EDI Claims Specialist
2 days ago
We are seeking a highly skilled EDI Billing Specialist to join our team at RC Billing. The successful candidate will be responsible for timely daily claim submissions and file maintenance functions in accordance with our billing standards and reimbursement policy and procedures.
Key Responsibilities- Timely completion of daily claim submissions and file maintenance functions
- Responsible for seeking resolution to problems relating to timely and efficient claim submissions
- Ensure excellent communication between the AR department, CBO management, Revenue Cycle IT Department, and the Revenue Cycle Credentialing Department
- Responsible for daily file maintenance within Allscripts Tiger, Allscripts Pro PM, and Waystar EDIInsight
- Responsible for balancing, daily/monthly closing of all databases and preparing month-end reporting packages
- Responsible for contacting Allscripts or Waystar EDIInsight and working with them directly to resolve claim submission issues, patient statement processing issues, and HL7 ADT and DFT Interface issues
- Strong knowledge of EDI billing standards and reimbursement policy and procedures
- Excellent communication and problem-solving skills
- Ability to work in a fast-paced environment and meet deadlines
- Proficiency in Allscripts Tiger, Allscripts Pro PM, and Waystar EDIInsight
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EDI Claims Specialist
4 weeks ago
New York, New York, United States RC Billing Full timeJob SummaryWe are seeking a highly skilled EDI Billing Specialist to join our team at RC Billing. As a key member of our Revenue Cycle Operations team, you will be responsible for ensuring timely and accurate claim submissions, file maintenance, and resolution of issues related to claim submissions and patient billing.Key ResponsibilitiesTimely daily claim...
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EDI Claims Specialist
3 weeks ago
New York, New York, United States RC Billing Full timeJob SummaryWe are seeking a highly skilled EDI Billing Specialist to join our team at RC Billing. The successful candidate will be responsible for timely daily claim submissions and file maintenance functions in accordance with RC Billing standards and Reimbursement policy and procedures.Key ResponsibilitiesResponsible for timely completion of all client...
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EDI Billing Specialist
4 weeks ago
New York, New York, United States RC Billing Full timeJob SummaryWe are seeking a highly skilled EDI Billing Specialist to join our team at RC Billing. The successful candidate will be responsible for timely daily claim submissions and file maintenance functions in accordance with RC Billing standards and Reimbursement policy and procedures.Key ResponsibilitiesTimely completion of all client Allscripts Pro PM...
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EDI Integration Specialist
4 weeks ago
New York, New York, United States Meridian Brands LLC Full timeEDI Analyst Job DescriptionMeridian Brands LLC, a leading wholesale and direct apparel brand in New York, is seeking an EDI Analyst to manage our retail EDI integrations and support logistics and distribution operations.This role is critical in ensuring seamless data flow between our systems, supply chain, and retail partners. The EDI Analyst will work with...
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EDI Customer Service Specialist
2 days ago
New York, New York, United States 24 Seven Talent Full timeWe are seeking a highly motivated and detail-oriented Customer Service Representative to join our team. As an EDI Customer Service Specialist, you will be responsible for providing exceptional customer service and support to our retail customers.Your primary focus will be on processing and managing retail orders, including order entry, modification, and...
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Healthcare IT Specialist
4 weeks ago
New York, New York, United States EmblemHealth Full timeJob SummaryWe are seeking a highly skilled Technical Specialist to join our team at EmblemHealth. As a Technical Specialist, you will play a critical role in providing technical support and expertise to our medical, dental, and hospital providers, as well as vendors and other departments.Key ResponsibilitiesProvide technical support and testing for medical,...
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Technical Specialist
3 weeks ago
New York, New York, United States EmblemHealth Full timeJob SummaryEmblemHealth is seeking a highly skilled Technical Specialist to join our team. As a Technical Specialist, you will be responsible for providing EMC testing and support to medical, dental, and hospital providers, as well as vendors and other EmblemHealth departments.Key ResponsibilitiesProvide EMC testing and support for medical, dental, and...
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Senior Technical Specialist
2 days ago
New York, New York, United States EmblemHealth Full timeJob SummaryEmblemHealth is seeking a highly skilled Senior Technical Specialist to join our team. As a key member of our IT department, you will be responsible for providing technical support and expertise in electronic medical claims (EMC) systems and processes.Key ResponsibilitiesProvide technical support and troubleshooting for EMC systems and...
