- KPH Healthcare Services, Inc. (Marcy, NY)
- …the medication orders for various facilities. Ensuring that all Third-Party claims are billed properly. **Responsibilities** **Job Duties:** + Provides customer ... service and problem resolution to assigned facilities + Responsible for accurate data entry of patient profiles and medications + Maintaining accurate information for patients and facilities + Responsible for billing and crediting each facility appropriately… more
- New York State Civil Service (Poughkeepsie, NY)
- …subsurface exploration records, assisting in the review or evaluation of claims and proposed design changes, providing classes for Earthwork Testing Certification, ... geotechnical related designs, and proper use of geotechnical related materials, and overseeing the IAST completion for earthwork testing. Minimum Qualifications This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY… more
- Molina Healthcare (Yonkers, NY)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include employee reviews, coaching sessions and disciplinary actions. + Monitors and enforces compliance with… more
- FlexStaff (Bronx, NY)
- …label requirements, including ingredient statements, allergen declarations, nutrition panels, and claims . + Complete and maintain all required food safety and ... quality documentation on a daily basis. + Deliver in-person employee training on food safety, sanitation, and workplace safety; follow up on training effectiveness. + Regularly inspect production lines and work areas to ensure compliance and proactively… more
- Anthony Jordan Health Corp (Rochester, NY)
- …ensure: . Risk identification and incident management . Proactive risk reduction and claims prevention . To manage and encourage ongoing education of Jordan Health ... staff . Jordan Health is in full compliance with applicable federal and state regulations and standards Education And Experience Required: . Bachelor's degree in Health Care Sciences ie Healthcare Administration, Nursing (BSN), Public Health or Business… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. SUPERVISES: + Behavioral Intervention Specialists 1 + Behavioral Intervention Specialists 11 more
- Catholic Health (Buffalo, NY)
- …moral, ethical and social expectations placed on the health care provider who claims a Catholic identity + Well-formed in Catholic tradition, knowledge of Catholic ... theology and catholic social teaching + Ten (10) years of experience in health care recommended KNOWLEDGE, SKILL AND ABILITY + High level of interpersonal, facilitative and communication skills + Strong theological reflection skills + Strong conflict… more
- CVS Health (New York, NY)
- …in-depth specialization in some areas + Experience working with healthcare data, including claims data, provider data, and / or clinical data + Experience mentoring ... junior data scientists and maintaining high technical quality standards for team + Experience with Vertex AI and Google Cloud Platform is a plus, but comparable experience on other platforms is also valuable Education + Bachelor's degree or equivalent work… more
- Arnot Health (Elmira, NY)
- …information to appropriate billing clerks and management. 6. Follow up on denial claims using reports to ensure completion of appeal with other department staff 7. ... Interacts with physicians and other Arnot Health departments in matters of auth/denial review decisions. 8. Maintains a working relationship with Physician Advisor regarding physician issues related to auths/denials. 9. Provide insurance companies with… more
- WMCHealth (Warwick, NY)
- …and contractual amounts on remittances received from payers, and includes denied claims to ensure that patients are billed appropriately. Requests refunds or ... retraction as appropriate. Responsible for pursuing collection of all receivables from specialty payers (Workers' Compensation, auto/liability, foundations, and any other specialty payer). Qualifications/Requirements: One year of experience in hospital billing… more