...Living Program, Care at Home Program and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is...
Suggested
Full time
Contract work
...Key Responsibilities:
Personally investigate and/or supervise outsourced investigations of CGL insurance claims and lawsuits, both bodily injury and property damage, arising out of construction projects in the greater New York City metropolitan area within New York...
Claims
For contractors
Shift work
Cash Claims Processor needs 2+ years' experience
Cash Claims Processor requires:
•Onsite
•Monday 8:30 -5:00
•Tuesday 8:30 - 5:00
•Wednesday 8:30 - 5:00
•Thursday 8:30 - 4:30
•Friday 8:30 - 2:00
•Working knowledge of mainframe computers and systems in general...
Claims
Hourly pay
...Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the lead clinician for the health plan. Responsible for the...
Suggested
Remote job
$92k - $95k
....
Are you a field nurse who wants to get off the road? We have an exciting opportunity in the office.
The Position: Quality Reviewer RN
The Quality Reviewer is a Registered Professional Nurse who will ensure the accuracy, completeness and integrity of documentation...
Suggested
Holiday work
Full time
Local area
Work visa
...Brooklyn, NY 11201
CorVel is hiring a No-Fault Adjuster (Claims Specialist) for our Client Site in Brooklyn, NY. The Claims Specialist... ...to client and carrier guidelines and participates in claims review as needed
Assists other claims professionals with more complex...
Claims
Minimum wage
Full time
Local area
Flexible hours
...Allied Universal® Compliance and Investigations, North America’s leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workplace...
Claims
Holiday work
Full time
Local area
Flexible hours
Claims Processor needs 2 years 'experience in claims processing
Claims Processor requires:
Work hours: 8am - 4:30 pm (1/2 hour lunch):
Experience in applying cash
Experience applying cash against medical claims
Claims Processor duties:
Research...
Claims
Hourly pay
Full time
...Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions. Responsibilities include:... ...claims management system.
Properly document claims files.
Review police reports, legal and medical bills, etc.
Litigation and...
Claims
Full time
Contract work
Part time
Work experience placement
Remote job
Work from home
...Exciting Opportunity for Aspiring Claims Adjusters!
INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!
Are you ready to embark... ...at to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: ()
and Facebook at:...
Claims
Full time
Immediate start
...Federal, State and County governmental and other agencies.
* Review overall planning approaches and methods to be applied to meet established... ...may be required to provide supporting documentation.
You may claim Military Spouse preference.
You may claim Priority Placement...
Claims
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Internship
Local area
Remote job
Relocation
Trial period
Gangs
...rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of... ...employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees)....
Claims
Permanent employment
Full time
Temporary work
Part time
For contractors
Traineeship
Work experience placement
Relocation
Outdoor
Monday to Friday
...including the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training at least annually. Fully cooperates in all corporate compliance investigations and reviews....
Claims
...the childcare field. All background checks will be conducted and reviewed in accordance with applicable federal, state and local law.... ...needed.
Collaborate with Finance Department to ensure billing claims are processed in a timely manner and escalate issues if needed....
Claims
Local area
Immediate start
Remote job
...for payments
11. OCCIP enrollments
12. Submit/track insurance claims
13. Manage insurance policies
14. Coordinate with broker COI... ...and analysis
17. Assist with preparation of annual CPA review
18. Submit quarterly tax filings
19. Deposit/record/track real...
Suggested
...and recertification systems, employment/work engagement services, claims systems, etc., that are critical to the operation and... ...and break down requirements into deliverable functionality.
Review the requirements with the stakeholders for their approval.
Provide...
Claims
Full time
For contractors
....
* Spool the billing file from our various billing software, review the file further to ensure the accuracy and integrity, then bills... .... Update Spreadsheet on a weekly basis.
* Re-bill all unpaid claims after all corrections and updates made. Track down all unpaid claims...
Claims
...credentialing systems are aligned with the data in our primary claims system to ensure a smooth provider experience. The ongoing processes... ..., growth opportunities and pre-existing reimbursement rates.
Review fee schedules set by CMS (RBRVS) and the NYSDOH (eMedNY) for...
Claims
Full time
Contract work
...activities: revenue collections and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program -...
Claims
Permanent employment
Full time
Work experience placement
Monday to Friday
...matching those products and services to individual customer needs
+ Review and verify all previous days work to ensure accuracy and resolve... ...(i.e. check cashing).
+ Research and investigate customer claims in archive area, in matters relating to missing deposits,...
Claims
Work experience placement
Work visa
Flexible hours
...billing department for both the Highland Park Center and Rockaway Parkway MHOTRS clinics.
Ensures that all claims of individual charts for clinic services are reviewed and scrubbed, with any errors resolved, including clinician errors, insurance errors, coding errors and...
Claims
...rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of... ...may be required to provide supporting documentation.
You may claim Military Spouse preference.
You may claim Priority Placement...
Claims
Permanent employment
Full time
Temporary work
Part time
Local area
Remote job
Relocation
Trial period
...the end of each reporting period to the finance department and review with appropriate Housing leadership team members
* Present annual... ...substantiate purchase orders, invoices, capital requests, and claims
* Ensure payroll reports are reviewed and corrections returned...
Claims
Apprenticeship
New year
...Montessori School, its mission, and Montessori philosophy
Develop, review, and update curriculum and extensions as needed in conjunction... ...Heights Montessori School to investigate all statements and claims contained within this application, supplementary materials, and...
Claims
Full time
Contract work
Summer work
Local area
Immediate start
Night shift
Afternoon shift
...actively scaling our company.
About the Role & What Youll Be Doing
We are looking for a Medical Bill reviewer to join our team! Do you have experience reviewing claim forms and auditing provider documentation? Then this position is for you! You will work alongside our...
Claims
Remote job
Flexible hours
...processing.
Assists with conductingnew hire orientations/paperwork review with new or rehired staff (i.e., BenefitPowerPoint, paperwork,... ...verification requests.
Timely response to unemployment claims in the absence of supervisor.
Timely entry of Workers Comp claims...
Claims
Hourly pay
Full time
Contract work
Part time
Work experience placement
.../work engagement services, revenue producing computer matches, claiming systems, and personnel systems.
Information Technology Services... ...reports, and providing status of assigned projects at user review
meetings.
* Planning, overseeing, and coordinating the upgrade...
Claims
Full time
Shift work
...Coordinator
Contact assigned patients at least once/month to review current medications and to determine if there are any changes... ...any new coverage/insurance changes in the new year
Enter test claims for new potential patients to determine their copays
Update patient...
Claims
Full time
New year
Flexible hours
Shift work
...on these regulations, the staff analyst trainee will assist to review procedures and guideline to ensure data integrity by performing... ...Desired Skills:
* Knowledge of Reduced Fare Program and Customer Claims Operations.
* Strong analytical, organizational, research and...
Claims
Permanent employment
Full time
Traineeship
...Type Full Time Req ID: 2024-1147752 Save Job Allied Universal Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding careers that give you a sense of purpose. While...
Claims
Hourly pay
Weekly pay
Holiday work
Full time
Local area
Relocation