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Good knowledge and working experience on US Health-care Payer E2E Claims Adjudication , Provider Data Management, Member Enrollment, Care Management, HEDIS, Poupulation Health, and Billing. US Healthcare Payer E2E Claims Adjudication , Provider Data Management.
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The attorney is also responsible for representing NYCHA at hearings with regard to various Tenant Grievances, Remaining Family Member Grievance Claims and Section 8 cases. Represent NYCHA in Small Claims Court actions.
$79,454 - $90,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Job responsibilities Primary function is to investigate, evaluate and resolve new and existing high-profile complex claims, including: Concussion/CTE sports injury claims Toxic product exposures (Talc, benzene) Opioid public nuisance litigation claims PFAS groundwater contamination MTBE First and Third party Environmental Property damage and bodily injury exposure.
$105,000 - $132,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Compiles and organizes medical records; distributes to Medicare Compliance nurses for analysis; and provides guidance and advice on processing claims based on nurses’ analysis. Analyzes lien notices for accuracy, communicates with the CMS to efficiently facilitate lien resolutions on claims and/or prepare MSA submissions in accordance with submission guidelines from CMS as assigned.
Full-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Please consider joining our team by sending your credentials to AttorneyRecruiting@wilsonelser.com and putting "NYC Claims Management & Coverage Counsel" in the subject line. Wilson Elser is currently seeking Attorneys with Claims Management & Coverage Counsel experience.
$105,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Close coordination/contact with all VP Claims Leaders as it relates to ensuring proper staffing across. Strong Property Insurance claims background both personal and commercial lines. distribution capabilities, exceptional financial strength, underwriting excellence, superior claims.
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The Safety Coordinator works closely with the Risk Management Department to mitigate claims by ensuring Safety is a priority on the project and when necessary will assist with incident investigations.
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Compile, code, and submit patient insurance claims to insurance companies as well as follow up on all claims from charge entry through resolution. Three to five years experience with ICD-10, insurance collections and processing out-of-network claims.
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Minimum 5 years’ experience in reviewing disability claims related to psychiatric conditions. Psychiatric Physician Lead of Medical Leave of Absence for The Americas will provide oversight and direction to Clinical Case Managers managing behavioral health short-term disability and work accommodation claims.
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Work with key members of therapeutic area offices (e.g., executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
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The Managed Care Specialist is responsible for resolving managed care denied and underpaid claims timely. Track MCO responses Complete understanding of billing system (Netsmart/ MyUnity) is needed to identify payment discrepancies, monitor and track performance of recoveries, meet goals, audit claim payments, and identify other issues affecting AR. Work closely with Revenue Cycle Director and Director and resolve issues as they arise.
$65,000 - $68,900 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Possesses Board Certification in Occupational Medicine [or Internal Medicine/Family Practice]Minimum 5 years experience in reviewing disability claims across both medical and psychiatric conditions.
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The ideal candidate will have 5 or more years of experience as a lawyer and/or claim professional with a high degree of specialized and technical competence in litigation management and the handling of complex coverage issues, high exposure and/or long term exposure claims and coverage litigation.
$80,500 - $137,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Oversees the handling of all aspects of the claims assigned to the unit including reserving, communication, documentation, litigation management, evaluation, negotiation and settlement. Minimum of five years of experience as a property adjuster, handling complex and large commercial claims.
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Communicate and collaborate with Controllers Group, FP&A and functioning in a high visibility senior management level with reinsurance placement (ceded Re), finance controllers, actuarial, treasury, claims, legal, systems, etc.
$120,000 - $200,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday
claims job Company: Remote Career Jobs Recruit in Bronx, NY
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