- Highmark Health (Albany, NY)
- …CrewAI) and Generative AI techniques, assessing their applicability to core healthcare payer operations (eg, utilization management, claims processing, member ... cutting-edge applications of Generative AI (GenAI) and Agentic AI within the healthcare payer domain. The intern will work alongside AI Engineers, Data Scientists,… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...minimum of 6 months business experience, preferably in a healthcare setting;OR an Associate's degree and at least 6… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... plus two years of related experience. + 2 years healthcare billing experience required. Familiarity with CPT and ICD...CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted… more
- Humana (Albany, NY)
- …**Preferred Qualifications** + Bachelor's Degree + Prior experience working within the healthcare field + Previous experience with medical claims + Project ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- Helio Health Inc. (Syracuse, NY)
- …of Medicaid and Third-party claim procedures for both paper-based and electronic claims . + Strong understanding of healthcare regulations, including HIPAA and ... + Other duties as assigned. Qualifications + Associate's degree in healthcare administration, business administration, or a related field required. Bachelor's degree… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …accounting clerk to join the Finance Team. They will be responsible for day-to-day claims payments and refunds processes. This role is on site, at the Westbury, NY ... deposits daily and create cash accounts receivable records in claims billing software, ensuring that transactions are processed with...our people are committed to the improvement of how healthcare is accessed and delivered. When you join our… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator.… more
- Rochester Regional Health (Rochester, NY)
- …submitting claims to insurance companies, following up on unpaid or denied claims , and ensuring timely reimbursement for healthcare services. This role plays ... a critical part in the revenue cycle management of the healthcare organization by identifying trends in denials and taking corrective actions. RESPONSIBILITIES: +… more
- Rochester Regional Health (Rochester, NY)
- …submitting claims to insurance companies, following up on unpaid or denied claims , and ensuring timely reimbursement for healthcare services. This role plays ... a critical part in the revenue cycle management of the healthcare organization by identifying trends in denials and taking corrective actions. RESPONSIBILITIES: +… more
- Northwell Health (Lake Success, NY)
- **Req Number** 172657 Job Description Partners, supports, and facilitates vital healthcare revenue cycle projects. Assists with management of project plans, research ... of project plans and evaluates outcomes. This role is instrumental in ensuring claims are accurately prepared and edited within Epic before submission to payers,… more