- Trinity Health (Albany, NY)
- …to ensure adherence in a manner that reflects safe, honest, ethical & professional behavior & safe work practices. **Functional Role** (not inclusive of titles or ... assigned patient accounts through entire revenue cycle to ensure copay program claims , payments, denials, and other assistance programs are being processed properly.… more
- AIG (New York, NY)
- …expectations. Fosters close partnership with underwriting, risk management, distribution and claims teams in order to provide excellent customer focus that ... benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family. Reimagining… more
- Mount Sinai Health System (New York, NY)
- …models. + Extensive knowledge of healthcare/medical data such as hospital/physician claims , utilization data, and healthcare industry coding systems and revenue ... extensively in Epic, particularly in areas like Hospital Billing (HB), and Professional Billing (PB) to design and optimize reports and analytics utilizing Epic's… more
- WTW (New York, NY)
- …+ Servicing policies once bound including issuing mid-term adjustments, assisting with claims and generally providing post-sales support + General advice and support ... not limited to location of the role, individual competencies, education/ professional certifications, qualifications/experience, performance in the role and potential… more
- Zurich NA (New York, NY)
- …group of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts and customer service professionals. We share ... their full potential through a comprehensive onboarding program, ongoing professional development opportunities and a supportive work environment that encourages… 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
- Terumo Medical Corporation (New York, NY)
- …(QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are ... in accounts and traveling **Qualifications/ Background Experiences** + Technical or professional health services licensure from an accredited licensing entity. eg,… more
- VCA Animal Hospitals (Pine Bush, NY)
- …a week- alternating doctors. + Hands-free + Fear-free + AAHA Accredited + Pine Bush also claims to be a hotspot for UFO sighting and hosts a UFO Fair each year! + ... gender affirmation services + Paid parental, vacation and sick leave Professional Development + Continuing Education Allowance and paid Continuing Education Days… more
- Walgreens (Buffalo, NY)
- …rejections. Resolves third-party rejection problems promptly and resubmits rejected claims for payment promptly. Manages and controls Prescription Department ... and state regulations to provide such clinical services. + Seeks professional development by monitoring one's performance, solicits for constructive feedback, and… more
- Mount Sinai Health System (New York, NY)
- …financial performance based on analytical findings. + Support investigation into claims patterns, payor mix evaluation, and other strategic analytics to optimize ... results, suboptimal solutions, and data anomalies based on experience and professional judgment. + Build effective, collaborative relationships with key stakeholders… more