carriers and are tailored to clients' needs. We offer superior service levels, industry-recognized underwriting and claims... The Opportunity Future focused and always one step ahead! The Property/Casualty Loss Control Specialist is responsible...
Insurance Authorization Specialist We are partnering with one of the nation's top Orthotics & Prosthetics (O&P...) providers to find an Insurance Authorization Specialist for their Lennox Hill office. This company holds exclusive contracts...
: The Enrollment Specialist for Healthcare House Calls plays a critical role in assisting patients with the enrollment... they need at home. The specialist will coordinate with healthcare providers and patients’ families to ensure that all necessary...
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations... from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party...
Specialist to drive innovative digital experience solutions for top-tier insurers. This role focuses on leveraging Guidewire... Role: We are seeking a Guidewire Jutro Specialist to work on innovative digital transformation engagements with leading...
departments (Claims, Care Management, EDI, Grievance and Appeal, Customer Service, Enrollment, Special Investigations...
protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages... claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible...
coordination of various Plan departments. These departments include but are not limited to Claims, Care Management, EDI, Grievance...
protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages... claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible...
needed. Assist participating providers when issues require coordination of various Plan departments (Claims, Care Management, EDI...
(Required) Strong familiarity with EmblemHealth’s claims systems and interdependent applications (Required) Experience in provider, facility...
protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages... claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible...
with policies/procedures for Family Care. Prepare Residential Habilitation documentation for audits and claims reviews. Establish...
protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages... claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible...
(Claims, Care Management, EDI, Grievance and Appeal, Customer Service, Enrollment, Special Investigations, Credentialing...
protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages... claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible...
protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages... claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible...
' compensation claims. Manage caseloads of workers' compensation patients, including communication with employers, insurance... to confidentiality regulations Prepare reports and documentation for workers' compensation claims Collaborate with other healthcare...
patient accounts. Duties include: Review submitted claims for accuracy Investigate and resolve claim denials...
protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages... claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible...