- Humana (Albany, NY)
- …and timely information for strategic and operational decisions in support of Claims Administration and Payment Integrity (CAPI). The Senior Financial Planning and ... Administration or a related field + CPA or CMA certification + Previous health insurance industry experience + Managerial...10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is… more
- OLV Human Services (Tonawanda, NY)
- …all federal and state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies and all others. 25. Performs other duties and assumes ... and resources Education: Minimum Degree Required: * High School Diploma/GED ( Associate 's or Bachelor's Degree preferred) Experience: Minimum Experience Required: * 5… more
- NASCO (Albany, NY)
- …with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS ... 3 years of financial budget management and forecasting **Required Training, Certification and Education:** + Bachelor's degree in computer science, information… more
- Deloitte (Jericho, NY)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... a minimum of 20 hours of formal training or certification in Total Rewards. + Successfully passed at least...(SOA) or Casualty Actuarial Society (CAS) exams, or achieved Associate -level status (ASA/ACAS) or higher. The wage range for… more
- Claxton-Hepburn Medical Center (Carthage, NY)
- …gathered is used to determine the hospital database and reimbursement of hospital claims . EDUCATION: Required: + High school diploma or equivalent Preferred: + Three ... to five years of post-secondary education related to an Associate 's Degree in Medical Record Technology LICENSES AND CERTIFICATIONS:...agencies + CCPT and HCPS + AAPC or AHIMA Certification Required *The listed base pay range is a… more
- WMCHealth (Valhalla, NY)
- …paperwork related to the filling of prescription + Assisting with insurance claims processing (usually a pharmacist will handle this, but assistant's help will ... IV Experience preferred. Education: High school diploma or Equivalent required; associate 's degree preferred. Licenses / Certifications: Current licensure as a New… 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 ... type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in… 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 ... type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in… 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 ... required or 1 year of revenue cycle experience. An Associate or Bachelor's degree is required in lieu of...degree is required in lieu of experience. + Appropriate certification or licensure for the role (eg RN, LPN,… more
- Independent Health (Buffalo, NY)
- …pharmacy, or equivalent setting, required, or six (6) months as a temporary associate in the Patient Care Specialist role or Reliance Operations & Compliance ... department. National Pharmacy Technician Certification (CPhT) preferred. + Experience... (CPhT) preferred. + Experience working with on line claims processing system preferred. + Effective oral and written… more