- Indus Hospitality Group (Rochester, NY)
- …including FMLA, NYS PFL, Workers Comp, Short- and Long-Term Disability claims for a portion of the organization. Requirements Education and/or Experience ... creating and automating processes ideal. Work Environment and Physical Demands: + Professional office environment + 100% in-office + Prolonged periods of sitting at… more
- Anthony Jordan Health Corp (Rochester, NY)
- …ensure: . Risk identification and incident management . Proactive risk reduction and claims prevention . To manage and encourage ongoing education of Jordan Health ... dental, vision, life insurance, and 403b retirement plan. We offer Professional Development allowance. Jordan Health offers equal opportunities to all persons… more
- Centene Corporation (New York, NY)
- …one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national ... to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, or unusual or new services in order to… more
- Mount Sinai Health System (Elmhurst, NY)
- …/ CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder/AAPC. Ability to use computer. Average dexterity and knowledge of ... information from the accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs of coded work. Assures… more
- Molina Healthcare (Albany, NY)
- …focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... and improve Utilization Management. + Actively participates in regulatory, professional and community activities. **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** +… more
- Genesis Healthcare (Southampton, NY)
- …and guidance to Registered Behavior Technicians. 9. Conducts training and professional development for teachers and paraprofessionals. 10. Performs other related ... within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in required orientation and training… more
- World Insurance Associates, LLC. (Syosset, NY)
- …resolving day-to-day customer inquiries and escalate issues related to eligibility and member claims + Develop and leverage knowledge of customer needs and issues to ... use discretion surrounding sensitive information. + Ability to maintain a professional demeanor and positive attitude Equal Employment Opportunity At World Insurance… more
- Saratoga Hospital (Saratoga Springs, NY)
- …What You'll Do + Collect quality data using various methods of data sourcing-EMR, claims , provider / patient outreach. + Manage daily work using multiple systems and ... processes and support patient and staff satisfaction. + Serve as a positive, professional representative of our hospital and community. What You Bring + High School… more
- Stony Brook University (East Setauket, NY)
- …investigating, reviewing and following-up on rejected/denied inpatient and outpatient hospital claims . + Knowledge of CPT, HCPCs and ICD-10 coding principles. + ... Services * + Complete electronic reference check with a minimum of three (3) professional references. + Successfully complete a 4 panel drug screen * + Meet… more
- Albany International Airport (Albany, NY)
- …collection and dissemination of data such as property or personal injury claims , unusual occurrences, and malfunctioning machinery or equipment for use of management ... Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write… more