- Trinity Health (Troy, NY)
- …position in Troy, full-time, 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 ... manner consistent with the mission and core values of St Peter's Health Partners Medical Associates. Perform and coordinate front-end functions to ensure achievement… more
- Highmark Health (Albany, NY)
- …Management Association (AHIMA) + AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and… more
- 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...departments and teams. + Collaborate with the Value Stream Specialist and Director of Product Operations to thoroughly plan… 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...process. Care Coordination - Confirms payer is in-network with specialist . If not, contacts patient to discuss and make… more
- Ellis Medicine (Schenectady, NY)
- …or Equivalent required. + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered ... and related work lists to ensure complete, timely and accurate submission of claims , + facilitating the accuracy and completeness of the practice's codes and charges… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST ... TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO...of the Bureau of Fraud Investigation, Liens and Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their… more
- Sumitomo Pharma (Albany, NY)
- …Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health , rare diseases, psychiatry & neurology, and cell & gene therapies. With ... Oncology (Albany, NY).** In this field-based role, the Prostate Cancer Sales Specialist will focus on achieving sales goals within the prostate cancer therapeutic… more
- WSP USA (New York, NY)
- …track record of upholding workplace safety and ability to abide by WSP"s health , safety and drug/alcohol and harassment policies + Manage project scope, schedule, ... SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as...of full time, progressively responsible work as a technical specialist in one or more construction and design related… more
- Centene Corporation (Queens, NY)
- …one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national ... or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for...Federal agencies such as New York State Department of Health (NYDOH), County Department of Health (CDOH),… more
- Molina Healthcare (Albany, NY)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more