- Sharecare (Albany, NY)
- …2-yr associates degree in healthcare /health sciences OR equivalent experience in healthcare , preferably helping members navigate benefits and claims , OR held ... through personalized resource and referral facilitation, issue resolution and healthcare navigation. Utilizing motivational interviewing and guided approaches, the… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate care ... employers and claimants in regard to claimants' workers' compensation cases. Provide claims processing for the Workers' Compensation and No-Fault lines of business.… more
- Elevance Health (Latham, NY)
- …identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid ... on fraudulent claims . Health insurance experience required with understanding of health...+ Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than… more
- Mount Sinai Health System (New York, NY)
- …systems, and other vendor sources. A strong understanding of pharmacy workflows, healthcare finance, and medication data is essential, as this position supports ... Analyst III demonstrates sound and a more advanced understanding of the healthcare domain, technical data manipulation and analytic development skills and impact the… more
- Robert Half Accountemps (Rochester, NY)
- …Rochester, New York. In this critical role, you will contribute to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient ... billing operations. Responsibilities: * Prepare, review, and submit accurate insurance claims in alignment with established deadlines. * Process payments received… more
- Stony Brook University (East Setauket, NY)
- …from healthcare decision support, patient accounting, contract management and/or claims scrubber systems. + Proficiency with SAP Business Objects / Crystal ... candidates will have a bachelor's degree and three years' healthcare revenue cycle experience or in lieu of degree...limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new… more
- Teresian House (Albany, NY)
- …Care Organizations (MCO's) and private insurance. + Preparing and submitting claims , resolving billing issues, managing accounts receivable, and working with ... formats. Monitor and manage outstanding balances and follow-up on unpaid claims . + Communicating with families, residents and insurance companies regarding account… more
- Elevance Health (Latham, NY)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + Associates Degree or high school diploma/GED ... + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a...education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate… more
- Healthfirst (NY)
- …in Healthcare /Health Plan customer service, operations, vendor management, or claims processing. + Previous work experience in an auditing function conducting ... understanding of healthcare Operations processes and supporting systems such as Claims Processing, Enrollment & Billing, and Member Services. + Knowledge of at… more