- Northwell Health (New York, NY)
- …companies. + Resolves issues related to credentialing, managed care participation, claims payment, demographic changes, referrals, and accessibility. + Responds to ... assigned by senior leadership; collaborates with network staff to facilitate operations . + mentioned here, but considered related are not essential functions.… more
- Lactalis American Group Inc. (Buffalo, NY)
- …EHS and Loss Prevention concerns, risks, and hazards in the organization's operations and establish guidelines for protection from the hazards. . Provide leadership ... workers compensation insurance carrier, schedules routine updates and routinely reports claims status to internal stakeholders. . Develop and implement audit tools… more
- Evolent (Albany, NY)
- …team and operations , ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality for ... all coding practices maintaining high standards and adherence with federal regulations to ensure cohesive and compliant coding per the AHA ICD-10 coding guidelines, AAPC and AHIMA and internal policies. + Conduct regular audits and quality checks for coding… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... providers in a timely manner. - Exhibit skills in typing and basic computer operations , ie, ability to check and enter data in an Electronic Data Base System… more
- UHS (Johnson City, NY)
- …with state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and ... ensuring confidentiality and compliance with HIPAA + Oversee the day-to-day operations of the retail pharmacy, including inventory management, ordering, and storage… more
- Molina Healthcare (Albany, NY)
- …in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... be able to collaborate with Executive teams in Utilization management, Operations , Core EIM teams. **JOB QUALIFICATIONS** **Required Education** Associate degree or… more
- MVP Health Care (Rochester, NY)
- …justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law ... with and analyze data in cooperation with Pharmacy, Medical Affairs, Operations , Provider Relations, Credentialing, Customer Care Center, Legal and other corporate… more
- Curtiss-Wright Corporation (East Farmingdale, NY)
- …of order. + Negotiates and settles with suppliers regarding damage claims , rejections, return of materials, over-shipments, cancellations and engineering changes. + ... Simple in theory, the values of Curtiss-Wright are reflected in every aspect of our operations . To our employees, these are more than words on a wall - we all… more
- LaSante Health Center (Brooklyn, NY)
- …manage phone calls and administrative tasks efficiently to ensure smooth clinic operations . Responsibilities : + Greet patients professionally both in person and ... financial records and collecting patient charges while filing and expediting third-party claims Qualifications: + Fluent in Haitian Creole + Customer servic e skills… more
- GE Vernova (Saratoga Springs, NY)
- …through management of project related activities and resources. Impacts departmental operations and responsible for planning/execution. The role has some autonomy ... place between approved project financial data and books + Support project close out and claims + Lead the team of Project Cost Control analysts on larger projects +… more
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