- Allied Universal (Albany, NY)
- …explore a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Allied Universal (Batavia, NY)
- …difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Allied Universal (Saratoga Springs, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems , claims flow, adjudication process, system edits and display ... Medical Investigator role. + Subject matter expert in health systems operations including an understanding of reimbursement methodologies and coding conventions… more
- Molina Healthcare (NY)
- …Tricare, Pharmacy, etc.) + Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems . + Demonstrated ability to use MS Excel/Access ... **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical… more
- CVS Health (Albany, NY)
- …States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a ... 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)
- …and EHR systems effectively. . Organize routine meetings with health system business leaders and managed care teams to review authorization performance, payer ... workflows align with revenue cycle best practices to reduce claim denials, improve cash collections, and enhance clean ...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... Mount Sinai is one of the largest US health systems with a strong reputation for quality of care...Facility and Ancillary Contracts across the Mount Sinai Health System . MSHP seeks a Senior Contract Compliance (Professional Billing)… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... pharmacist. Documents all patient encounters as appropriate in health system documentation system . 2. Data analysis: such.... 2. Data analysis: such as payer data and claim 3. Support the pharmacist to implement the patient's… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... (Hybrid)** The Director of EPIC Workflow Optimization for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which… more