- HUB International (New York, NY)
- …+ Collaborate with team members to manage policies, endorsements, renewals, and claims processing . **Qualifications** + High School Diploma or GED + ... A positive attitude and enthusiasm to learn the insurance industry + Excellent verbal & written communication skills + Strong organizational skills, adept at prioritizing and handling multiple tasks + A collaborative team player with a desire to help others +… more
- Albany Leadership (Albany, NY)
- …applicable laws. ? Process Annual FRPL forms and input into the system ? Monthly CN Claims processing ? Assist in ordering and prepping all School event meals ? ... Perform special assignments and other duties as assigned or required by the supervisor. Desired Skills: ? Ability to complete 10 hours of training annually as required by the USDA. ? Experience in quantity food production and preparation preferred. ? Must be… more
- Humana (Albany, NY)
- …2 years of Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with data query/data programming applications (ie ... SQL, Python) + Knowledge of data visualization tools (ie Power BI, QlikView, Tableau) **Additional Information** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and… more
- Humana (Albany, NY)
- …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... corporate environment and understanding of business operations + Bilingual in Spanish **Additional Information** **Work at Home Requirements** * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL… more
- Northern Rivers Family Services (Queensbury, NY)
- …and Medicaid Services (CMS). All electronic prescriptions in NYS require an NPI. Claims processing functions also require the NPI of nurse practitioners and ... physicians. + Federal Drug Enforcement Administration (DEA) number - issued by the United States Department of Justice Department DEA to nurse practitioners and physicians to prescribe controlled substances. DEA registration must be renewed every three years… more
- Baylor Scott & White Health (Albany, NY)
- …environment in a work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL queries against ... relational databases. + Must possess excellent documentation and communication skills. + The ability to understand, model, and interpret data. + Accuracy and attention to detail. + Must possess good social skills. + Excellent written and verbal communication… more
- Molina Healthcare (Syracuse, NY)
- …health care operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) * Advanced understanding on health care ... financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as… more
- Mount Sinai Health System (New York, NY)
- …* Drive the revenue cycle processes for bundle payment operations including claims processing , payment receipt, and payment distribution in collaboration with ... the revenue cycle team. * Drive the implementation and iteration of new technologies to support day-to-day operations (eg, ZenDesk). * Develop and maintain documentation for product operations, including standard operating procedures and training materials. *… more
- Public Consulting Group (Albany, NY)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... Cost Allocation Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets A Test Leader oversees the testing process, developing test strategies and plans, guiding a team of testers, and collaborating with… more
- Rochester Regional Health (Rochester, NY)
- …Responsibilities Responsibilities will include basic knowledge of medical billing, medical claims processing and accounts receivable collections. The Medical ... collection specialist must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within Meditech and Emdeon to identify denial trends as well as be responsible for locating and monitoring overdue third party accounts… more