- Fedcap (New York, NY)
- …facility, place of service, medical service and coding are billed. + Submit claims to insurance companies on a daily basis. + Evaluate and ensure accuracy of ... Position Summary The Medical Billing Representative I provides support and reports...A/R aging to include appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims… more
- Guardian Life (New York, NY)
- …partnership with provider contracting, legal, compliance, underwriting, network, and claims . Additionally, this individual will help identify, prioritize, and design ... Insurance to define business requirements for product, network, provider contracts, claims , online and technological capabilities and service. + Drive Go-to-Market… more
- CDM Smith (Albany, NY)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those requirements. Ensure that proper documentation is… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** Otsuka is looking for a strong Clinical Statistician in the Medical and Real World Data Analytics organization to provide statistical expertise for ... data scientists and data programmers, and external stakeholders including Medical Affairs, Value and Real World Evidence to provide...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Albany, NY)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (New York, NY)
- …in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… more
- Veterans Affairs, Veterans Health Administration (Binghamton, NY)
- …Contract: No Physician Employment Contract and no significant restriction on moonlighting Medical Director- Primary Care Binghamton CBOC- The Medical Director of ... Staff for Primary Care ICC at the Syracuse VA Medical Center under the Primary Care Line. This position...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Catholic Health (Cheektowaga, NY)
- …Exempt: Yes Work Schedule: Days Hours: 7a-3:30p, hours may vary Summary: The Director Medical Coding and Chart Audit Services - HCS will be responsible for managing ... outpatient coding and chart auditing services as well as facilitating medical documentation improvements for the Catholic Health providers and Healthcare Solutions… 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...preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience; **_or_** in lieu of… more
- Humana (Albany, NY)
- …(CAPI) _formerly Claims Cost Management (CCM)_ + Prior experience analyzing medical claims data **Additional Information** **Work at Home Requirements** * At ... 2 opening available. The Payment Integrity Professional 2 utilizes vendor platforms, claims processing platforms, and data to collaborate with key internal and… more