Healthcare Claims Specialist
3 days ago
Centers Plan for Healthy Living (CPHL) is seeking a Healthcare Claims Specialist to join our team. As a Claims Resolution Coordinator, you will be responsible for handling incoming inquiries from providers regarding claim decisions and payments across all CPHL product offerings.
Key Responsibilities:
- Professionally handle incoming inquiries via telephone, email or fax from providers (i.e. physician offices, clinics, social day cares, home care agencies, DME suppliers) regarding claim decision and payments.
- Thoroughly and efficiently gather claim information, assess and fulfill the caller's needs and educate the caller where applicable regarding claim submission procedures.
- Foster positive relationships with providers by delivering all information and questions in a positive, conversational and compassionate manner.
- Meet or exceed performance goals established for the position in the areas of: efficiency, call quality, provider satisfaction, first call resolution and attendance.
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Healthcare Claims Resolution Specialist
1 week ago
New York, New York, United States Centers Plan for Healthy Living Full timeJob Summary: We are seeking a skilled Healthcare Claims Resolution Specialist to join our team at Centers Plan for Healthy Living. In this role, you will be responsible for handling incoming inquiries from healthcare providers regarding claim decisions and payments. You will thoroughly gather claim information, assess and fulfill the callers' needs, and...
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Claims Service Specialist
3 days ago
New York, New York, United States Centers Plan for Healthy Living Full timeOverviewCenters Plan for Healthy Living is a healthcare organization that empowers its members and their families with guidance and plans for healthy living. We strive to create a positive experience for our customers and believe in the importance of collaboration, mutual respect, and high ethical standards.Job DescriptionWe are seeking a skilled Claims...
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Claims Optimization Specialist
4 days ago
New York, New York, United States Athari Full timeAthari: Unlocking Medical Expense SavingsWe are seeking a skilled Claims Optimization Specialist to join our team at Athari. In this role, you will play a crucial part in developing and implementing strategies to recover, eliminate, and prevent unnecessary medical-expense spending.About the Role:Develop a comprehensive strategic roadmap to recover,...
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Claims Specialist
5 days ago
New York, New York, United States LEAV & STEINBERG, LLP Full timeWe are seeking a highly skilled Claims Specialist to join our team at Leav & Steinberg, LLP. The ideal candidate will have extensive knowledge of personal injury structured settlements and experience with settlement disbursement processes. The successful applicant will have a strong understanding of the requirements for health insurance claims and related...
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Insurance Claims Specialist
6 days ago
New York, New York, United States Argo Group Full time**Job Overview**Argo Group is a leader in specialty insurance, fostering an inclusive culture that values diversity and design thinking. We're seeking a highly capable Insurance Claims Specialist to join our team in Chicago or New York City offices.This role will provide technical support on major cases in litigation assigned to Adjusters throughout the US....
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Claims Analyst Specialist
6 days ago
New York, New York, United States The Jacobson Group Full timeJob Title: Claims Analyst Specialist">We are seeking a highly skilled Claims Analyst Specialist to join our team at The Jacobson Group. As a key member of our team, you will be responsible for managing and analyzing complex management liability claims. This temporary four-month assignment is based in our New York office and requires specialized knowledge and...
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Medical Claims Specialist
4 weeks ago
New York, New York, United States Creative Financial Staffing Full timeBilling Specialist Job OpportunityWe are seeking a skilled Medical Claims Specialist to join our team at Creative Financial Staffing. The successful candidate will be responsible for various aspects of medical billing, including cash posting, verifications, and denied claims research.**Key Responsibilities:**Cash posting: Accurately posting payments received...
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Claims Business Specialist
3 days ago
New York, New York, United States TMS LLC Full timeJob DescriptionTMS LLC is seeking a seasoned professional to fill the role of Claims Business Specialist. This position requires 7+ years of business analysis experience, with 3+ years in the field of Workers Compensation claims. Key responsibilities include integrating multiple vendors for claims handling and providing expertise on statutory and compliance...
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Medical Claims Specialist
6 days ago
New York, New York, United States New Hope Fertility Center Manhattan Full timeJob Title: Medical Claims SpecialistWe are seeking a highly skilled Medical Claims Specialist to join our team at New Hope Fertility Center Manhattan in Columbus Circle, New York.Salary: $45,000 - $65,000 per year, depending on experience.Job Description:This role involves preparing and submitting professional medical claims to insurance companies in a...
