- CVS Health (Albany, NY)
- …of managed care and how provider reimbursement policies relate to the control of medical claims costs. * Full comprehension of provider contracts and the ... with a passion for healthcare economics? Join our team as a **Manager, Medical Economics** and play a pivotal role in shaping cost-effective healthcare strategies.… more
- City of New York (New York, NY)
- …involvement on the claim submission and, issuing verification letters to claimants and medical providers; 2) Review and disallow claims for improper service or ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....are made; 5) Send delay or verification letter to medical providers as per the required rules prior to… more
- Cognizant (Albany, NY)
- …other teams. **In this role, you will:** + Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based ... **Cardiovascular Medical Coder** We strive to provide flexibility wherever...for this position, subject to applicable eligibility requirements: . Medical /Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off… more
- Albany Medical Center (Albany, NY)
- …Qualifications: + High school education or equivalent + 1-2 years of experience in medical billing or medical claims processing + Working knowledge in ... spirit in his/her team. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient accounts, ... School degree or equivalent and two years clerical support in a medical billing setting. Will consider equivalent combination of education and experience. Preferred… more
- Elevance Health (Latham, NY)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the… more
- CVS Health (Albany, NY)
- …new product opportunities, and quantitative evaluation of clinical program outcomes using Rx and medical claims data. You will champion the value of the Product ... / or experience with care management programs and familiarity with Rx and medical claims + High attention to detail and ability to proactively identify and… more
- Trinity Health (Schenectady, NY)
- …experience in a medical office helpful but not necessary + Experienced in Medical Claims Billing **Experience Requirements** : + One to Two years financial ... Department. + This position is responsible for reviewing coding and approving all claims /invoices in the accounts payable system. + Works with vendors and medical… more
- General Dynamics Information Technology (Menands, NY)
- …of regression testing methodology + REQUIRED TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience writing SQL ... Required:** None **Job Family:** IT Quality Assurance **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 + years… more
- WMCHealth (Valhalla, NY)
- …of clerical experience, one year of which included the processing of patients' medical insurance claims as the primary function of the position. Substitutions: ... is no substitution for the one year of specialized experience processing patients' medical insurance claims . *Special Note: Education beyond the secondary level… more