Required Qualifications (as evidenced on attached resume):Associates degree (foreign equivalent or higher). In lieu of degree, two (2) years of full-time experience in a medical setting may be considered. Four (4) years of full-time experience...
Job Summary Analyze, review, and process suspended claims, predetermination, and Service Requests based on industry standards and clinical guidelines. Research, analyze, and investigate member benefits, policy and...
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care,...
Bronx, NY? Schedule: M-F, 8:30 am to 5:30 pm? Work Location: Hybrid Assignment Length: Undetermined, potential for Direct Hire ? Flex. Staff is seeking a Claims Specialist for our client, a non-profit healthcare organization providing home and...
About the job Data Entry Clerk - Work Remotely Our team are looking for a Data Entry Salesperson for a long-lasting possibility. This will be actually a Distant duty based out of United States. Explanation The Information...
Description Job Title Complex Claim Analyst, Multi Line Location Hybrid (Rockville Centre, NY) or Remote Summary Reporting the Unit Manager, this role will be responsible for direct handling...
Job Description Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and researches refunds. Monitors and ensures that collections, net, gross and...
About the Role: The company is actively seeking a highly motivated Project Scheduler to work on a major airport construction project in New York City. This project is a large-scale infrastructure development focused on...
Description Position at MTA Headquarters JOB TITLE: Senior Owner - Insurance Programs Administration Claims SALARY RANGE: $85,000 - $90,000 HAY POINTS: 496 DEPT/DIV: Risk Management...
Salary: See Position Description Location : Nassau County, NY Job Type: Open Competitive Job Number: 66082010 Department: See Below Opening...