- Norstella (Albany, NY)
- …years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other… more
- Norstella (Albany, NY)
- …*4+ years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) *Advanced ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable… more
- UHS (Binghamton, NY)
- …this role, you will investigate, analyze, and resolve denied insurance claims -ensuring timely reimbursement and supporting the financial integrity of our ... of care delivery. At UHS, every connection matters-from accurate billing to patient peace of mind. You'll collaborate with...providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join a team where… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental and ... and trends. + Assists in maintaining and creating payer report cards, claims tracking and management reporting as requested. + Assists management reporting and… more
- Molina Healthcare (Yonkers, NY)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- MTA (New York, NY)
- …for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + Responsible for the management ... of all Contractor Safety Incentive Programs, monitors costs, ensures services and billing are adequate and in compliance with Contractors (broker) Agreements. +… more
- Pfizer (New York, NY)
- …to coverage and reimbursement matters, such as Patient Assistance Programs and billing and coding reference guides. + Provide education for HCPs/office staff ... financial assistance brochures. + Reactively assisting HCP offices with coding and claims -related issues by contacting payers to understand policy or procedures and… more
- Mohawk Valley Health System (Utica, NY)
- …in order to promote financial stability within the Hospital. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker's Comp/No Fault is ... and uses them as a contact when necessary to resolve outstanding issue on claims . + Determines whether payment from insurance billed is accurate, based on DRG,… more
- Trane Technologies (Long Island City, NY)
- …customer requirements and Project Manager direction to ensure accurate and timely billing . . Coordinates with project team members for accurate and timely recording ... other trades, subcontractors, and field support staff. . Reviews billing backlog and coordinates/communicates with Project Managers, HVAC Field Technicians,… more
- J&J Family of Companies (Smithtown, NY)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing . . Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill,… more