- 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 ... + 3 years experience in medical billing or health claims , with experience in IDX billing systems in a...leaders and innovators; and supporting local communities by delivering high- quality care to all who need it. Through the… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …Functions 70% Auditing and Corrective Action + Evaluates charge capture, claims scrubbing and sliding fee discount practices to ensure efficiency, accuracy, ... and completeness of encounters, claims and transactions in compliance with payer rules and...to Revenue Cycle Management, Affiliate HS/RC Monthly meetings, and Quality Risk Management Committees on trends, findings, and opportunities… more
- Sedgwick (Buffalo, NY)
- …with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and ... explains claims /repair process + Negotiates advanced fees for tow, tear...as assigned. + When not in the field, assist quality assurance team and be available for desk appraisal… more
- CDPHP (Albany, NY)
- …member-focused, and community-based not-for-profit health plan that offers high- quality affordable health insurance to members throughout New York. ... The company values people, quality , innovation, and community, and its corporate culture supports...Marketing, Enrollment, Pharmacy (internal and external), Provider Services, and Claims Operations to resolve member inquiries as defined within… more
- WMCHealth (Valhalla, NY)
- …for specialty medications, tracking expiring authorizations and renewals + Review claims and rejections to determine required follow-up, ensuring timely resolution ... continuity of care + Manage daily billing operations, including submission of claims and coordination with prior authorization technicians as needed + Process… more
- JPMorgan Chase (New York, NY)
- …Chase launched Morgan Health, a new business unit focused on improving the quality , equity, and affordability of employer-sponsored health care in the United States. ... Morgan Health, you will utilize your deep experience with health care claims warehouses, data transformations, and product design thinking to evolve and execute… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …information to catalog new data sources. + Work closely with the DE Data Quality & Standards capability to apply quality principals and best practices to ... of operational prioritization and planning. + Define indicators of performance and quality metrics and ensure compliance with data related policies and standards for… more
- Highmark Health (Albany, NY)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... timeliness standards are met for each contract, provides oversight support for the quality control program and initial and ongoing training and mentor programs, and… more
- Intermountain Health (Albany, NY)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on ... contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims … more
- Healthfirst (NY)
- …Operational units meet organizational and regulatory standards for proper function, quality , and in support of enhancing Member/Provider service experiences. + ... operational areas. + Contribute to the overall success of the Quality Assurance service organization by identifying opportunities to continuously improve the… more