- Highmark Health (Albany, NY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data-driven insights which identify actionable opportunities and/or create ... to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of...coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years… more
- Trinity Health (Albany, NY)
- …**Risk Management Analyst** **FT Days- M-F onsite** **Mission Statement:** We, St Peter's Health and Trinity Health , serve together in the spirit of the ... solving. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Experience in health care setting. Bachelor's degree required (nursing, healthcare related… more
- Trinity Health (East Greenbush, NY)
- …to exam room, takes appropriate vital signs and documents all necessary health information into the electronic medical record. Responds to patients concerns ... or other body fluid. Documents all exposure incidents per St Peter's Health Partners Medical Associates policy. Notifies physician regarding patients in need of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Remote Medical Staff Services Health Care Specialist (Delegation/Enrollment)** The Medical Staff Services Health Care Specialist is ... responsible for coordinating enrollment processes in accordance with the health plan delegated credentialing agreements, policies & procedures, industry… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...assist the member with a clear path to care, claims understanding and resolution and educates the member with… more
- City of New York (New York, NY)
- …to deliver critical services effectively and meet DOHMH's. Position Summary: The Health insurance Biller will be reporting to the Assistant Director along with ... 6 Health Insurance Billers. The Health Insurance Biller...to fee schedule. Perform claim reviews prior to submitting claims to payers. Communicate updated patient information with clinic… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required… more
- Elevance Health (Latham, NY)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- University of Rochester (Albany, NY)
- …open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits ... claims , submits appeals and takes timely and routine action...retractions. Reviews and works all insurance credits in electronic health record. Enters electronic health record notes,… more
- Travelers Insurance Company (New York, NY)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
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