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Claims Processing & Billing Specialist
Melville, New York, United States
$24-$26/hr HybridFull Time
3+ YOE3+ years revenue cycle or medical billing experience, knowledge of UB-04 and CMS-1500 billing, experience with commercial and government payers, proficiency with Raintree EMR, strong analytical and communication skills.
Raintree EMR, DOL, Claim Connect
2mo
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Hospital Claims Processor V
New York, New York, United States
OnsiteFull Time
2+ YOEProcess and review hospital claims; ensure eligibility, benefits, and resolution; requires 2+ years claims experience; HS diploma; knowledge of ICD/CPT; QNXT.
QNXT, ICD-9, ICD-10, CPT, Claims system
4d
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Claims Supervisor
Buffalo, New York, United States
$70k-$77k/yr HybridFull Time
3+ YOE3+ Mgmt3+ years experience with self-funded health plans and TPA claims processing, 3+ years supervising claims team, knowledge of benefit administration, experience with automated claim adjudication systems and HealthRules Payer, strong leadership and analytical skills.
HealthRules Payer
1w
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Claims Examiner
New York City, New York, United States
RemoteFull Time
Experience in claims processing for accident/critical illness/LTC/hospital indemnity, strong analytical and communication skills, proficiency with Microsoft Office, bachelor's degree or equivalent preferred.
Microsoft Excel, Microsoft Word, Microsoft Outlook
1w
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Claims Examiner
New York City, New York, United States
RemoteFull Time
Harris ComputerToronto Stock Exchange: CSU: A provider of mission-critical software solutions serving public sector and commercial customers with a culture focused on employee development and service.
Assess and process claims for accident, critical illness, LTC and hospital indemnity lines; investigate records, determine coverage and liability, ensure regulatory compliance; strong analytical and communication skills required.
Microsoft Excel, Microsoft Word, Microsoft Outlook
1mo
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Claims Review Analyst
New York City, New York, United States
$49k-$83k/yr OnsiteFull Time
2+ YOEBachelor's degree (or equivalent experience), 2+ years professional claims/benefits/billing experience, knowledge of claim processing, medical terminology, ICD/CPT coding and DRG, proficiency with MS Office, strong analytical and communication skills.
Microsoft Office
2w
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Claims Assistant - NY
New York, New York, United States
$32k-$66k/yr HybridFull Time
Performs daily administrative support for claims including phone handling, mail processing, imaging, invoice review, FNOL setup, HIPAA authorizations, and customer service; high school diploma and 1-2 years admin experience preferred.
ImageRight, WINS, Microsoft Outlook, Microsoft Word, Microsoft Excel, OneDrive, MCS
1mo
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Claims Associate, Risk Management
New York, New York, United States
$120k-$140k/yr OnsiteFull Time
4+ YOEMinimum 4 years experience in risk management or insurance claims processing; solid understanding of insurance policies across lines; strong organizational, communication, judgment, confidentiality, and compliance skills.
1w
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Workers’ Compensation Claims Coordinator
Albany, New York, United States
$40k-$52k/yr OnsiteFull Time
1+ YOEEntry-level claims role handling intake and processing of workers' compensation reports, client communication, data entry, and report creation; Excel and strong written/verbal skills required.
Microsoft Excel, Microsoft Office, Adobe Acrobat
1mo
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CAM Claims Processor III
Getzville, New York, United States
$23-$38/hr HybridFull Time
2+ YOEProcesses FHA and conventional claims, reviews losses, reconciles loans, requires combined 4 years education/work incl. minimum 2 years default experience, strong detail, communication, and customer service skills.
1mo
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Service / Claims Rep FEP / OPEIU
Allegany County or Cattaraugus County or Chautauqua County or Erie County or Genesee County or Niagara County or Orleans County or Wyoming County or New York
$23/hr RemoteFull Time
2+ YOEProvide high-volume contact-center customer service, research and process/adjust claims, handle COB and subrogation tasks, pass customer service testing, and use claims systems; HS/GED and 2 years contact-center customer service experience required.
Content Manager, Facets, PEGA, OnDemand, Microsoft Office
3w
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Claims Representative, Auto | Property Damage
Sun Prairie or Minnesota or California or Texas or Delaware or Mississippi or Florida or Maryland or North Carolina or South Dakota or District of Columbia or Illinois or Alabama or Iowa or Tennessee or Kansas or Colorado or Maine or Michigan or Wisconsin or Washington or New York or Massachusetts or Arizona or Wyoming or Connecticut or Idaho or Arkansas or Nebraska or Rhode Island or Louisiana or Missouri or Indiana or Nevada or Kentucky or South Carolina or West Virginia or New Mexico or Oklahoma or Ohio or Utah or New Jersey or Pennsylvania or New Hampshire or Oregon or Virginia or Georgia or Montana or Vermont or North Dakota
$50k-$55k/yr RemoteFull Time
Analyze and process auto/property damage claims, perform coverage/liability analysis, review damage estimates, maintain deadlines, and communicate with insureds, clients, and agents.
Microsoft Office
1mo
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Claims Specialist
Buffalo, New York, United States
$20/hr OnsiteFull Time
1+ YOE1+ year medical insurance billing experience (or 2 years with HS diploma), knowledge of Medicaid/Medicare/TPA, medical billing processes, strong attention to detail, Microsoft Excel/Outlook proficiency, cash reconciliation experience.
Microsoft Excel, Microsoft Outlook, Medicaid EMEVS, E-PACES
1w
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Claims & Compliance Systems Specialist
Webster, New York, United States
$70k-$80k/yr HybridFull Time
Experience with claims processing and benefits administration systems, strong technical aptitude, analytical skills, Microsoft Office proficiency, knowledge of ERISA/ACA/HIPAA/IRS, and excellent communication.
Summit TPA system, Microsoft Office
1mo
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Claims Review Analyst in New York, New York
New York, New York, United States
$49k-$83k/yr OnsiteFull Time
2+ YOE2–3 years professional claims or billing experience; strong knowledge of claim processing, medical terminology, ICD/CPT coding, EDP testing; Bachelor's degree preferred; proficiency with Microsoft Office; analytical and problem-solving skills.
Microsoft Office, ICD, CPT, EDP
1mo
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Experienced Medical Claims Biller II (NY, Farmingdale)
Farmingdale, New York, United States
$18-$25/hr OnsiteFull Time
2+ YOEMinimum 2 years hospital in-patient and out-patient claims follow-up experience; hospital billing, denial processing, appeal submission, EOB review, insurance follow-up and verification.
1w
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Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yr OnsiteFull Time
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
1mo
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VP, Claims Transformation Initiative Lead
New York or Philadelphia or London or Singapore or Sydney
$220k-$260k/yr OnsiteFull Time
7+ YOE7+ years in process engineering, operations, or project management (insurance preferred); proven cross-functional leadership in agile environments; Bachelor's degree required; Six Sigma/PMP/Agile certifications a plus; strong analytical and communication skills.
1mo
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Quality & Training Specialist, Claims (Hybrid)
Bethlehem or Pittsfield or New York City or Boston
$59k-$96k/yr HybridFull Time
Extensive Individual Claims experience, quality assurance/audit or process improvement background, training delivery experience, advanced Microsoft Excel skills, strong analytical and communication abilities.
Microsoft Excel
2w
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Clm Resltion Rep III, Hosp/Prv
Albany, New York, United States
$20-$27/hr HybridFull Time
2+ YOEAssociate degree plus 2 years relevant experience (or equivalent). Knowledge of professional billing, claim appeal processes, strong communication, problem-solving, customer service, and 25 WPM typing preferred.
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