- 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, ... **Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and… more
- MVP Health Care (Rochester, NY)
- …virtual, in Schenectady or Rochester, NY + 1-2 years of data entry or claims experience preferred. High accuracy and attention to detail. + Strong data entry skills ... + Proficiency in Microsoft Word and Excel. + Familiarity with medical terminology and claims processing. + Curiosity to foster innovation and pave the way for growth… more
- Sedgwick (Albany, NY)
- …support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues ... providers through use of medical and disability duration guidelines, adhering to quality . + Identifies opportunities to expedite care for cost containment and timely… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial management, and ... denials promptly. + Prepare and submit appeals for denied claims , including documentation and provider narratives as needed. +...lives of our patients by restoring function and enhancing quality of life. We are committed to innovative care… more
- Norstella (Albany, NY)
- …service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard ... by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data *Your… more
- Norstella (Albany, NY)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... and analyze data from large relational databases, ensuring data accuracy and quality . *Perform in-depth analyses on healthcare data sources, including claims ,… more
- AIG (New York, NY)
- …use, detailed monitoring standards, controls, guidelines, authority management and quality reviews to assess loss ratios, underwriting acumen, underwriting diligence ... Office, Operations, Audit, COE, Modeling, Engineering, Natural Catastrophe Modeling, Actuarial, Claims , Regulatory and Legal to share insights and best practices… more
- Otsuka America Pharmaceutical Inc. (Brooklyn, NY)
- …customer needs. In the future, Otsuka aims to enhance customer engagement quality , accountability, and cohesion between patients and healthcare providers, with a ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- FlexStaff (New York, NY)
- …and orthotic care to their patients. Their team is committed to improving quality of life through personalized, innovative solutions. They are seeking a motivated ... will play a vital role in managing administrative tasks, coordinating insurance claims , and ensuring smooth clinic operations. The ideal candidate will have… more
- Humana (Albany, NY)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more