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Claims Tester Specialist
1 week ago
New York, New York, United States MetroPlus Health Plan Full timeJob OverviewMetroPlus Health Plan is seeking a highly skilled Claims Tester Specialist to join our team. As a key member of our quality assurance team, you will play a critical role in ensuring the accuracy and efficiency of our claims processing system.The ideal candidate will have a strong background in information technology quality assurance and...
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Medical Claims Specialist
5 days ago
New York, New York, United States Upper East Orthopaedics, PC Full timeJob DescriptionWe are seeking a skilled Medical Claims Specialist to join our team at Upper East Orthopaedics, PC. The ideal candidate will have experience with payment posting, ERA's, and lockbox processes.Key Responsibilities:Generate and manage medical records for all billable activitiesReview physicians' notes and charts for accuracyObtain clarification...
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Claims Specialist
4 weeks ago
New York, New York, United States Allstate Insurance Full timeAbout the Role:At Allstate, our innovative drive has kept us ahead of customers' evolving needs for over 90 years. We're looking for a Claims Specialist - Property Adjuster to join our team in this exciting opportunity.Key Responsibilities:Conduct on-site inspections, investigate coverage, and prepare estimates for property claimsTravel to customers' homes...
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Medical Claims Specialist
3 days ago
New Hartford, New York, United States Slocum-Dickson Medical Group, PLLC Full timeJob Title: Medical Claims SpecialistAbout Us:Slocum-Dickson Medical Group, PLLC is a reputable healthcare organization dedicated to providing quality medical services. As a Medical Claims Specialist, you will play a crucial role in ensuring timely and accurate submission of claims to Medicare insurance payers.Job Description:We are seeking an experienced...
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VCF Claims Specialist
4 weeks ago
New York, New York, United States Barasch & McGarry Full timeAbout the RoleWe are seeking a highly skilled VCF Claims Specialist to join our team at Barasch & McGarry. This is an exciting opportunity for a detail-oriented and organized individual who is passionate about helping 9/11 victims receive the compensation they deserve.Job DescriptionProcess and manage clients' Victim Compensation Fund claims in a timely...
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Compensation Claims Specialist
4 weeks ago
New York, New York, United States Trandon Associates, Inc Full timeJob OverviewA premier Personal Injury / Worker's Compensation firm, Trandon Associates, Inc., is seeking a bilingual (with Spanish fluency) Compensation Claims Specialist to join their team.
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Insurance Claims Specialist Position
4 days ago
New York, New York, United States Insure National, LLC Full timeRole DescriptionInsure National, LLC is a leading insurance provider, and we are seeking a skilled Professional Lines Claims Specialist to join our team. This role is ideal for individuals with 5+ years of casualty claims experience and a strong background in GL/AL claims.A Bachelor's Degree is also required for this position. Additionally, excellent...
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New York, New York, United States MetroPlus Health Plan Full time**About MetroPlusHealth**MetroPlusHealth is a leading healthcare provider committed to empowering New Yorkers by uniting communities through care. Our mission is rooted in the belief that health care is a right, not a privilege.We are seeking a highly skilled Claims User Acceptance Quality Assurance Specialist to join our team. This individual will play a...
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Field Claims Specialist
6 days ago
New York, New York, United States CCMS & Associates Full timeJob OverviewWe are seeking a seasoned Field Claims Specialist to join our innovative team at CCMS & Associates. Based in New York City, this role offers an exciting opportunity to drive success in the property and casualty insurance industry.Key Responsibilities:Conduct thorough residential and commercial field inspections utilizing Xactimate software to...
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Healthcare Claims Examiner
5 days ago
New York, New York, United States NavitsPartners Full timeAbout the RoleIn this critical position, you will be responsible for reviewing accounts, correcting claim edits, preparing and submitting claims to payers, posting payments, and updating patient accounting systems.This is a full-time opportunity with a 35-hour workweek, including 7 hours of work per day, 5 days a week, located in NYC, NY 10037.
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Claims Compensation Resolution Specialist
4 weeks ago
New York, New York, United States Absolute Staffing & Consulting Solutions Full time**About the Role:**A challenging opportunity has emerged for a highly skilled Claims Compensation Resolution Specialist to join Absolute Staffing & Consulting Solutions in New York.The ideal candidate will have extensive experience in workers' compensation claims management, with a strong focus on resolving complex cases and ensuring compliance with industry...