- GE HealthCare (NY)
- …as ensuring excellent delivery and implementation of contracts, warranty claims , repair/service agreements, spare parts sales, training, installation support, field ... and implement new or enhanced services that differentiate GE Healthcare and meet customer needs. + Manage and oversee...of 10 years of progressive work experience preferably in healthcare industry with a focus on services and customer/client… more
- Kyndryl (Albany, NY)
- …transforming Contact Center operations for enterprise organizations, particularly those in the Healthcare or State or Local Government and / or Educational (SLED) ... communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is a strong plus, especially in payer/provider… more
- Molina Healthcare (NY)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
- Staffing Solutions Organization (Albany, NY)
- …is a reflection of our clients and the people they serve. **Senior Healthcare Data Analyst** **(Location - Albany, NY)** **Summary:** The Data Analyst will work ... and business context of various elements related to Medicaid claims . Related efforts will include the production of reports...reports in support of the intake and management of healthcare data. The ideal candidate will be able to… more
- Mount Sinai Health System (New York, NY)
- …focus on accuracy and compliance. **Preferred Skills:** + In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and ... Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...Revenue Cycle team to integrate contract terms into billing, claims , and payment systems. + Provide support and guidance… more
- Molina Healthcare (Albany, NY)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & ... the necessary determination regarding when and how to update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Healthcare Risk Management** **FT Days- M-F onsite** RNs, Pharmacists, Social Workers ... Experience in health care setting. Bachelor's degree required (nursing, healthcare related degree is strongly preferred). Master's degree preferred. Certification… more
- Molina Healthcare (Rochester, NY)
- …medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and ... focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …and follow-up + Track and re-bill pending Medicaid accounts + Re-bill claims as needed + Identify pattern problems (improper patient demographic data entered, ... and private pay + Month-end closing process + Re-bill claims to improve reimbursement from NETRX reporting + Assist...as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides… more