- CDPHP (Albany, NY)
- …team's delivery of the analysis, maintenance, and configuration of CDPHP's core claims systems and applications application systems, as well as modifying existing ... state and federal mandates to ensure the successful configuration of CDPHP's core claims systems and any integrated systems. The Configuration Analyst III will be… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and mentoring and ensures training needs are met so that the related claims and customer care expectations, corporate goals, BCBSA performance standards, and federal ... trains, and manages Customer Operations Initiatives through implementation and post-implementation audit to ensure optimum service is provided to all customers while… more
- Ascend Autism (Hawthorne, NY)
- …collections cycle with third-party payors and patients. Roles & Responsibilities: + Submit initial claims on a weekly basis + Follow-up, and re-submit claims , as ... answered in a timely and professional manner + Regularly audit medical record documentation to verify the accuracy and...Experience: + Bachelor's degree preferred + Required experience in healthcare billing / RCM + Required experience working with… more
- Ankura (New York, NY)
- …excellence founded on innovation and growth. Ankura's Global Disputes and Economics Healthcare and Life Sciences Practice is searching for a talented individual to ... firms in the United States. Ankura's Disputes and Economics Healthcare and Life Sciences Practice is the largest industry...in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act;… more
- Mohawk Valley Health System (Utica, NY)
- …EDUCATOR Department: MEDICAL GROUP ADMINISTRATION Job Summary The Supervisor Coding Audit and Education is responsible for overseeing medical coding accuracy, ... audits, ensuring adherence to national standards, and educating both coders and healthcare providers or staff on best practices. Applies experience in medical… more
- Independent Health (Buffalo, NY)
- …include continuous review of the accounts receivable aging report and ensuring all open claims are paid in a timely fashion. The coordinator will analyze data to ... payables or business to business account servicing required. Pharmacy and pharmaceutical claims knowledge preferred. + Experience working with online claims … more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …with Sales and Marketing on sample allocation and planning. + Support audit readiness and compliance reviews. **Operational Efficiency & Field Partnership** + ... requirements related to pharmaceutical samples. **Preferred:** + Pharmaceutical or healthcare industry experience. + Experience with fleet management platforms or… more
- Walgreens (Amherst, NY)
- …and awareness with drug interactions. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcomes services. ... efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (eg, patient consultation, medication management,… more
- Humana (Albany, NY)
- …operational goals, including regulatory compliance requirements + Promotes and builds an " Audit Ready Every Day" culture + Further simplifies and improves processes ... efficiencies + Collaborates with upstream business partners such as Claims , Clinical Guidance, and the Provider Network to identify...field + 3+ years' of management experience in the healthcare industry and/or medical field (in the past 5… more
- Walgreens (Peekskill, NY)
- …usage of medications, awareness with drug interactions and offering preventive healthcare services such as immunizations. Responsible for ensuring the proper ... Supports efforts on enhancing customer experience by increasing focus on healthcare services (eg patient consultation, medication management, drug therapy reviews,… more