- MVP Health Care (Schenectady, NY)
- …+ Proficiency in Microsoft Word and Excel. + Familiarity with medical terminology and claims processing . + Curiosity to foster innovation and pave the way for ... To achieve this, we're looking for a Data Entry Specialist to join #TeamMVP. If you have a passion...High School Diploma or GED required; Associate's degree in Business or related field preferred. + The availability to… more
- Chautauqua Opportunities (Dunkirk, NY)
- FINANCE SPECIALIST Dunkirk, NY (http://maps.google.com/maps?q=17+W.+Courtney+St.+Dunkirk+NY+USA+14048) Job Type Full-time Description Position Data: Title: Finance ... Specialist Grade: 6 Exempt Non-ExemptX Reports to: Accounting Manager...Day Positive Pay (fraud prevention) * Prepare checks for mailing/ processing . * Monitor daily for exceptions on Key Total… more
- MVP Health Care (Schenectady, NY)
- …education and complimentary experience preferred. + One year experience in a claims processing , health care/provide office setting or related position required. ... To achieve this, we're looking for a **Chart Procurement Specialist ** to join #TeamMVP. This is the opportunity for...Must be willing to work flexible hours depending on business needs. + Ability to travel to and from… more
- CDPHP (Latham, NY)
- …to detail is key to this role. + Demonstrated knowledge of all claims processing systems, contracts, and riders. + Keen analytical skills, organizational, ... of that experience. With minimal direct management oversight, the Compliance Specialist researches, analyzes and processes all corporate regulatory complaints for… more
- Cognizant (Albany, NY)
- …to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more
- WTW (New York, NY)
- …Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial ... issues and trends, summarising findings and potential materiality to current/future business strategy. + Exploring and evaluating new modelling techniques (eg… more
- Cardinal Health (Albany, NY)
- …Hours: Monday - Friday, 7:00 AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account ... and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle… more
- Molina Healthcare (Syracuse, NY)
- …and tests assumptions through data, but leads with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Highmark Health (Albany, NY)
- …regression models, tree-based learning, neural networks, clustering techniques, natural language processing ) + Consult with the business to contextualize and ... work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means… more
- Centene Corporation (Queens, NY)
- …as ICD 10 codes, medical abbreviations, medications. Experience in medical records review, claims processing or utilization and case management in a clinical ... Teams and / or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for to confirm accuracy and… more
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