- Sedgwick (Albany, NY)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- UHS (Johnson City, NY)
- …Primary Department, Division, or Unit: Patient Registration/Access Care, UHS Wilson Medical Center Primary Work Shift: Evening Rotational Regular Scheduled Weekly ... patients with financial resources and payment options. + Research insurance claim denials for outpatient encounters, review denial codes to identify causes,… more
- CVS Health (Albany, NY)
- …advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer ... needs by answering unasked questions. + Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.… more
- Stony Brook University (East Setauket, NY)
- …of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience; **_or_** in lieu of degree, at least 2 ... experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience. **Preferred:** + Experience with Inpatient and… more
- Molina Healthcare (NY)
- …analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, ... as well as project work plans to meet reporting needs of the Medical Economics Team. Responsible for staff time keeping, performance coaching, development, and… more
- University of Rochester (Rochester, NY)
- …advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in ... and manipulates database. Responds to or clarifies internal requests for medical information. **ESSENTIAL FUNCTIONS** + Uses thorough knowledge of coding systems… more
- Oak Orchard Health (Brockport, NY)
- …knowing that your work is making a difference in someone's life. We have 8 medical offices located in communities throughout Western NY and we continue to expand and ... billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports,...as needed Education I Experience + Associate Degree in Medical , Medical Office Assistant or similar accounting… more
- Molina Healthcare (Rochester, NY)
- …Mathematics, Statistics, or Economics **PREFERRED EXPERIENCE:** Experience working with medical and pharmacy claims , authorization data, benefits design, ... **Job Description** **Job Summary** Provides consultative support and medical cost-based analysis of markets and network initiatives. The Medical Economics… more
- MVP Health Care (Rochester, NY)
- …data and providing root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high ... responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information,… more
- Intermountain Health (Albany, NY)
- …by service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + ... + Minimum of one (1) year of full cycle medical billing experience, required + Minimum of six (6)...procedures such as debits/credits, required + Experience with insurance claim appeals, required + Excellent computer skills (including Microsoft… more