- Centene Corporation (New York, NY)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services in order to ... + May be required to work weekends and holidays in support of business operations , as needed. + Consults on MCO clinical policy related to Substance Use Disorders… more
- Pfizer (Albany, NY)
- …financial assistance brochures. + Reactively assisting HCP offices with coding and claims -related issues by contacting payers to understand policy or procedures and ... to the accessibility of our website, online application process and/or interviewing. Requests for any other reason will not be returned. Sales Operations & Admin more
- The Arc Erie County NY (Buffalo, NY)
- …Education Program, they will report to the Associate Director of Educational Operations . For general agency Administrative Assistants, they will report to the ... for various assigned programs. This may include property and liability claims , incident reporting, coding of various invoices/bills, reconciliation of departmental… more
- Cardinal Health (Albany, NY)
- …of data to create innovative solutions that improve patient outcomes, streamline operations , and enhance the overall healthcare experience. We are seeking a highly ... knowledge of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. +… more
- North Country Family Health Center (Watertown, NY)
- …Type Full-time Description The Revenue Cycle Management Team Lead will oversee day-to-day operations of the revenue cycle team with a primary focus on optimizing ... within the Athena EMR platform. This role ensures accurate charge capture, claims submission, payment posting, denial management, and compliance with federal, state,… more
- Evolent (Albany, NY)
- …reports directly to the Manager, Utilization Management. In support of our daily operations this individual also works with our clinical team, which includes our ... requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability to read, write… more
- Public Consulting Group (Albany, NY)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more
- GAP Solutions Inc (Albany, NY)
- …Customs Enforcement (ICE), Office of Human Capital (OHC), Human Resources Operations Center (HROC). **Duties and Responsibilities:** + Processing personnel and ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- Tioga Downs Casino Resort (Nichols, NY)
- …maintaining vendor relationships, ensuring high-quality standards, and keeping our operations running smoothly. ESSENTIAL DUTIES AND RESPONSIBILITIES include the ... standards. *Coordinates and processes all Return-To-Vendor requests. *Processes all claims for damaged goods received. *Responsible for maintaining a consistent,… more
- Baylor Scott & White Health (Albany, NY)
- …documentation . Create SAM ticket for contracts/amendments to be loaded in claims /configuration system . Ability to handle multiple priorities with deadlines . ... other departments on new business projects . Attend monthly Provider Network and/or Operations meetings and may be required to attend other required meetings in… more