- Highmark Health (Albany, NY)
- …Direct Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of ... care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Veterans Affairs, Veterans Health Administration (Pine Plains, NY)
- …complaints; interacting with both internal and external customers; reviewing and documenting medical outpatient and inpatient electronic health records, as well ... party insurance and updating information in the Insurance Capture Buffer (ICB) system; obtaining medical ...401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal… more
- Catholic Health (Buffalo, NY)
- …of charges. Performs follow-up on insurance company denials on a timely basis + Review of all claims for accuracy + Review and identify errors or issues with ... 1 Status: Full Time FTE: 1.066667 Bargaining Unit: Catholic Health Emmaus Exempt from Overtime: Exempt: No Work Schedule:...5pm Summary: The position will support the clients and Medical Practices of HCSWNY, and responsibilities will include, but… more
- Elevance Health (New York, NY)
- … Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective ... (ABMS) or American Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health profession. Unless… more
- Elevance Health (New York, NY)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/Utilization** ** Review ** ... decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director...Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and community standards and issue. + Ensures that other Behavioral Health medical directors reviewing pediatric cases review those cases in accordance with ... for the development and implementation of the Children's Behavioral Health (BH) Carve-In program. The Medical Director...the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Cycle / Medical Billing Analyst - Oncology Team- Albany, NY - FT** If you are looking ... this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more...New Scotland Avenue, Albany, NY. Searching for a motivated medical biller for our oncology departments. Coding a plus… more
- Mount Sinai Health System (New York, NY)
- …scheduling and registration for patients as well as updating patient demographic and insurance information. Assists in the maintenance of medical charts (filing, ... System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across… more
- Guthrie (Corning, NY)
- …in Primary Care will serve as a practice support in the Patient Centered Medical Home development and process. The position is an integral part of the Patient ... Centered Medical Home Team. The PCMH Care Coordinator has the...nursing practice. Preferred experience with PCMH process, care management/utilization review , and payer knowledge. Fast paced ambulatory care experience… more
- Mount Sinai Health System (New York, NY)
- … System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across ... physicians, patients, families, internal/external healthcare providers, homecare providers and insurance companies. Mentors and trains less experience staff members.… more