- Saratoga Hospital (Saratoga Springs, NY)
- Population Health Assistant Location: Saratoga Hospital, Wilton Mall Offices, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: Day Shift ... for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of...Collect quality data using various methods of data sourcing-EMR, claims , provider / patient outreach. + Manage daily work… more
- City of New York (New York, NY)
- …focused on pivotal areas such as economic empowerment, housing security, benefits, health and wellness, and culture. DVS' Veterans Support Services Attorney will ... assist the Claims Team and the...not limited to VA disability compensation, VA pension, VA health care, and VA survivor's benefits. The Veterans Support Services… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and support for the development and implementation of the Children's Behavioral Health (BH) Carve-In program. The Medical Director for BH Children's Services has ... Responsibilities/Accountabilities: + Leads, develops, and implements the Children's Behavioral Health Carve-In program following NYS directives and guidelines. +… more
- Evolent (Albany, NY)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **ESSENTIAL...you're looking for a career in higher education or health care, the University of Rochester may offer the… more
- Sedgwick (New York, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** GENERAL SUMMARY The Senior Health Project Coordinator will provide pivotal leadership, oversight, and ... as outlined in the NY State Office of Mental Health (OMH) Prior Approval Review (PAR). The Senior ...billing system and all necessary front-end support operations, including claims submission and revenue cycle management. + Design and… more
- Finger Lakes Health (Geneva, NY)
- …Pay Range $19.35 - $22.47 Job Description Responsible for accurate and timely submission of claims to third party payers and follow up of billed claims for
- Elevance Health (Latham, NY)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Highmark Health (Buffalo, NY)
- …and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly ... gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports,… more