- MVP Health Care (Schenectady, NY)
- …Integrity & Cost Containment** to lead enterprise-wide initiatives that ensure claims are paid accurately, ethically, and efficiently. This high-impact role ... goals. + Oversee pre- and post-payment integrity programs including claims editing, audits, subrogation, readmission reviews, and coordination of benefits.… more
- Oak Orchard Health (Brockport, NY)
- …a leading, patient-centered organization where professionals come together to improve access to quality health care for all? At Oak Orchard Health, you can grow your ... top talent with our mission to ensure everyone has access to affordable, quality health care. Our diverse, highly skilled professionals are the reason for our… more
- Mount Sinai Health System (New York, NY)
- …High School Graduate + 3 years experience with medical billing and claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing ... claims , maintaining related files and logs, and checking patient...leaders and innovators; and supporting local communities by delivering high- quality care to all who need it. Through the… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **ESSENTIAL...input for performance assessments based on observation, questions, and quality reviews of work performed. + Acts as area… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the...leaders and innovators; and supporting local communities by delivering high- quality care to all who need it. Through the… more
- Coty (New York, NY)
- …to work across a portfolio of globally recognized brands on everything from claims review to talent agreements to litigation alongside a passionate and engaged team ... including talent, sponsorship, marketing, influencer, music, and agency agreements. + Provide high quality legal advice and counsel in a timely manner to a wide… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives ... calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address...services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our… more
- Walmart (Greece, NY)
- …deficiencies andproviding process improvement leadership to ensure a high quality customer experience Provides supervision and development opportunities for hourly ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems...leaders and innovators; and supporting local communities by delivering high- quality care to all who need it. Through the… more
- Molina Healthcare (Albany, NY)
- …monitors Health Plan Scorable Action Items (SAIs) to ensure performance and quality levels exist in PI Business products and processes. Establishes procedures and ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more