- University of Rochester (Rochester, NY)
- …computer, calculator, telephone, facsimile. Will use software for electronic medical record system, appointment scheduling system, and Operating Room scheduling ... signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider… more
- Stony Brook University (Commack, NY)
- …add to your bottom line. **Job Number:** 2500556 **Official Job Title:** : TH Medical Records Senior Specialist **Job Field** : Finance **Primary Location** : ... of each coders performance + Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding. Compile and communicate… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …range of DME products used in orthopedic practice. + Knowledge of medical insurance claims procedures and documentation. + Excellent communication, ... by a physician. Assists with the efficient operation of the Excelsior Durable Medical Equipment Program. Fits and educates patients regarding proper care and use of… more
- ThermoFisher Scientific (Rochester, NY)
- …and documentation. + Support material change risk assessments and verify product claims align with global industry standards (ISO 10993, USP, Pharm Eur, ICH ... 2 years of experience in a regulated industry (pharmaceutical or medical device). **Preferred Qualifications** + Familiarity with product stewardship, product… more
- Highmark Health (Buffalo, NY)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... medical loss ratio reports, Medicare STARS gaps and other...metrics, accountable care organization development and support, patient centered medical home, and electronic health records. + Experience may… more
- City of New York (New York, NY)
- …advocacy through interactions with law enforcement, the criminal justice system, the medical examiner's office, and others as necessary. This position will report ... their families to determine their needs. Help homicide survivors navigate the Medical Examiner's Office, liaise with Bronx Homicide Detectives, and explain the… more
- The Institute for Family Health (New Paltz, NY)
- …and that processing of denials are at optimal levels + Ensure daily/weekly/monthly medical claim submission. Resolve claim and remittance file issues ... be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims ...medical billing experience required + Proficiency in EPIC claims processing workflows preferred + Ability to run and… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …Advocate for full access to care for patients with SCI Collaborate with Chief, medical staff and rehabilitation specialist to ensure that all patients are ... Summary The Syracuse Veterans Affairs Medical Center is seeking a Physician for the...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Allied Universal (Staten Island, NY)
- … with red flags that suggest fraudulent behavior In relation to an Insurance claim . The SIU Specialist must use their extensive knowledge of Insurance policies ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- CDM Smith (Albany, NY)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more