Claims Processing Jobs in New York State
1 - 15 of 26
Search Results - Claims Processing Jobs in New York State
Pride HealthNew York
/hour
Job Summary
Pride Health is seeking an experienced Lead Claims Business Analyst for a contract opportunity in New York, NY. This role will serve as the primary point of contact for the Claims Processing workstream, supporting system...
CareSourceBronxappcast.io
Job Summary:
This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight and supervision...
Pride HealthNew York
processing in compliance with healthcare guidelines and policies.
Responsibilities
• Research and analyze medical claims adjustment requests and supporting documentation
• Adjust and adjudicate claims for overpayments or underpayments
• Apply appropriate...
Pride HealthNew Yorkappcast.io
supports the adjudication and adjustment of claims across multiple lines of business and collaborates closely with Provider Relations, Medical Management, Member Services, and Claims Processing teams.
Key Responsibilities
• Serve as a primary liaison...
Pride HealthNew York
and quality assurance, supporting healthcare operations and ensuring accurate claims processing and data integrity.
Responsibilities
• Respond to provider claim inquiries and ensure timely resolution
• Review, validate, and maintain accuracy of healthcare data...
JobotQueensappcast.io
for coordinating and managing all aspects of claims processing, from initiation to resolution. You will serve as the primary liaison between our organization, clients, and insurance companies, ensuring all claims are handled efficiently and effectively...
CareSourceNew York
Job Description
Job Summary:
This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight...
Pride HealthNew Yorkappcast.io
of experience, ideally in healthcare insurance or claims processing
Knowledge of medical terminology, CPT, ICD, and revenue codes
Strong data entry, problem-solving, and time management skills
Proficiency in PC applications
Pride Global offers eligible...
Black Systems LLCAlbanyjobvertise.com
Windows environment, including experience in branching, Merging, and check-in/check-out.
• 60 months experience with HP Quality Center
• 84 months experience with Workers Compensation Claims Processing
60 months experience with Innotas...
Horizontal TalentNew York
and Excel for data analytics.
• Experience in claims processing and handling high-volume inquiries.
• Strong analytical skills and attention to detail.
Preferred Skills
• Ability to work independently and anticipate data issues proactively.
• Excellent...
RandstadLevittown (NY)randstadusa.com
payers, and internal staff
Qualifications:
• Minimum 3–5 years of experience in medical billing and credentialing
• Experience in otolaryngology or a surgical specialty strongly preferred
• Knowledge of insurance guidelines, claims processing, and denial...
Pride HealthNew York
and processing invoices/claims, ensuring accuracy and identifying discrepancies.
Performs data entry and claims adjudication, verifying provider/member information and applying administrative policies.
Evaluates claims for errors, payment issues, and missing...
Poughkeepsie (NY)hvcu.org
conducting maintenance on existing accounts, problem resolution, death claims, processing garnishments, levies and third party confirmations, GL reconciliation, check and savings bond adjustments, Abandoned Property and backup withholding interest reporting...
New Yorkvnshealth.org
business, or related field; or the equivalent work experience required
Work Experience:
• Minimum of 5-7 years of experience in healthcare billing, claims processing, or revenue cycle management. required
• Experience with physician/practice billing...
Column Technical ServicesNew Yorksmartsearchonline.com
management, treasury operations, payments, cards, lending, and claims processing-Participate in ServiceNow FSO initiatives with responsibilities spanning requirements elicitation, sprint planning, demonstrations, and stakeholder engagement-Apply strong...
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