for six (6) Eligibility Specialists IIs to function as a Claims Review Specialists, who will: - Review, process, determine...Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...
Job Description: One of our high profile clients is seeking a Claims Specialist to support department operations... related to provider communication, pending claim review, reporting, auditing, and oversight activities. Responsibilities...
Job Description: Claims Specialist Bronx, NY Schedule: M-F, 8:30am to 5:30pm Work Location: Hybrid Assignment... Length: Undetermined, potential for Direct Hire FlexStaff is seeking a Claims Specialist for our client, a non-profit...
Claims Specialist HealthCare Support is actively seeking a Claims Specialist to fill an opening with a Prestigious... Healthcare Company in Wallerstein. Daily Responsibilities for Claims Specialist: Setting: Min 2 days onsite usually Wednesday...
CLAIMS SPECIALIST Location: Wallerstein, Bronx NY Setting: A minimum of 2 days onsite (usually Wednesday and Friday..., potential for Direct Hire Job Summary: As a Claims Specialist, you will oversee claims processed by external vendors...
for professional development. What Youll Do: As a Claims Specialist, you will: Manage claims processing: Review claims, resolve...Exciting Claims Specialist Opportunity! Location: Bronx, NY Schedule: 40 hours per week 2 days in-office, 3 days...
to be involved in settling litigated and non-litigated claims. As a Claims Specialist, you'll investigate, evaluate and negotiate... on performance goals are possible in addition to this range. The national salary range for Claims Specialist III - Management...
Claims Specialist who will demonstrate a high level of expertise and sound judgment in complex matters, and may act... is preparing the Senior Technical Claims Specialist for a managerial role, and allowing the ideal candidate to assist...
: Reinsurance Claims Job Family: Claims The Reinsurance Claims Specialist is a key contributor to the reinsurance team at AXIS... and excellent customer service. How does this role contribute to our collective success? The reinsurance claims specialist...
Job Title: Cyber Claims Specialist Location: Remote Department: Claims Reports to: Head of Claims.... Join our team and be part of a company shaping the future of cyber insurance. About the Role Are you a Cyber claims professional...
WHAT YOU WILL DO Manage High-Exposure and Complex Claims: Handle claims across Financial Lines (D&O, E&O, Cyber.... Conduct Coverage Analysis: Review and interpret policy language, assess coverage applicability, and provide coverage...
. THE OPPORTUNITY Leave of Absence and Accommodations Specialist will play a critical role in managing employee leave... and third party leave administrators to ensure that all relevant completed medical documentation is submitted for timely review...
Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign... and long-term disability Pharmacy Benefit Verification Specialist Major Responsibilities: The Benefit Verification...
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations... from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party...
pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in New Hyde Park, NY. This will be a Full...
management (RCM) processes. This position requires a thorough understanding of medical records review, claims analysis..., procedures, and treatments. Claims Review: Review claims for completeness and compliance with insurance requirements to minimize...
Job Description: Job Overview: As a Payroll and Benefits Specialist you will be responsible for auditing the... audits, review and analyze payroll and benefits data to ensure compliance with union contracts, federal and state laws...
/MedReview in general. Responsibilities: To ensure accurate and timely data entry of incoming records and appeals To review... Management processing To Identify late appeal request and notify to Operations Unit Manager for claims disposition...
’s fiduciary responsibilities. Prepares records for physician review as needed. Conducts review of requests for prior... Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations...
, Ancillary, and/or Professional network. This includes the coordinating of Joint Operating Committees (JOCs), claim review... to Claims, Care Management, EDI, Grievance and Appeal, Customer Service, Enrollment, Special Investigations, and Credentialing...