- MVP Health Care (Schenectady, NY)
- …innovation, and continuous learning. **Cross-Functional Collaboration** + Partner with Claims Operations , Finance, Provider Relations, Compliance, IT, and ... and strategic partnerships. **Qualifications you'll bring:** **Required** + 8-10+ years in healthcare operations , including 5+ years in leadership. + Bachelor's… more
- The Institute for Family Health (New Paltz, NY)
- …Change Healthcare , Ability {or current vendors}) + Ensures smooth operations with clearinghouse vendor and facilitates payer requirements as needed for ... to 10 Years Experience, Education, Certification) SUMMARY: The Revenue Cycle Operations Coordinator is cognizant of the philosophy, standards, objectives and… 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 in lieu of a Bachelor's degree,… more
- WMCHealth (Valhalla, NY)
- …timely resolution to maintain continuity of care + Manage daily billing operations , including submission of claims and coordination with prior authorization ... timely resolution to maintain continuity of care + Manage daily billing operations , including submission of claims and coordination with prior authorization… more
- CDPHP (Albany, NY)
- …The Document Service Representative will work closely with Member Services, Provider Services, Claims Operations , and Medical Affairs to resolve claims ... mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with...Six (6) months alphanumeric data entry experience in a healthcare setting is required. + High school diploma or… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Bilingual, assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, ... calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address...Fluent in both Spanish and English. + Basic computer operations knowledge. + Intermediate proficiency in Microsoft Office (Word,… more
- Evolent (Albany, NY)
- …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- Two95 International Inc. (New York, NY)
- …research preferred (but not required) * 10+ years of experience in healthcare data analysis (including EMR/EHR, claims , eligibility and publicly available ... for them, and collaborate with the client and our operations staff to achieve our goals. More specifically, your...* Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively… more
- City of New York (New York, NY)
- …veterans' rights. General Responsibilities: - Claim Assistance: Helping veterans file initial claims for disability, education, healthcare , and other benefits. - ... culture. DVS' Veterans Support Services Attorney will assist the Claims Team and the Legal Unit. Legal Assistance with...laws, regulations, and court decisions relevant to the agency's operations - Litigation Support: Assist in the preparation and… more
- OLV Human Services (Lackawanna, NY)
- …$60,405.80 - $80,000 Position Overview: The Dental Office Manager at Baker Victory Healthcare Center oversees the daily operations of the dental clinic, ensuring ... Dental Office Manager Location: Baker Victory Healthcare Center, Lackawanna, NY Employment Type: Full-Time, On-Site Department: Dental Clinic Click HERE… more