Medical Claims Analyst
$47.5 - $53.35 per hourPVH (Tommy Hilfiger/Calvin Klein)
Location New York, New York Shift: Day (United States of America) Description: Feel the Pride of a Mission-Driven Career Medical Analyst - (Professional Coding) - Central Billing Office Join the patient-inspired team at NewYork-Presbyterian and bring new meaning to your career. See how the revenue cycle team in our Central Billing Office plays an active role in world-class care and caring. Here, putting patients first is our mission, which means we stay committed to excellence in all aspects of our organization, including maintaining the accuracy and integrity of medical records. And as we look to the promising future ahead, we seek talented professionals like you to help drive our financial growth while building on our reputation for excellence as one of the nation’s top-ranked hospital. Utilize your outstanding analytical skills and keen attention to detail to take on this important role, responsible for performing varied and complex diagnostic and procedural coding for patient records and optimizing of DRG assignment. In this role, you will support the Central Billing Office with various crucial functions like ensuring the complete, accurate, and timely coding and APC assignment. This position plays a key role in the efficient and effective financial operations of the hospital and helps make a life-changing difference. Preferred Criteria College degree CCS or ART EPIC Required Criteria High School Diploma College level course in anatomy, physiology, and medical terminology 2-3 years medical record experience, preferably in an acute care, computerized environment; 1-2 years demonstrated coding experience Demonstrated knowledge of ICD-10CM, HCPCS, and applicable DRG grouper coding schemes Proficient computer skills, including experience with clinical information systems for accessing health information in an electronic environment Good interpersonal and communication skills Ability to distinguish colors to identify medical record numbers. Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today. Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.NYP will not reimburse for travel expenses. __________________ 2026 Best Companies in Healthcare, Biotech & Pharma - Glassdoor 2026 Best Place to Work - Glassdoor 2026 America's Best Large Employers - Forbes 2026 America's Best-In-State Employers - Forbes 2026 America's Dream Employers - Forbes 2026 America's Greatest Workplaces for Culture, Belonging & Community - Newsweek 2026 Best Places to Work in IT - Computerworld 2025 Great Place to Work Certified 2025 Best Employers for Women - Forbes 2025 Companies that Care - People 2025 America's Greatest Workplaces for Mental Well-Being - Newsweek NewYork-Presbyterian Hospital is an equal opportunity employer. Salary Range: $47.50-$53.35/Hourly It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works. #J-18808-Ljbffr
- Trend Health Partners, Inc. is seeking a Claims Analyst to identify, analyze, and recover claim overpayments for commercial health insurance companies. This role involves collaborating with clients and team members to improve healthcare access while maintaining strong...Medical
$47.5 - $53.35 per hour
...Feel the Pride of a Mission-Driven Career Medical Analyst – (Professional Coding) - Central Billing Office Join the patient-inspired team at NewYork-Presbyterian and bring new meaning to your career. See how the revenue cycle team in our Central Billing Office plays an...MedicalHourly payWork at office$18.5 - $35.29 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary The Medical Claim Analyst will be part of the Provider Coding and Reimbursement (PCR) team who reviews provider coding and reimbursement denial...MedicalHourly payFull timeLocal areaRemote work$53k - $77k
...comfort of your home office? Join our team as we navigate complex claims, advocate for injured workers, and deliver exceptional outcomes... ...claims. Work with both the claimant and their physician to medically manage the claim, from initial medical treatment to reviewing and...MedicalFull timePart timeWork experience placementLocal areaHome officeFlexible hours$60 - $65 per hour
Data Quality Analyst / Claims Operations Specialist Location: Hybrid Schedule: Monday-Friday | 9:00 AM-5:00 PM (35 Hours/Week) Start Date... ...including overpayments and underpayments. Coordinate with Claims, Medical Management, Provider Relations, and Member Services to...MedicalMonday to Friday$23.16 per hour
...various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and... ...insurance claims 3 years of experience with medical terminology Preferred: 3 years of experience in a Stop Loss Claims Analyst role. Skills Ability to communicate concise...MedicalWork at officeLocal area$120k - $150k
...any basis prohibited by the laws that govern its operations. Sr. Claims Specialist, Cyber – Salary Grade H This is your opportunity... ...comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement...MedicalFull timeWork at officeRemote workWork from homeFlexible hours3 days per week$116k - $165k
...Medical Malpractice Focused Complex Claims Consultant You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important,...MedicalWork experience placementWork at officeLocal areaFlexible hoursShift work- ...Education : High School Diploma or GED required. General Description Process claims involving medical and/or surgical services; screens for complete member/provider information Applies administrative policies when necessary, utilizing the claims processing manuals Authorizes...Medical
$77.5k - $141.4k
...Description Position Summary : To handle claims associated with GNY Custom book and other select accounts from inception to closure... ...documents, the insured's business records, public records, medical records, property damage scopes, etc. Setting proper reserves...Medical- ...Position Overview The Claims Examiner I is responsible for the data entry and system adjudication of provider claims. The incumbent... ...manner. Scope Of Role & Responsibilities Process claims involving medical and/or surgical services; screens for complete member/provider...Medical
