- CVS Health (Albany, NY)
- …anywhere in the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Research and… more
- Mount Sinai Health System (New York, NY)
- …Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Director, Patient Financial Services (Backend) Corporate East 42nd Street-Full-Time Days** The Senior Director Patient Financial ... and Accounts Receivable performance across the medical center. The Senior Director will report to the Vice President Patient...workflows align with revenue cycle best practices to reduce claim denials, improve cash collections and enhance clean … more
- Mount Sinai Health System (New York, NY)
- …Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations ... + Opportunity for mentorship from senior MSHP leaders + Opportunity to be part of...preferred. + Firm understanding of Facility, Professional and Pharmacy claim reimbursement preferred. + Oral presentation experience, especially with… more
- Mount Sinai Health System (New York, NY)
- …Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations ... + Opportunity for mentorship from senior MSHP leaders + Opportunity to be part of...In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and payment reconciliation. + Familiarity with **Stratajazz**… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Senior Clinical Risk Manager The Senior Clinical Risk Manager serves as a resource to staff to enhance patient safety, promote patient ... loss to protect the assets of the facility. The Senior Risk Manager supports the Risk Management staff on...with the HRA/TDC on-site Professional Liability Investigators: reporting potential claims as well as cases of concern by preparation… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Reporting Analyst (Revenue Cycle Operations) Patient Financial Services- Corporate 42nd Street-Full-Time Days (Hybrid)** The Senior ... systems (Epic Clarity HB/PB, Epic) and all bolt-on software solution (MPV, Experian Claim Manager, FPSC/UHC) and any additional system as needed. + Participate as… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Revenue Accountant-(Revenue Cycle) Patient Financial Services- Corporate 42nd Street-Full-Time Days (Hybrid)** The Senior Revenue ... in revenue trends. This position will report to the Senior Director of Revenue. This role will ensure the...performance based on analytical findings. + Support investigation into claims patterns, payor mix evaluation, and other strategic analytics… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for ... all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the...levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as a Group Supervisor, who… more
- Mount Sinai Health System (New York, NY)
- …for authorization across the medical center. The Director will report to the Senior Director Financial Clearance of the MSHS. The Director of Authorization is a ... interpersonal skills, experience with making presentations to, and dealing with senior management and other C-suite leaders. + Financial management skills, including… more