- Molina Healthcare (NY)
- …trends or other issues related to medical care costs. + Work with clinical , provider network and other personnel to bring supplemental context/insight to data ... on Investment (ROI) analyses for vendors to determine if their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and… more
- Nuvance Health (Carmel, NY)
- …physician's offices following the designated protocols of the scheduling systems and clinical EMRs. May initiate contact to patients to obtain additional information ... in the appropriate system when necessary. Requires an understanding of coding , procedural protocols, and the charge description master. 9. Employee responsible… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Outpatient Administrative Specialist will provide clinical administrative support to the assigned ambulatory area. May assist in the preparation of ... of medical terminology, medical billing/insurance requirements, familiarity with medical coding , and excellent written/oral communication skills required. Computer skills… more
- Centene Corporation (New York, NY)
- …insights to reduce overall cost of care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including claims, ... preferred. Working knowledge of SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical,… more
- Northwell Health (Melville, NY)
- …impacts other areas of the revenue cycle (eg, front-end registration, coding , denials management) and collaborate to implement preventative measures or corrective ... across the Health System enterprise (eg, Patient Access, Financial Assistance, Clinical Departments, IT, Finance, Compliance) to achieve shared goals and objectives,… more
- Saratoga Hospital (Malta, NY)
- …and verification tools and online resources. Check Medical Necessity. Diagnosis Coding and abstracting when needed by department. Able to complete authorization ... You Bring * Previous customer service experience, preferably in a healthcare or clinical setting * High School diploma or GED equivalency * Strong communication and… more
- Nuvance Health (Poughkeepsie, NY)
- …physician's offices following the designated protocols of the scheduling systems and clinical EMRs. May initiate contact to patients to obtain additional information ... in the appropriate system when necessary. Requires an understanding of coding , procedural protocols, and the charge description master. 9. Employee responsible… more
- Highmark Health (Albany, NY)
- …and regulatory compliance. Implements all reviews according to accepted and established coding criteria, as well as other approved guidelines, payment and medical ... **Required** + 3 - 5 years of related, progressive experience in a clinical setting **Preferred** + 1-3 years of experience in Managed Care **LICENSES or… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …other diagnostic procedures. + Provides preventive dental services to patient. + Provides clinical dental care to patients in an effective and efficient manner in ... is completed in a timely and accurate manner. Maintains a high level of coding accuracy. + Care is provided efficiently in terms of productivity, utilization of… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …payers and shared within the Billing Department, Front Support Staff, Clinical Director, Audiology Supervisor, Speech Therapy Supervisor as appropriate. + Posting ... Minimum Degree Required: + High school diploma/ GED, Medical Billing or Coding classes preferred Minimum Experience Required: + Minimum of three years' experience… more