, referring complaints or inquiries to...

Job Summary">This is a rewarding opportunity to join the Albany Housing Authority as an Insurance Manager. The successful candidate will be responsible for administering insurance programs associated with risk management, while helping to minimize risk in our day-to-day operations.">Responsibilities">">Coordinate and implement the administration of office...

Job Overview:Flagstar Bank, N.A. seeks a dedicated Mortgage Support Professional to join our Lending Service Center (LSC) Call Team. As a key member of the team, you will provide exceptional customer support to internal and external business partners, ensuring seamless compliance with regulatory requirements.Key Responsibilities:• Analyze and resolve...

About the RoleWe are seeking a highly organized and detail-oriented individual to join our team as a Benefits Administrator. In this dynamic role, you will be responsible for creating a positive environment for our employees, both in person and over the phone.Job DescriptionThe Benefits Administrator will provide expert advice on all benefit issues related...

Job OverviewJettison, a leading law firm, seeks an experienced Senior Commercial Litigation Counsel to join their dynamic legal team. This is an excellent opportunity for a motivated and skilled attorney to take on complex business litigation cases from inception to resolution.About the RoleThis is a challenging role that requires strong analytical and...

At Voyatek, we're seeking a highly skilled Senior Software Developer to join our NYS Information Technology Services Team in Albany, NY. As a key member of our team, you will play a crucial role in the development and maintenance of tax-related applications using J2EE technologies.Job OverviewWe are an outcomes company that combines scale with agility to...

About the OpportunityWe are seeking a motivated and enthusiastic Clinical Nurse Specialist to join our dynamic, multi-disciplinary team in the beautiful Great Southern region as a key member of our Child and Adolescent Mental Health Service.This is a unique opportunity to work within a supportive, community-based environment where your skills and expertise...

Job SummaryWe are seeking a highly skilled Customer Service Associate to join our innovateIT team. As a key member of our Sales department, you will provide top-notch customer service to our business-to-business clients, responding to inquiries, building relationships, and performing various customer-related tasks.Key ResponsibilitiesRespond to customer...

Company Overview:At HigherStrats, we are a dynamic and innovative accounting firm dedicated to providing top-notch services to our clients in the healthcare and financial industries. Our team is passionate about delivering exceptional results and fostering a collaborative environment.About the Role:We are seeking a highly detail-oriented and analytical...

Description: Manager's Note: Work location: Telecommuter NY Job location: Hybrid Years of experience: At least 2-3 years Any specific skill/ certification/ license/ experience: NY License. Job Description: PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims...

Embark on a rewarding journey with Capital Cardiology Associates, where your skills and passion contribute to the well-being of our community. Apply today to be part of a team dedicated to excellence in cardiac care. Essential Responsibilities: Capital Cardiology Associates is seeking an Insurance Claims Specialist to join our team! The ideal candidate must...

A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of...

Job DescriptionBased in Albany, working at the direction of the NYS Department of Health (DOH) you will be primarily responsible for the day-to-day case management of Nursing Facility Quality of Care Complaints. As a Nursing Facility Resolution Reviewer you will interface with the resident &/or resident’s representative throughout the complaint resolution...

Job DescriptionBased in Albany, working at the direction of the NYS Department of Health (DOH) you will be primarily responsible for the day-to-day case management of Nursing Facility Quality of Care Complaints. As a Nursing Facility Resolution Reviewer you will interface with the resident &/or resident’s representative throughout the complaint resolution...

HBITS-06-13705 - Database Architect Expert – 50% REMOTE – Menands, NYAgency Name: Information Technology Services (ITS)Project/Program Name: FACTS, PADS and OMIG System EnhancementsProvide a short description of the Position: The Fraud Activity Comprehensive Tracking System (FACTS) is an electronic drawer, composed of numerous and varying databases and...

Tandym Group is seeking an A/R Collections Team Lead for a 100% remote contract role. The ideal candidate will oversee collections, A/R follow-up, denial management, initial claims submission, and claim edits for both Hospital Billing (HB) and Professional Billing (PB). The role also includes managing a team of collectors, handling work queues, and ensuring...

We are seeking a highly skilled Senior Housing Clinical Expert to join our team at CoBridge Workforce Solution. This role requires a Registered Nurse with previous experience in Senior Housing, as well as a strong understanding of Director of Nursing (HSD) regulations in all assigned states.Key Responsibilities:Provide clinical coverage to communities...

Job DescriptionBased in Albany, working at the direction of the NYS Department of Health (DOH) you will be primarily responsible for the day-to-day case management of Nursing Facility Quality of Care Complaints. As a Nursing Facility Resolution Reviewer you will interface with the resident &/or resident’s representative throughout the complaint resolution...

Tandym Group is working with a client in New York to fill several immediate A/R Collections Specialist positions. These contracts will be 100% remote. The ideal candidates will have extensive experience in accounts receivable, collections, billing, denials, and appeals, particularly in working with the Epic system.About the Opportunity:Hybrid or Remote: 100%...

Title: Expert Software ArchitectLocation: Albany NYDuration: 12 MonthsClient : Tech Valley TalentNote: This is an onsite position.Job DescriptionSoftware Architect Makes highlevel design choices and dictates technical standards including software coding standards tools and platforms. Designs multileveled architecture or component interactions of a largescale...

Job Title: Expert Business Analyst Duration: 02 YearsClient: Tech Valley TalentLocation: Albany NYNote: This is an onsite position. "The applicant is at the center of our universe."Job Description:Work with end users and/or review/analyze existing documentation or system artifacts to document business system...

strong>Job DescriptionATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. br>Taking care of our customers,...

Job DescriptionJob DescriptionWe are seeking a dedicated Insurance and Patient Account Specialist to join our team. This role involves resolving outstanding insurance and patient balances, filing insurance claims, and posting payments and refunds. Reporting to the Billing Director, the specialist will identify and resolve delinquent patient accounts within...

Job DescriptionJob DescriptionWe are seeking a skilled billing specialist to join our team, responsible for daily coding and charge entry, posting electronic and manual payments, identifying and appealing denied claims, and conducting AR follow-up to ensure timely payment. The role involves acting on billing correspondence, responding to inquiries, preparing...

REGISTERED NURSE - WORKERS COMP Scroll down to find an indepth overview of this job, and what is expected of candidates Make an application by clicking on the Apply button. Albany, NY Fusco Personnel is currently searching for a Registered Nurse to provide workers compensation oversight with an emphasis on early intervention and return to work...

HBITS-05-13045 Daily tasks will include: Requires knowledge of Web Services and various related technologies, and the ability to articulate SOA principles to others as this position will be responsible for guiding SOA web services for OTDA application. Will support team creating the self-service site. Activities include performing and/or supporting: ...

Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: Vacancies will be filled in the following specialty areas: SB/SE DEPUTY COMMISSIONER EXAM, FIELD EXAMINATION The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you...

Job DescriptionJob DescriptionCapital region organization looking for an Administrative Coordinator. The ideal candidate will have previous administrative experience. In this role you will provide detailed administrative and clerical support in an office setting. Tasks will include, filing, answering a multi-line telephone and routing the callers to...

Ever dream of doing work that makes a difference? Want to join a growing company? Here it is! We seek the talent of a dynamic Technical Support Specialist associate who seeks to bring their A game to a collaborative team of talented professionals. You are not afraid to make impact where your opinion matters in a company that has a masterful, mature history...