- IBM (New York, NY)
- …requirements (HIPAA, PHI data security, etc.) . Familiarity with Provider Networks, Claims Processing , and Patient Journeys . Knowledge of regulatory compliance ... requirements (HIPAA, PHI, GxP, CSV, etc.) Process: . Expertise in Salesforce Multi-Org Strategy and Governance . Familiarity with Salesforce DevOps tools (CI/CD, Git, Bitbucket, Copado) . Deep understanding of scalability, performance optimization, and… 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 **Duties and Responsibilities** Chief Information Officer, Health Practice Area The Chief Information Officer (CIO) is responsible for… more
- Mount Sinai Health System (New York, NY)
- …all insurance assessment forms and agreements. Ensures forms are accurate for claims processing . + Assists with Standard Operating Procedure revisions for ... workflows related to the BMT Administrative Coordinator team. + Verifies patients' insurance benefits and obtains authorizations for procedures. + Informs patients of any potential patient out-of-pocket liability. May facilitate resources to bridge the gap… more
- MVP Health Care (Schenectady, NY)
- …provider reimbursement methodologies and innovation programs. + Advanced knowledge of FACETS claims processing system and Provider billing and coding practices. ... + Advanced knowledge of custom fee schedules and implications of changing fee schedules in trends. + Comprehensive working knowledge of health care data including but not limited to claim data, pharmacy data, clinical data, provider billing practices and lab… more
- Northwell Health (Lake Success, NY)
- …patient accounts for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, ... inquiries regarding an account. Job Responsibility + Assists in processing and managing patient claims . + Assists...+ Assists in processing and managing patient claims . + Assists in collecting payments from third party… more
- City of New York (New York, NY)
- …guidelines. The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; ... contract payments. These programs are complex and require expedient processing of invoicing. DFS is seeking a Payment Analyst...the Payment Analyst will include the timely review and processing of Human Services and administrative invoices for a… more
- City of New York (New York, NY)
- …guidelines. The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; ... of record. Administrative Payment Services within DFS is responsible for processing payments associated with the agency "for-profit" vendors which are Non-Human… more
- Walmart (Batavia, NY)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Evergreen Health (Buffalo, NY)
- …to everyone in our community. The Billing Specialist is primarily responsible for processing insurance claims , which includes submitting claims , posting ... Essential Functions of this role, the Billing Specialist : + Submits clean claims to insurance companies and meets timely filing requirements. + Posts insurance… more
- Sedgwick (Albany, NY)
- …Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex claims ... field; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
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