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They will have a holistic understanding of the operational inter-connections of upstream/downstream processes including, but not limited to, provider configuration and system setup, credentialing, contracting, claims processing, and provider payment models.
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CREDENTIALING REQ: A.A.S. in Radiologic Technology or equivalent, NYS license/registration, Bls (AHA) magnetic resonance imaging technologist, magnetic resonance imaging, MRI technologist, MRI tech, MRI equipment, magnetic resonance, MRI, allied, allied health.
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Providing guidance to the North American claims teams regarding coverage issues, coverage disputes and claim handling issues, time-limited demands, and emerging issues, including strategic direction, as well as recommending and approving outside coverage counsel assignments.
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Partner with and collaborate across functions on analytics and strategic initiatives, including, but not limited to, Underwriting, Actuarial, Reinsurance, Claims, and Operations. Experience with and exposure to various operational disciplines (underwriting, claims, IT, etc.
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Gallagher Bassett is the premier provider of global claims, loss control, and risk management consulting services, dedicated to exceptional customer service and demonstrably superior outcomes. Gallagher Bassett Technical Services is seeking a qualified environmental, health, and safety (EHS) professional to become a valued member of our Industrial Hygiene/Safety & Building Sciences team.
$125ExpandUpdated 11 days ago - UpvoteDownvoteShare Job
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The auto liability claims department is looking for an experienced Claims Examiner to handle moderate complexity auto claims within our organization. Evaluate, negotiate, and settle assigned property damage or bodily injury claims within authority granted, or seek authority for those claims in excess of authority.
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Participating in indirect tax projects, including sales and use tax refund claims. Participating in indirect tax projects, including sales and use tax refund claims. ACT Consulting has an immediate need for a State and Local Transaction Tax Accountant located in New York, NY with our direct client.
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Handle claims from assignment to conclusion, develop action plans to manage case for early resolution. The successful candidate will routinely handle claims involving liability/coverage issues, contractual liability issues and litigated matters including some reserved in excess of $250,000.
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Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.) Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Overview: Gallagher Bassett is the premier provider of global claims, loss control, and risk management consulting services, dedicated to exceptional customer service and demonstrably superior outcomes.
$100 - $125 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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About NYC Health + Hospitals
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A minimum of 1-3 years of auto claims appraisal experience. Must have a valid New York State Auto Damage Appraiser License. The Auto Damage Appraiser/Crashbuster is responsible for preparing physical damage estimates on vehicles where a claim has been submitted for first or third party damages in the Brooklyn and Queens, NYC regions.
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The Clinical Coding Specialist assigns the appropriate diagnostic and procedural codes to all inpatient and ambulatory surgery and observation discharges as required and according to hospital coding and billing rules for data retrieval, analysis and claims processing, adhering to established coding conventions and guidelines and UHDDS reporting guidelines.
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Works daily Accounts Receivable accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims, and writes appeal letters. 1-2 years of experience in medical billing or health claims, with experience in billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding.
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With 98% of cyber insurance claims in the past five years coming from small and mid-size businesses with revenue under $2B, providing an integrated solution to help manage risk is more critical than ever.
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claims credentialing jobs Company: Metroplus Health Plan in Bronx, NY
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