- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …refund requests + Complex account reconciliation + Account adjustments, bad debt processing + Third party, Medicare, Managed Care, and private billing, claim ... + Track and re-bill pending Medicaid accounts + Re-bill claims as needed + Identify pattern problems (improper patient...and private pay + Month-end closing process + Re-bill claims to improve reimbursement from NETRX reporting + Assist… more
- Guardian Life (New York, NY)
- …models and actuarial tools used for reserving, pricing, and FP&A (eg, claims projection model, LTD Reserving model) + Automate manual actuarial/finance processes by ... development that includes initial data exploration, project/sample design, reception, and processing of data, performing analysis and modeling to creation of final… more
- WMCHealth (Kingston, NY)
- …(https://pm.healthcaresource.com/cs/wmc1/#/preApply/29991) Internal Applicant link Job Details: Coordinates the orderly processing of all third party claims in ... accurate cash receipt and Ancillary Services posting to the Accounts Receivable system.Submits claims for third party insurance payers. Handles self pay billing in a… more
- City of New York (New York, NY)
- …and claiming data for data entry into multiple database systems for agency claims submitted annually for Federal and State reimbursement. - Analyze fiscal year ... claims , revenue, invoices and payment vouchers to ensure alignment...monthly Expense, Payment and Claiming reports to ensure accurate processing . Analyze, review and provide recommendations for Agency Program… more
- Catholic Health Services (Melville, NY)
- …for accurate and timely hospital billing, follow up, collections, cash processing and customer service related activities. Responsibilities: + Reviews, corrects and ... approves all primary and secondary billing, submits hard copy or electronic claims to appropriate payors. + Reviews and edits any rejections stemming from electronic… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... and property. Identifies contingency plans for potential risks. + Strong data processing / transformation skills using tools like SQL, R, Python, PySpark, etc.… more
- Norstella (Albany, NY)
- …to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)** ... teams to develop and refine database queries, data pipelines, and processing workflows, incorporating AI/ML methodologies for advanced analytics. + Partner with… more
- UIC Government Services and the Bowhead Family of Companies (New York, NY)
- …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Hannaford (Troy, NY)
- …claim forms. * Maintain organized filing system for invoices, manual insurance claims , daily reports, etc. in accordance with Standard Practice Manual and state ... maintain and return pharmacy inventory through proper supplier. * Assist in processing pharmacy outdates and credits including keeping inventory free from outdated… more
- Cardinal Health (Albany, NY)
- …with all RCM and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a high ... care environment. + Excellent verbal communication skills. + Competence with computer processing functions and other standard office equipment. + Ability to manage… more