- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
- Norstella (Albany, NY)
- …in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to ... goals. + Drive the integration of diverse data sources, including lab, EMR, claims , and SDoH data, to create comprehensive and actionable datasets + Identify and… more
- New York State Civil Service (Buffalo, NY)
- …firefighting, volunteer ambulance workers, or paid family leave discrimination claims using a stenographic machine and computer-aided transcription, specifically ... volunteer firefighting, volunteer ambulance workers, discrimination, or disability benefits claims contemporaneously with the speaker reflecting a true and accurate… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial management, and ... rejections or denials promptly. + Prepare and submit appeals for denied claims , including documentation and provider narratives as needed. + Identify and report… more
- Travelers Insurance Company (Albany, NY)
- …key decisions. You will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate your findings and ... the Financial Institutions business unit. + Work with the Claims department to ensure best estimates are appropriately reserved...analysis required.** **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Norstella (Albany, NY)
- …service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard ... by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data *Your… more
- Norstella (Albany, NY)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- Kelly Services (Rochester, NY)
- …The Technician serves as a resource for staff on members' contract benefits, related health plan functions, and provides leadership in the intake area of the prior ... information + Communicate with pharmacies/physician offices for clarification on requests and claims + Act as lead troubleshooter for pharmacy help desk, customer… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... needs and nutraceutical products for the maintenance of everyday health . This position can be based in Princeton, New...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Healthfirst (NY)
- …in Healthcare/ Health Plan customer service, operations, vendor management, or claims processing. + Previous work experience in an auditing function conducting ... of healthcare Operations processes and supporting systems such as Claims Processing, Enrollment & Billing, and Member Services. +...lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus, Child Health Plus, NH Family… more