- SUNY Westchester Community College (Yonkers, NY)
- …as medical coder/biller, medical biller/customer service representative, medical records clerk/assistant, and insurance claims clerk. The incumbent will ... the workforce. RESPONSIBILITIES: Seeking energetic and engaging Adjunct Faculty to teach Medical Billing and Coding classes. The incumbent will deliver a curriculum… more
- Molina Healthcare (Yonkers, NY)
- …the Medicaid and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery ... health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU… more
- CVS Health (Albany, NY)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical ... 2+ years of experience working with diagnosis codes and medical terminology. + Moderate to advanced knowledge of Excel...and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High… more
- ZOLL Medical Corporation (New York, NY)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... accounts in the field to ensure continuity of provision of ZOLL's medical devices for clinically appropriate cases. Determine independently and work collaboratively… more
- Robert Half Accountemps (Forest Hills, NY)
- …will manage various billing functions, ensuring accuracy and efficiency in processing claims , invoices, and payments. This is a long-term contract position within ... Prepare and process billing statements and invoices with precision. * Handle claims processing for Medicaid and healthcare-related billing. * Investigate and resolve… more
- EAC Network (Garden City, NY)
- …with program directors, develop plans to address variances. + Process and submit claims requests within 10 business days of the end of each reporting period. ... external funder systems and kept current for use in claims and projections. + Collect and verify key cost...external partners. What We Offer + Comprehensive Benefits Package: Medical , Dental, and Vision Insurance, 401K with a 3%… more
- Datavant (Albany, NY)
- …timely and compliant claim processing.** **What You Will Do:** + Review medical records and assign precise codes to ensure accurate coding aligned with client ... to make a significant impact in the field of medical coding. You will provide essential consulting services and...service outcomes in both hospitals and alternative care settings. ** Claim edit experience is required; Must be proficient in… more
- University of Rochester (Albany, NY)
- …codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow. + Completes system edit ... handled within established guidelines and timeframes. + Troubleshoots problems that prevent claims from being released. + Identifies cause of edit and independently… more
- CVS Health (Albany, NY)
- …implementing, and coordinating all case management activities with members to evaluate the medical needs of the member and to help facilitate the member's overall ... including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management plan. -… more
- Evolent (Albany, NY)
- …and contracting. **What You'll Be Doing:** + Serve as the lead for medical cost and revenue projections for Performance Suite business + Partner with Performance ... and size impact of innovative care models + Oversee Medical Cost Action Planning work to identify, size, and...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more