- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Quality Assurance Auditor will perform monitoring, oversight, and quality assurance reviews/audits of ... during the quality assurance process to ensure resolution. The Quality Assurance Auditor will analyze, document, and report on results to business stakeholders and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors (to others… more
- Vibrant Emotional Health (New York, NY)
- …banking institution for all accounts payable disbursements and payroll checks issued. + Lead monthly close process and ensures that the monthly close calendar is ... annual audits - Manage/supervise the general accounting staff in providing external auditor request. + Provide assistance to the Controller with various finance… more
- Catholic Health (Buffalo, NY)
- …for the people, carrying out and documenting the appeals process for denied claims denied due to reasons including, but not limited to clinical documentation/support ... Certified Documentation Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case Manager (CCM) or any other certification… more
- DoorDash (New York, NY)
- …a strategic, data-driven, and execution-focused Insurance Product Marketing Manager to lead go-to-market strategy and lifecycle engagement for our future suite of ... messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
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