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Claims Specialist
4 weeks ago
New York, New York, United States AXIS Capital Holdings Limited Full timeClaims Specialist Job DescriptionAXIS Capital Holdings Limited is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will play a critical role in analyzing and resolving claims in a best practices claim environment.Key Responsibilities:Exercise critical thinking and proper judgment to analyze claim exposure and determine the...
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Claims Specialist
3 days ago
New York, New York, United States AXIS Capital Full timeClaims Specialist Opportunity at AXIS CapitalWe are seeking a highly skilled Claims Specialist to join our team at AXIS Capital, a leading global provider of specialty lines insurance and reinsurance. As a Claims Specialist, you will play a critical role in analyzing claim exposures, determining the proper course of action, and pursuing claims to...
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Claim Specialist
2 days ago
New York, New York, United States City of New York Full timeJob Title: Claim SpecialistJob Summary:The City of New York is seeking a highly skilled Claim Specialist to join our team in the Litigation Support Unit. As a Claim Specialist, you will be responsible for providing critical litigation support to the Law Department attorneys representing the agency and responding to requests for records and information from...
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EDI Customer Service Representative
3 weeks ago
New York, New York, United States 24 Seven Talent Full timeCustomer Service Specialist Job DescriptionWe are seeking a highly motivated and results-driven Customer Service Specialist to join our team. As a key member of our Customer Service Call Center, you will play a critical role in delivering exceptional customer service and driving customer satisfaction.Main Responsibilities:Process and manage retail orders...
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Claims Resolution Specialist
3 weeks ago
New York, New York, United States Selby Jennings Full timeJob Title: Claims SpecialistAt Selby Jennings, we are seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for overseeing complex and high-exposure claims, executing coverage verification, claim investigation, reserving, and disposition.Key Responsibilities:Claim Oversight: Manage and oversee the most...
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Health Claims Specialist
4 weeks ago
New York, New York, United States Lower Eastside Service Center Full timeJob Title: Health Claims SpecialistWe are seeking a skilled Health Claims Specialist to join our team at the Lower Eastside Service Center. As a Health Claims Specialist, you will be responsible for processing routine Institutional and Professional claims, investigating pending claims, resolving discrepancies, and reviewing insurance coverage.Key...
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Claims Specialist
4 weeks ago
New York, New York, United States Northwell Health Full timeJob SummaryWe are seeking a skilled Claims Specialist to join our team at Northwell Health. As a Claims Specialist, you will be responsible for performing various billing, collection, and third-party reimbursement functions.Key ResponsibilitiesReview and investigate claims to be adjudicated by the TPA, ensuring compliance with provider contracts and...
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Claims Specialist
3 days ago
New York, New York, United States AXA XL Ltd Full timeJob Title: Claims Specialist - Design ProfessionalWe are seeking a highly skilled Claims Specialist - Design Professional to join our team at AXA XL Ltd. As a key member of our claims team, you will play a critical role in managing and resolving professional liability claims for architects and engineers.Key Responsibilities:Proactively manage Design...
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Claims Specialist/Manager
3 weeks ago
New York, New York, United States Mai Placement Full timeJob Title: Claims Specialist/ManagerWe are seeking a highly skilled Claims Specialist/Manager to oversee and enhance our Claims Department. In this pivotal role, you will lead a dynamic team, ensuring efficient processing and resolution of insurance claims while maintaining high standards of customer service and regulatory compliance.Key...
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Senior Claims Specialist
19 hours ago
New York, New York, United States AXIS Capital Full timeJob Title: Senior Claims SpecialistWe are seeking a highly skilled Senior Claims Specialist to join our team at AXIS Capital. As a key member of our claims team, you will be responsible for reviewing and resolving complex claims in a timely and efficient manner.Key Responsibilities:Conduct thorough investigations of claims to determine the nature of the loss...
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Claims Review Specialist
4 weeks ago
New York, New York, United States City of New York Full timeJob SummaryWe are seeking a highly skilled Claims Review Specialist to join our team at the City of New York. As a Claims Review Specialist, you will be responsible for reviewing and processing claims for potential SNAP benefit overpayments.Key ResponsibilitiesReview and process claims for potential SNAP benefit overpayments using USDA/FNS/OTDA SNAP benefit...
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Claims Review Specialist
2 days ago
New York, New York, United States City of New York Full timeJob SummaryWe are seeking a highly skilled Claims Review Specialist to join our team at the City of New York. As a Claims Review Specialist, you will be responsible for reviewing, processing, and determining potential SNAP benefit overpayments. This is a critical role that requires strong analytical and communication skills, as well as the ability to work...