- Humana (Albany, NY)
- …in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep… more
- New York State Civil Service (Oxford, NY)
- …workweek allowed? No Telecommuting allowed? No County Chenango Street Address Health Facilities Management 4334 State Hwy. 220 City Oxford State NY Zip Code 13830 ... Duties Description Will perform medical billing and claims processing, including payment, coordination or subrogation of benefits. Review claims for eligibility… more
- GE Vernova (Schenectady, NY)
- …Management + Ability to handle many complex issues concurrently + 5+ years claims management experience + Construction claims negotiation experience + ... remotely located + Contract reading and writing experience + Claims and contract management experience + Excellent...of salary in certain areas. Healthcare benefits include medical, dental , vision, and prescription drug coverage; access to a… more
- Guardian Life (New York, NY)
- …, preferably in claims , account management , implementation, and/or product management . + Direct dental group insurance experience. + The ability to ... The Dental Product Manager plays a key role in...stakeholders across multiple teams and departments. + Execute product management processes throughout the product lifecycle, including product development,… more
- Humana (Albany, NY)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- MetLife (New York, NY)
- …within our dental business. Key Responsibilities * Date science in Dental : Contributions to underwriting models, claims auto-adjudication logic and models, ... services companies: providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more… more
- Humana (Albany, NY)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data … more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... of the appropriate courses of action. The Encounter Data Management Professional develops business processes to ensure successful submission...Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience… more
- The Institute for Family Health (New Paltz, NY)
- …shall have a thorough understanding of the FQHC/Article 28, Article 31, and Dental Rules and Regulations around the Medicaid and Medicare RESPONSIBILITIES: + Compile ... + Troubleshoot billing and resolve problems with appropriate agencies, departments, and/or management + May assist with posting patient and insurance cash receipts,… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... of BronxCare Health System (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures… more