looking for a Compliance Reporting and Operations Specialist for Zurich Cover-More (ZCM). This role will work with the Head of Compliance...: we are a global group of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance...
Title: Coding Compliance and Training Specialist Location: Midtown Org Unit: Coding Administration Work Days.... Acts as the CPRC expert reviewing outgoing claims to ensure maximum reimbursement. Job Responsibilities Performs duties...
, State and Federal guidelines. The work of DFS includes managing the ACS budget; submission of monthly claims for revenue... Efficiency Data Specialist is responsible for the following: - Prepare spreadsheets and detailed reports for internal...
- life; and short and long-term disability Pharmacy Benefit Verification Specialist Major Responsibilities: The Benefit... Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage...
Duties Description The Health System Specialist 1 serves as a Unit Specialist in the Instructional Standards... and public forums as needed; Assist in the processing of claims for payment from course sponsors and proctors; Ensure accurate...
and maintaining positive provider/customer services. The Provider File Specialist coordinates with various Elderplan Departments... to facilitate the processing/reprocessing of these claims. They organize and submit correspondence from non-par providers for the...
Job Description: FlexStaff is seeking an AR/Billing Specialist for our Client, a Prosthetics and Orthotics Lab.... Resolves denied claims and manages commercial and Medicaid claims, including posting and appeals. Reviews EOBs for denied...
carriers and are tailored to clients' needs. We offer superior service levels, industry-recognized underwriting and claims... The Opportunity Future focused and always one step ahead! The Property/Casualty Loss Control Specialist is responsible...
claims teams to achieve successful settlements through provision of specialist knowledge and claim circumstance analysis...Posting Description: Broker II - Marine Risk Engineering & Loss Prevention Specialist - Cargo and Logistics...
Insurance Authorization Specialist We are partnering with one of the nation's top Orthotics & Prosthetics (O&P...) providers to find an Insurance Authorization Specialist for their Lennox Hill office. This company holds exclusive contracts...
: The Enrollment Specialist for Healthcare House Calls plays a critical role in assisting patients with the enrollment... they need at home. The specialist will coordinate with healthcare providers and patients’ families to ensure that all necessary...
The Office of the Queens County District Attorney (QDA) is seeking a Senior Payroll and Human Resources Specialist... Specialist will report to the Chief Payroll Officer (CPO). The specific duties and responsibilities include, but are not limited...
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...
Overview: The People Experience Specialist is part of a fast-paced and collaborative work environment that delivers... projects outside of the normal scope will be extended. As a People Experience Specialist, you will work within the People...
We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in New Hyde Park, NY. This will be a Full... disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate...
approach that unlocks solutions for a lifetime. We are seeking a detail-oriented and knowledgeable Medical Coding Specialist... management (RCM) processes. This position requires a thorough understanding of medical records review, claims analysis...
protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages... claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible...
: Review submitted claims for accuracy Conduct timely follow-up and research on all unpaid claims with insurance companies... Work on insurance appeals and corrected claims correspondence Utilize all available portals for claim information Create...
(Required) Strong familiarity with EmblemHealth’s claims systems and interdependent applications (Required) Experience in provider, facility...
System (MIS) computer printouts relating to MICSA reimbursement claims as well as be assigned to special assignments on MISCA...) computer printouts relating to MICSA reimbursement claims. - Work on various MICSA projects. - Conduct surveys and special...