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Designated a Magnet hospital by the American Nurses Credentialing Center (ANCC) for outstanding nursing care, South Nassau also offers Novalis Tx and Gamma Knife radiosurgery technologies, and operates the only Trauma Center on the South Shore of Nassau County verified by the American College of Surgeons.
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We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
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Mercy offers a NYS designated Stroke Center, Breast Imaging Center of Excellence, Level III Neonatal Intensive Care Unit, and has received Pathway to Excellence designation from the American Nurses Credentialing Center - the only hospital in the region and one of only two in NY State to receive this prestigious award.
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Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Mount Sinai South Nassau is the only hospital on Nassau’s South Shore to be named ‘Baby-Friendly™’ by the World Health Organization and UNICEF.
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Ranked among the top hospitals in New York State, Mercy offers a NYS designated Stroke Center, Breast Imaging Center of Excellence, Level III Neonatal Intensive Care Unit, and has received Pathway to Excellence designation from the American Nurses Credentialing Center the only hospital in the region and one of only two in NY State to receive this prestigious award.
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We have openings for full time and part time roles for a Claims Specialist at VantagePoint Benefit Administrators located in Lynbrook, NY. The Claims Specialist will be responsible for managing and handling claims for FSA/TPA/HSA/HRA/COBRA etc., liaising with clients, analyzing claim data, working with insurance providers, and communicating with internal and external stakeholders.
$45,000 - $55,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Maintains an administrative knowledge level of Genetec, to include Access Control and Camera configuration as well as credentialing for Arena employees and our 3rd party partners. Maintains an administrative knowledge level of Genetec, to include Access Control and Camera configuration as well as credentialing for Arena employees and our 3rd party partners.
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Wright Public Entity serves as a management company providing claims administration, risk management & loss control, underwriting & marketing, and client services in New York for the NY Schools Insurance Reciprocal (NYSIR: '' rated by Best), NY Municipal Insurance Reciprocal (NYMIR: '' rated by Best) and Statewide Schools Health Plan. We also act as a TPA for Workers Compensation for various self-insured schools & municipalities in New York.
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Communicate regularly with the Billing Manager to review data entry problems that may prevent e-bills from being generated and assist in rectifying denied claims so that they can be re-billed. Performs all aspects of billing: collects, reviews, and verifies patient insurance information; ensures appropriate insurance paperwork is filled out and submitted as required; re-submits insurance claims as required; follows-up on collections as required; posts payments and resolves any billing issues.
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Registered Cardiac Sonographer (RCS) with Cardiovascular Credentialing International (CCI), required. Registered Cardiac Sonographer (RCS) with Cardiovascular Credentialing International (CCI), required.
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We have Contract role for Claims Examiner –Remote f or our client Garden City NY. Please let me know if you or any of your friends would be interested in this position. Claims Examiner –Remote- Garden City NY.
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The Claims Supervisor, SIU will oversee the operation of a unit of SIU Investigators and Analysts with varying levels of experience who handle investigations on suspect claim and underwriting matters.
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SIU affiliated professional designation preferred (FCLS,SCLA, CFE, CIFI) Effectively partner with claim and underwriting staff to achieve established fraud detection, prevention and awareness goals. The ideal candidate will be experienced in Supervising and handling complex SIU investigative activities across all claim coverage types in accordance with current state and federal regulatory laws.
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The hospital has been awarded the Joint Commission’s gold seal of approval for disease-specific care for heart failure, primary stroke, hip replacement, knee replacement, wound care, bariatric surgery, and end-stage renal disease, and recently was re-accredited as one of first programs in the US by the Infectious Diseases Society of America as a Center of Excellence for Antimicrobial Stewardship.
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Successful completion of the Registered Dietitian (RD) exam approved though the Commission on Dietetic Registration (CDR -the credentialing Agency for ADA) - must be obtained within the first six months of employment.
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claims credentialing jobs Company: Metroplus Health Plan in Oceanside, NY
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