- Citigroup (New York, NY)
- …**Risk Management:** Monitor account activity, manage "tickler" items, and oversee claim submissions, adhering to contractual and legal obligations. + **Client ... contact for client inquiries, providing timely and accurate resolutions. + **Sales Support :** Participate in sales calls and client presentations to promote Escrow… more
- WMCHealth (Hawthorne, NY)
- …NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office Union: No Position: Full Time ... management, Medicaid and Medicare. + Experience in establishing and managing claim denial activities, collection processes and methodology. + Significant knowledge… more
- Molina Healthcare (Albany, NY)
- …Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates ... cross-functional, highly matrixed organization * SQL proficiency * Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs,… more
- Catholic Health Services (Melville, NY)
- …Helps to resolve problems and recommends solutions, including documentation design and claim editing in the EMR, where there is opportunity for improvement. Actively ... new provider orientation Conducts research using credible industry accepted sources to support and advance coding and documentation education and issues. Extract and… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …Responsibilities The Anesthesia service at the Albany VA Medical Center provides anesthesia support for up to 5 operating rooms and 1 non-OR location. Procedural ... ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school… more
- Charles Evans Center (Bethpage, NY)
- …+ Manage day-to-day coordination with outsourced billing vendor (Solutions4) + Resolve claim denials and outstanding A/R to support timely collections + ... Review and update billing policies and procedures for efficiency and compliance + Ensure correct insurance is collected and verified at time of visit + Lead regular meetings with front desk supervisor on billing issues + Monitor provider credentialing with… more
- Albany Medical Center (Albany, NY)
- …Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. + Support the reporting of healthcare data elements (eg diagnoses and procedure codes, ... the most accurate coding to represent that patient services on the hospital claim . + Comply with comprehensive internal coding policies and procedures that are… more
- Bard College (Annandale On Hudson, NY)
- …play a key role in our collaborativeHR team (https://www.bard.edu/humanresources/) to support the day-to-day operations of the department. Job Duties + Administer ... consultation by addressing administration questions, discussing regulatory updates, resolving claim issues, and managing employee problems with carriers + Other… more
- New York State Civil Service (Albany, NY)
- …include data entry, conducting searches of the Contractor Registry database, completing claim intakes, & cataloging information to be archived. Near the conclusion ... York home. We help New Yorkers find careers they will love. We build and support New York's businesses. We empower and protect New York's workers. To learn more… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …of clinical, educational and research programs. The DCOS will provide support over Quality Improvement initiatives; working with the clinical service chiefs ... ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school… more