- Cognizant (Albany, NY)
- …will:** . Design and execute comprehensive test plans and test cases for ETE - Health Care Claims / Membership based applications. . Perform Automation testing of ... the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an...considered** . 6 to 8 years of experience in Health Care with ETE testing. . Strong proficiency in… more
- Healthfirst (NY)
- …or GED equivalent + Direct experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, ... not limited to new product implementation, regulatory initiatives, and other various health plan business objectives + **_Serving as an advocate for Hospital… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims , with experience in IDX billing systems in a health ... Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with… more
- Mount Sinai Health System (New York, NY)
- …+ Training in computerized medical billing + 3 years experience in medical billing or health claims , with experience in IDX billing systems in a health ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where… more
- Mount Sinai Health System (New York, NY)
- …3 years of relevant experience + Certified coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems in a ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....health care or insurance environment preferred **Responsibilities** 1. Enters… more
- Mount Sinai Health System (New York, NY)
- …None but CPC preferred **Experience requirements:** + 2 years experience in medical billing or health claims with IDX billing systems in a health care or ... in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** **Education requirements:** + High School diploma/GED… more
- Molina Healthcare (Buffalo, NY)
- … environment, or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...program), or medical office/hospital setting. * Completion of a health care related vocational program in health … more
- Elevance Health (Latham, NY)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health ... by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Molina Healthcare (Rochester, NY)
- …+ Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- New York State Civil Service (Albany, NY)
- …of statistical methods and their application for predictive analytics. Experience analyzing health care claims data or other administrative data sources. ... NY HELP No Agency Health , Department of Title Assistant Research Scientist/Research Scientist I/Research Scientist II (Biostatistics / Health Services Research)… more