- City of New York (New York, NY)
- …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The ... deliver critical services effectively and meet DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the Assistant Director and be… more
- Intermountain Health (Albany, NY)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on ... contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims … more
- Arc Allegany-Steuben (Bath, NY)
- …requirements. Financial Management + Review, prepare, and submit Self Direction billing claims through eVero on a monthly basis. + Cross-check units utilized against ... confirm services do not exceed participant allocations. + Reconcile denied or rejected claims , correct errors, and resubmit promptly to ensure timely payment. + Run… more
- Humana (Albany, NY)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... data mining, detects anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and our financial recovery.… more
- WMCHealth (Kingston, NY)
- …Company: HealthAlliance Hospital City/State: Kingston, NY Category: Clerical/Administrative Support Department: Patient Accounting Union: No Position: Full Time ... party payers, as well as efficient follow-up on unpaid and denied claims RESPONSIBILITIES + Works closely with department Supervisor to ensure effective distribution… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies;… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and external regulations. This position reports directly to the Associate Director, CNS Scientific Communications. **Job Description** **Key Responsibilities ... **Core Content Development** + Under the guidance of the Associate Director, Medical Communications, draft and maintain high-priority, foundational scientific… more
- Humana (Albany, NY)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct...Associates will work on EST, regardless of where the associate resides. Work hours can vary slightly, but all… more
- New York State Civil Service (Albany, NY)
- …financial reviews and evaluations, determining payment sources, and developing and submitting claims for health care andtreatment costs.**An associate degree may ... & Reimbursement Agent 1, position in the State Operations Finance Group, Operations Support Unit; specific duties of this incumbent include, but are not limited to,… more
- Humana (Albany, NY)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... encompasses critical functions including care coordination, quality measurement, billing, claims processing, and customer service, each essential to delivering a… more
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