- Walmart (Plattsburgh, NY)
- …Ensures the removal of barriers to delivering exceptional customer/member value, service , and support. Execution and Results: Optimize Execution and Results: Uses ... aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates… more
- Elevance Health (Middletown, NY)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... inpatient admission, outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. +… more
- Trinity Health (Niskayuna, NY)
- …and overall coordination of clerical duties related to the efficient and service oriented operation of a medical practice. The Senior Registration Associate will ... and practice workflows: + Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties including but not limited… more
- Rochester Regional Health (Rochester, NY)
- …limited to, health care data systems, electronic medical records, paid claims , and national/regional benchmarks. The Quality Informatics Analyst-Senior analyzes data ... the organization goals for strategic initiatives. + Reviews current service measurement contracts to establish statistically significant sampling strategies, report… more
- Humana (Albany, NY)
- …more years work experience utilizing coding guidelines by reading and interpreting claims + Exceptional understanding of Centers for Medicare & Medicaid Services ... achieve their best health - delivering the care and service they need, when they need it. These efforts...life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity… more
- City of New York (New York, NY)
- …construction and design divisions 5) Perform litigation support activities and commercial claims analysis for matters pending with the NYC Law Department and the ... job application as prompted. Do not apply via Employee Self- Service (ESS), e-mail, mail, or fax your resume to...any state bar; or 3. Six months of satisfactory service as an Agency Attorney Interne (30086). Incumbents must… more
- City of New York (New York, NY)
- …construction and design divisions. 5) Perform litigation support activities and commercial claims analysis for matters pending with the NYC Law Department and the ... job application as prompted. Do not apply via Employee Self- Service (ESS), e-mail, mail, or fax your resume to...any state bar; or 3. Six months of satisfactory service as an Agency Attorney Interne (30086). Incumbents must… more
- Robert Half Legal (New York, NY)
- …litigation cases, including motor vehicle accidents, premises liability, and general negligence claims . The ideal candidate will bring a proven track record in ... injury law, strong advocacy skills, and a commitment to delivering outstanding service to clients. Responsibilities: * Manage a caseload of approximately 120… more
- FlexStaff (Chappaqua, NY)
- …- Audit anesthesia records focusing on quality, completeness, and correctness of claims based on services provided - Communicate review findings clearly and ... address billing and coding gaps, including issues related to Time, Place of Service , Modifiers, CPT, and Diagnosis coding - Perform periodic probe audits to detect… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …Duties and Responsibilities + Audits accuracy of ICD-10-CM diagnosis codes on all claims prior to submission. + Audits accuracy of HCPCS and CPT codes on ... and seven paid holidays, plus a floating holiday after one year of service . Retirement benefits include a 401(k) with company contribution and profit sharing after… more