- MVP Health Care (Schenectady, NY)
- At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, ... well-being + An opportunity to shape the future of health care by joining a team recognized as a...highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA… more
- Trinity Health (Rensselaer, NY)
- …Data Payer Specialist** position, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position is ... skills, required + Clinical/Healthcare experience, preferred. + EMR and Billing/ Claims familiarity, preferred, EPIC familiarity a plus + Detail oriented,… more
- Defense Health Agency (Fort Drum, NY)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... and adolescents. + Care provided includes a broad spectrum of health services ranging from preventative health care and developmental health care needs to… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …and peer review. Participates in clinical review process such as tort claims , peer reviews, management reviews and administrative activities, as directed by the ... 401K with up to 5% in contributions by VA Insurance: Federal health /vision/dental/term life/long-term care (many federal insurance programs can be carried into… more
- Trinity Health (Rensselaer, NY)
- …as a Referral Coordinator this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position is located ... - Works in colaboration with Billing Analyst on denied claims for missing prior authorization or referral within the...local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly… more
- Brighton Health Plan Solutions, LLC (Melville, NY)
- …physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. This job description is ... just that, serving everyone from Labor and Taft-Hartley Fund health plans to self-funded employers. Through innovative technology and...it's how we can help control costs and elevate health outcomes for members, too. MagnaCare is a division… more
- Arnot Health (Elmira, NY)
- …for concurrent and retrospective authorization and denial activities for Arnot Health . Identify, track and trend, record and collect patient accounts denied ... Director of Care Coordination coordinates data with other Arnot Health departments and third party payers to discourage preventable...billing clerks and management. 6. Follow up on denial claims using reports to ensure completion of appeal with… more
- Trinity Health (Albany, NY)
- …to set up patient registrations. + Processes NYS Medicaid rejected claims and manual submission forms. + Completes correct controlled substance paperwork, ... Two years pharmacy and computer experience preferred + Relevant health care related experience preferred **Pay Range:** $19.00 -...local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly… more
- BronxCare Health System (Bronx, NY)
- …manner consistent with maintaining and furthering a positive public perception of BronxCare Health System. This includes introducing self by name and title to all ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Whitney Young Health Center (Albany, NY)
- …in accordance with regulations, WYH policies and standards. + Communicates relevant health and wellness services or strategy information to pharmacy staff. Clinical ... to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. + Reviews, interprets, and accurately… more