- Excellus BlueCross BlueShield (Buffalo, NY)
- …+ Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of ... + Thoroughly acquaints appropriate account personnel with benefit explanations, claims filing, and billing procedures, proposed rate adjustment rationale, mandated… more
- Highmark Health (Albany, NY)
- …Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper ... and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background… more
- GE Vernova (Schenectady, NY)
- …& Partners in Protection (PIP), foreign trade zones, bonded warehouses, duty recovery claims , etc. + Support of import and export permits & licensing and other ... differential of 110%, 120% or 130% of salary in certain areas. Healthcare benefits include medical, dental, vision, and prescription drug coverage; access to… more
- University of Rochester (Albany, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... of activities and outcomes by applying expertise in coding principles and healthcare regulations. Additionally, this role is responsible for ensuring compliance with… more
- Sumitomo Pharma (New York, NY)
- …submissions by preparing responses to agency inquiries and contributing to labeling claims . + Review Case Report Forms (CRFs) to ensure data collection aligns ... based on innovative research and development activities for the betterment of healthcare and fuller lives of people_ _worldwide_ **Our** **Vision** _For Longer and… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... to deal with ambiguity, change, and chaos in a dynamic environment of healthcare . 9. Describe responsibility:Attends Unit Associate meetings at least 6 times a year.… more
- WMCHealth (Valhalla, NY)
- …associated data feeds, ensuring accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist ... degree of analytical, interpretive and evaluative skills. + Ability to operate healthcare information systems and analytical software. + Solid understanding of audit… more
- Independent Health (Buffalo, NY)
- …Technician Certification (CPhT) preferred. + Experience working with on line claims processing system preferred. + Effective oral and written communication skills ... our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.… more
- All About Kids (Westchester, NY)
- …work, special education, early childhood development, or other related licensed healthcare professional. + As required under Early Intervention Program regulations, ... Department of Health + High-level of computer skills including Microsoft Office Suite - Claims and HR Cloud experience a plus! AAP/EEO Statement All About Kids is an… more
- Independent Health (Buffalo, NY)
- …and procedure coding by reviewing medical record documentation and/or provider claims data. Ensure coding compliance with industry standard ICD-10-CM and ICD-10-PCS ... our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.… more