- Molina Healthcare (Syracuse, NY)
- …processes through ETL, Streaming, API, etc., between diverse source and target systems with structured and unstructured datasets * Design and build data solutions ... * Code, test, and document new or modified data systems to create robust and scalable applications for data...Python, Ruby or Perl. * Experience in building stream-processing systems , using solutions such as Kafka, Storm or Spark-Streaming… more
- Humana (Albany, NY)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine,… 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
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...for adherence to quality standards. + Utilizes diary management system to ensure that all claims are… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim...quality standards and trend analysis. + Utilize diary management system to ensure that all claims are… more
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...quality standards and trend analysis. + Utilizes diary management system to ensure that all claims are… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...in accordance with department guidelines. + Utilizes diary management system to ensure that all claims are… more
- University of Rochester (Rochester, NY)
- …software) fax/scanner, Microsoft Word, Excel, Access, Email, third party claims systems (ePaces, Connex), Epic Billing System , and various payer web sites. ... which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes… more