- Molina Healthcare (Syracuse, NY)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical ... and written communication skills + Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) + Ability to establish and… more
- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Senior Resident Billing Specialist position reports directly to the Director of Revenue Cycle Management and will assist in the resident ... in a healthcare facility, healthcare business office, physician's office, or insurance billing environment. + Certified Medical Biller experience preferred or must… more
- Trinity Health (Rensselaer, NY)
- …with proper documentation. - Works in colaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. - ... prior authorization requirements, eligibility guidelines and documentation requirements. - Communicates insurance decisions to patient. - Conducts follow up calls as… more
- Gilead Sciences, Inc. (Syracuse, NY)
- …roles, responsibilities, and measurable outcomes for all activities of the specialist team. Regularly measure success, document and provide feedback on performance. ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
- Evolent (Albany, NY)
- …Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager ... coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality… more
- Highmark Health (Albany, NY)
- …or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder ... skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- University of Rochester (Rochester, NY)
- …rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution. **ESSENTIAL FUNCTIONS** + Uses knowledge of coding ... reviews to make corrections before transmittal. + Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves… more
- NBC Universal (New York, NY)
- …and other intellectual property matters; negotiate and settle pre-litigation copyright claims + Respond to pre- and post-publication threats and challenges + ... affecting the press, freedom of speech, and publication + Partner with specialist lawyers across Versant's Legal Department, including on News -related litigation +… more
- Axis (Alfred, NY)
- …to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk ... part in the selection process. **AXIS Re** AXIS Re is a global Specialist Reinsurance Company dedicated to Casualty, A&H, Credit and Specialty Lines business. Our… more