- University of Rochester (Rochester, NY)
- …coding guidelines. - Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction ... incomplete. Other duties as assigned QUALIFICATIONS: - HS Diploma required; - Associate 's degree in Health Information Technology or health related field preferred.… more
- Molina Healthcare (Yonkers, NY)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... similar functions for other staff. **Job Qualifications** **Required Education** Associate 's Degree or equivalent combination of education and experience **Required… more
- Cardinal Health (Albany, NY)
- …laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Demonstrate excellent ... customer services and FDA approved pharmaceuticals. + Review Business Associate Agreements, Confidentiality Agreements and Information Security Agreements **_Qualifications_**… more
- Capital Region BOCES (Albany, NY)
- …sorts and distributes incoming mail. + Checks, codes and processes requisitions, claims and bills. + Prepares and maintains financial, statistical and personnel ... accredited by the New York State Board of Regents to grant degrees with an Associate 's degree in secretarial science or a closely related field and one (1) year of… more
- Molina Healthcare (NY)
- …Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate 's Degree or equivalent provider contract, network development and management, ... & ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed… more
- Cognizant (Albany, NY)
- …: 2-3 years in healthcare revenue cycle. + **Education** : HS Diploma. Associate or bachelor's degree preferred. + **Technical Skills** : Proficiency in Excel, payer ... portals, and claims clearinghouses. **Salary and Other Compensation** : Applications will be accepted until August 22nd, 2025 The hourly rate for this position is… more
- CVS Health (Albany, NY)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... Customary (calculations) and cost-benchmarking for drugs, supplies, and services. + Associate 's Degree. **Education** + High School Diploma or GED. **Anticipated… more
- Deloitte (Jericho, NY)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) exams, or achieved Associate -level status (ASA/ACAS) or higher. The wage range for this role takes… more
- Molina Healthcare (Buffalo, NY)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... eligibility) to guide technical decisions. REQUIRED EDUCATION: + Bachelor's or Associate 's degree in Data Science, Computer Science, Analytics, Information Systems,… more
- Claxton-Hepburn Medical Center (Carthage, NY)
- …gathered is used to determine the hospital database and reimbursement of hospital claims . EDUCATION: Required: + High school diploma or equivalent Preferred: + Three ... to five years of post-secondary education related to an Associate 's Degree in Medical Record Technology LICENSES AND CERTIFICATIONS: Required: + CCS/CCA TRAINING and… more