- Molina Healthcare (Yonkers, NY)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Staffing Solutions Organization (Albany, NY)
- …improvement resulting in cost savings and staff efficiencies. **Duties include:** + Review medical claims according to written procedures + Answer routine phone ... Organizational Operations Administrator 1 in Albany, NY** **Division of Medical and Dental Directors - Item 1472** **50% Remote...calls about claims review activities + Escalate issues & complex … more
- Humana (Albany, NY)
- …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- UNUM (Albany, NY)
- …Unum today! **General Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum ... US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres… more
- Mount Sinai Health System (New York, NY)
- …Cycle Manager. **Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims , with experience in IDX billing systems ... Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with… more
- Molina Healthcare (Albany, NY)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program… more
- Mount Sinai Health System (New York, NY)
- …billing. **Qualifications** + High School Graduate + 3 years experience with medical billing and claims . **Responsibilities** 1. Oversees work of non-supervisory ... oversees and coordinates work of subordinate employees engaged in medical billing activities. Responsibilities include oversight of check/cash posting, accounts… more
- Mount Sinai Health System (New York, NY)
- …Preferred + Training in computerized medical billing + 3 years experience in medical billing or health claims , with experience in IDX billing systems in a ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....methodologies. + May perform specialty coding for services and medical office visits and review physician coding and provide… more
- Humana (Albany, NY)
- …to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing ... and researching medical claims + Proficient in Microsoft Office (Word, Excel, Access, PowerPoint) + Working knowledge of SQL + Familiarity with EDI X12 formats… more
- Mount Sinai Health System (New York, NY)
- …plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....methodologies. 8. May perform specialty coding for services and medical office visits and review physician coding and provide… more