- University of Rochester (Rochester, NY)
- …record system , appointment scheduling system , and Operating Room scheduling system and other systems as needed. TYPICAL DUTIES: Provider Assistant - ... signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider… more
- Latham, The Pool Company (Latham, NY)
- …involves aligning business requirements with IFS and CPQ capabilities, performing system configuration, and guiding users through successful deployment and adoption. ... candidate will possess strong functional expertise in IFS ERP systems and an ability to translate operational needs into...+ Provide user training and ongoing support to ensure system adoption and effective usage + Serve as SME… more
- Molina Healthcare (Albany, NY)
- …software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and ... + Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management, clinical indicators, industry benchmark, and/or… more
- Highmark Health (Albany, NY)
- …leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights ... on a production basis (including dissemination through the Organization's user systems ). This includes identifying the best route to implementation (developing the… more
- Robert Half Finance & Accounting (Albany, NY)
- …Responsibilities: * Oversee existing insurance policies to ensure audits, reports, and claims are managed in compliance with New York State regulations. * Assist ... policyholders by addressing claims , providing educational materials, verifying coverage, and delivering proof of insurance. * Identify and pursue new business… more
- Amentum (Albany, NY)
- …appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with ... defense sectors.** + Deep knowledge of insurance products, risk financing, claims management, and enterprise risk practices. + Strong negotiation, communication, and… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
- New York eHealth Collaborative (New York, NY)
- …large and complex datasets (eg, master patient indexes, SPARCS, healthcare claims ). + Design, implement, maintain, and enhance data workflows, ETL/ELT pipelines, ... audiences. + Familiarity with Clinical Quality reporting, Medicare and Medicaid claims data, ICD coding, CDA standards, web scraping, EHR/EMR systems… more
- Leviton (Melville, NY)
- …of customer interactions, payment status, and collection efforts within internal systems . Document collection activities to drive insights and strategy. Work closely ... contribute to department goals. Qualifications Understanding of collections and deduction/ claims processes. Ability to build rapport and communicate effectively with… more
- Albany Medical Center (Albany, NY)
- …results and quality control + Demonstrates and uses the applicable computer systems + Uses effective written and verbal communication skills to cooperatively work ... and complex troubleshooting of equipment. + Specify and implement a control system to ensure high quality results. + Determine benefits of standardizing technology… more