- Molina Healthcare (NY)
- …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and… more
- Datavant (Albany, NY)
- …Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes ... Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes… more
- The Estee Lauder Companies (New York, NY)
- …support manager in the development of clinical test plans, sensory test plans, claims lists, component ordering for testing (8) Manage product meeting samples with ... to capture all development needs including product technologies, positioning, and claims . Develop slides for cross⁃functional turnover presentations related to the… more
- AON (NY)
- …all service-related calls to assigned service person + Stay informed of all claims or service issues and become involved in resolution when required + Participate ... to detail + Advocate for insured with underwriting and claims + Ability to demonstrate a positive attitude and...plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves… more
- AON (New York, NY)
- …and in response to requests and inquiries. + Prepare underwriting submissions and claims exhibits for clients. + Request and review insurerer quotes and binders for ... premium payments. + Support the accurate organization and administration of clients' claims data and its extraction for reporting + Prepare and analyze statistical… more
- Mount Sinai Health System (New York, NY)
- …is responsible for hospital-based Billing and Accounts Receivable performance across the medical center. The Senior Director will report to the Vice President ... workflows align with revenue cycle best practices to reduce claim denials, improve cash collections and enhance clean ...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Mount Sinai Health System (New York, NY)
- …MSHS and the Faculty Practice Plan) is accountable for authorization across the medical center. The Director will report to the Senior Director Financial Clearance ... workflows align with revenue cycle best practices to reduce claim denials, improve cash collections, and enhance clean ...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …chance to invent and to create so that we can provide answers to medical needs that have yet to be addressed. Another Japanese tenet, Jissho-Shugi, means "earning ... teams, and ensuring the highest standards of scientific and medical integrity. The incumbent will be responsible for the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …execution, and operational oversight of evidence generation initiatives, independent medical education (IME) grants, and external sponsorship payments within the ... Medical Affairs organization. This role ensures all activities are...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …is crucial in driving operational excellence and innovation within our Global Medical Affairs organization, with a specific focus on the relevant therapeutic area ... in shaping and implementing best practices and ensuring efficient medical affairs processes are in place. This position reports...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more