- University of Rochester (Rochester, NY)
- …signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider ... Serves as main point of contact for patients' pre and post-operative. QUALIFICATIONS: Associate 's degree in Medical, Secretarial or related field and a minimum of… more
- University of Rochester (Rochester, NY)
- …coding guidelines. - Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction ... incomplete. Other duties as assigned QUALIFICATIONS: - HS Diploma required; - Associate 's degree in Health Information Technology or health related field preferred.… more
- Cardinal Health (Albany, NY)
- …laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Demonstrate excellent ... customer services and FDA approved pharmaceuticals. + Review Business Associate Agreements, Confidentiality Agreements and Information Security Agreements **_Qualifications_**… more
- Capital Region BOCES (Albany, NY)
- …sorts and distributes incoming mail. + Checks, codes and processes requisitions, claims and bills. + Prepares and maintains financial, statistical and personnel ... accredited by the New York State Board of Regents to grant degrees with an Associate 's degree in secretarial science or a closely related field and one (1) year of… more
- Molina Healthcare (NY)
- …Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate 's Degree or equivalent provider contract, network development and management, ... & ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed… more
- Deloitte (Jericho, NY)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) exams, or achieved Associate -level status (ASA/ACAS) or higher. The wage range for this role takes… more
- Molina Healthcare (Buffalo, NY)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... eligibility) to guide technical decisions. REQUIRED EDUCATION: + Bachelor's or Associate 's degree in Data Science, Computer Science, Analytics, Information Systems,… more
- Capital Region BOCES (Albany, NY)
- …of daily, weekly and monthly reports which are compiled into summary reports or claims for state or federal reimbursement. + Prepares in final format accounting and ... from a New York State or regionally accredited college with an Associate 's Degree in Accounting, Business Administration or Business Management and one (1)… more
- Humana (Albany, NY)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Financial Services department. What You'll Do + Handle and resolve assigned denied claims in multiple work queues including, but not limited to, eligibility and ... of office experience required or 1 year of revenue cycle experience. An Associate or Bachelor's degree is required in lieu of experience. + Appropriate certification… more