3023 Claims Handler Ll jobs in New York,NY

An associate's or bachelor's degree in criminal justice or a related field

* A minimum of five years in the healthcare field working in fraud, waste, and abuse investigations and audits; or * A minimum of five years of insurance claims investigation or law enforcement investigation experience; or * A minimum of seven years of professional investigation experience involving economic or insurance related matters

Ability to develop fraud investigations

An intermediate or better level of proficiency in Microsoft Office.

User knowledge of health care related computer systems/applications.

Knowledge of HCPCS, ICD-10CM, and CPT required.

Knowledge of reviewing medical records/documentation required

Certified Professional Coder preferred

Certified Coding Specialist preferred

Certified Fraud Examiner preferred

Understanding of Medicare Advantage, Part D laws and regulations preferred.