- 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
- Highmark Health (Albany, NY)
- …This job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The ... services and charges; will monitor internal referrals from sources such as claims , customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert… more
- Mount Sinai Health System (New York, NY)
- …diploma/GED plus 2 years of relevant experience + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a health ... Posting. Proficient in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + Associates Degree or high school… more
- JPMorgan Chase (New York, NY)
- …within Morgan Health , you will utilize your deep experience with health care claims warehouses, data transformations, and product design thinking to ... related discipline + Proven experience in developing and managing multiple health care claims warehouses across various sizes and platforms + Strong background… more
- Elevance Health (Middletown, 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
- Independent Health (Buffalo, NY)
- …written, verbal and interpersonal communication with other departments within Independent Health to resolve problems related to claims payment. **Immigration ... a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental… more
- Molina Healthcare (Yonkers, 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
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... general supervision. PRIMARY RESPONSIBILITIES: + Conducts monthly audits of CPHL claims utilizing CPHL guidelines, policies and procedures or any other regulatory… more