- 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
- MTA (New York, NY)
- …opportunities. Position Objective: Under the supervision of the Unit Chief, Senior Associate Counsel and MTA Bridges and Tunnels ("TBTA") General Counsel, with ... in matters related to protecting TBTA's revenue stream including providing support for All Electronic Tolling/Open Road Tolling/E-Z Pass collection efforts as… more
- OLV Human Services (Lackawanna, NY)
- …claims are denied/rejected. * Implement and maintain systems for insurance verification, claims follow-up, and billing support . * Manage and communicate key ... A critical part of the role involves evaluating insurance coverage, managing claims processing, and ensuring all aspects of patient care are accurately documented… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …seek to shape and implement best practices, ensure efficient processes, and support the delivery of high-quality medical plans. This role ensures alignment between ... planning teams to enhance collaboration across Otsuka + Consider technology and AI to support workflow improvement + Serve as a key point of contact for senior… more
- Zurich NA (Albany, NY)
- …and systems integration You will lead cross-functional transformation initiatives, support operational planning and performance reviews, and help build the ... satisfaction. + Seamless integration of systems and tools that support scalable growth. + Strong cross-functional alignment and a...and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *… more
- Zurich NA (New York, NY)
- …School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 3 or more years of experience in...and 8 or more years of experience in the Claims or Unde rwriting Support areaAND + Knowledge… more
- Humana (Albany, NY)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT,...field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing… more
- Guidehouse (New York, NY)
- …Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle support services through efficient review and timely resolution of assigned ... plan when needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold… more
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