- ...resolution of high complexity and high exposure Workers Compensation claims in multiple jurisdictions Confirms coverage of claims by... ...counsel Evaluates information on coverage, compensability, and medical management to determine the extent of insured's exposure Sets reserves...MedicalWork at office
$100 per hour
...Claims Specialist | $100/hr Remote | Mercor This range is provided by Crossing Hurdles. Your actual pay will be based on your skills... ...Review: Review third-party documentation including police reports, medical records, and vendor estimates. Claims Drafting: Draft coverage...MedicalHourly payContract workFor contractorsRemote workFlexible hours- ...Claims Advisor - U.S. Military Veterans Only Remote | 1099 Independent Contractor | Base Salary + Commission Company Description Veterans... ...guidance is provided to veterans. Review and analyze veterans' medical records, military service records, and other relevant...MedicalFor contractorsRemote workFlexible hours
- ...We are seeking an experienced specialist to manage high-exposure medical professional liability claims. This role is designed for a technical expert who can navigate complex litigation and indemnity strategies while maintaining a high level of service for our insured clients...MedicalFull timeWork at officeRemote workShift work
$30 - $31 per hour
...Job Title : Claims Examiner/Claims Processor / Claims Adjudicator (Healthcare Insurance) Duration : 3-6+ months possibility for extension... ...guidelines. The ideal candidate will have experience in medical claims processing and strong knowledge of coding systems and insurance...Medical$32.3k - $65.7k
...Claims Assistant - NY Hybrid • NEW YORK HEADQUARTERS - NEW YORK, NY 10118 Overview Position Type Full Time Category Admin -... .... Utilize the MCS portal to submit HIPAA authorizations for medical records, cancel requests, and import records received into the...MedicalFull timeWork at officeNight shift$61.9k - $96.1k
...Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner,... ...through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a...MedicalTemporary workWork experience placement- ...Job Title: Claims Examiner - Life, Accident, Critical Illness, LTC, and Hospital Indemnity Overview As a Claims Analyst specializing in Accident, Critical Illness, Short-Term Disability... ...thorough investigations, including reviewing medical records and other relevant...MedicalTemporary workWork experience placementCasual workWork at officeRemote work
$20 - $26 per hour
...Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya Zaya... ...documentation aligns with each insurer’s medical policies and guidelines. Verify that all... ...level Employment type Full‑time Job function Finance, Other, and Analyst #J-18808-Ljbffr...MedicalFull timePrivate practiceRemote workShift work- ...Responsible for active case management of Life claims Ensures claims are processed accurately within regulatory and company guidelines... ...commitments and deliverables are achieved Review and interpret medical records, utilizing resources as appropriate Complete financial...MedicalContract work
- ...The ideal candidate will have experience processing healthcare claims in a high-volume Claims Department. Must be computer literate and... ...are essential. In-depth knowledge of adjustment processing, medical terminology, CPT, ICD‑P, and revenue codes is required. Proficiency...MedicalWork at office
$60k - $75k
...Position Description E-J is seeking a Claims Assistant who will work closely with the Vice President of Risk Management & Compliance... ...Competitive compensation packages Comprehensive benefits, including medical, dental, vision, and a 401K plan Paid holidays and vacation...MedicalFor contractorsWork experience placementWork at officeLocal area- ...Sedgwick is seeking a Liability Claims Associate for a remote role (Central or Eastern Time Zone) in NY or HI licensing preferred. You... ...claims teams, and process documentation with clients and medical contacts. The position emphasizes integrity, collaboration, and...MedicalRemote workFlexible hours
$10k
Strategic Comp is hiring a Senior Medical Only Claims Representative to work from home in the United States. The role focuses on investigating and managing medical-only claims with authority to reserve up to $10,000. Must handle claims across MD, NJ, and PA, with PA being...MedicalWork from home- ...Health Program. In this role, you will leverage your strong attention to detail and commitment to accuracy in processing complex medical claims. If you are eager to make a positive impact in the community through your administrative skills, we encourage you to apply....MedicalFull timeFor contractorsWork at officeRemote workMonday to FridayFlexible hours
$80k - $95k
Sr. Commercial General Liability Claims Specialist | Remote This range is provided by King's Insurance Staffing. Your actual pay will... ...20% bonus Ability to work remotely Extremely competitive Medical, Dental, Vision and Life plans Employer matching 401(k) plan...MedicalFull timeRemote work$105k - $160k
...protected characteristic. About the Team We are hiring a Senior Claims Specialist – Primary Casualty for our North America Claim Team.... ..., and a comprehensive benefits package that includes medical plans for you and your family, health and wellness programs, retirement...MedicalWork at office3 days per week$100k - $125k
...Best Workplaces in Financial Services & Insurance. Overview Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote... ...comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life...MedicalWork at officeLocal areaRemote workFlexible hours$125k - $175k
## Sr Claims SpecialistApplyremote type: Fully On-sitelocations: New York City, New York: USA - GA - Atlanta: Charlotte, North Carolina... ...of our current comprehensive U.S. benefit programs:* Two medical plans to choose from, including a Traditional PPO & a Consumer...MedicalFull timeWork at officeWorldwideFlexible hours
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