- Mount Sinai Health System (New York, NY)
- …accounts or untimely filing. **Qualifications** + **Assoicate Degree. Bachelor?s Degree Preferred or equivalent working experience required.** + **5 years of ... and troubleshoot root causes, if/when needed. + Assist with reviewing and maintaining claim edits and identify edit discrepancies based on coding guidelines and make… more
- Mount Sinai Health System (New York, NY)
- …+ BA or BS degree minimum, in a relevant field of study; Masters degree preferred . + 2 years minimum is preferred in analytics development expertise, preferably ... care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …+ BA or BS degree minimum, in a relevant field of study; Masters degree preferred . + 2 years minimum is preferred in analytics development expertise, preferably ... care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …cycle management or financial operations within a healthcare organization is preferred . **Additional Skills and Qualities** + Strong analytical skills with the ... teams. + Detail-oriented with a focus on accuracy and compliance. ** Preferred Skills:** + In-depth knowledge of healthcare revenue cycle processes, including… more
- Mount Sinai Health System (New York, NY)
- …BA or BS degree minimum, in a relevant field of study; Masters degree preferred . + 5 years minimum in analytics development expertise, preferably in health care, or ... care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** + Bachelor?s degree in Nursing or related field; Masters or JD preferred . + Current New York State license as a Registered Professional Nurse or ... other licensed/certified clinical professional strongly preferred ; foreign healthcare experience can be utilized in lieu...9. Interfaces with the HRA/TDC on-site investigators reporting potential claims as well as cases of concern by preparation… more
- CVS Health (Albany, NY)
- …**Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… more
- Mount Sinai Health System (Elmhurst, NY)
- …with CPC / CCS-P credentials. At least six months coding experience preferred . Certified Professional Coder/AAPC. Ability to use computer. Average dexterity and ... accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more