- MVP Health Care (Schenectady, NY)
- …customers in every interaction **Your key responsibilities:** + Receive and review medical documentation for completeness; conduct outreach to medical offices ... responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information,… more
- University of Rochester (Rochester, NY)
- …with the Western NY Comprehensive Care Center for Eating Disorders Director and Medical Director, as well as The Healing Connection Leadership and Board, to achieve ... Infrastructure: + Oversee the selection, implementation, and optimization of the electronic medical record (EMR) system. + Establish and implement a robust billing… more
- Rochester Regional Health (Rochester, NY)
- …and development capabilities allows you to create impactful, comprehensive sports medical programs for the organization and patients. RESPONSIBILITIES: + Program ... athletes requiring on-field and clinical experience; coordinate/schedule physical exams and medical referrals for athletes to determine ability to compete + Budget… more
- Evolent (Albany, NY)
- …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** ... coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality… more
- CVS Health (Albany, NY)
- …queue of Medicare complaints. These complaints can include various issues ranging from claims that are adjudicated incorrectly to rude customer service. You will be ... with complaints and/or Center for Medicare and Medicaid Services (CMS) + Medical /RX claim processing knowledge + Bachelors Degree **Education:** High School Diploma… more
- Publicis Groupe (New York, NY)
- …+ Each Team member manages the reporting and reconciliation of all Co-op claims submitted to TMNA for their respective TDA Clients regions. + They must ... and enable every person to grow and thrive. Our benefits package includes medical coverage, dental, vision, disability, 401K, as well as parental and family care… more
- Constructive Partnerships Unlimited (Queens, NY)
- …health care progress as indicated by acute illnesses and/or complex ongoing medical problems. + Evaluates the effectiveness of preventive/ongoing health care and ... call problem warrants a nurse's visit. + Maintains all medical standards as set forth in agency policy and...code of business conduct, the NYS and federal false claims act, whistleblower protection and mandatory reporting. Completes corporate… more
- Robert Half Legal (New York, NY)
- …Responsibilities: * Manage a diverse caseload of personal injury cases, including claims related to sexual abuse, medical malpractice, and general negligence, ... approach to managing cases. Expertise in Personal Injury, Sexual Abuse, and Medical Malpractice litigation is essential. Base salary is $75K - $100K with… more
- Anthony Jordan Health Corp (Rochester, NY)
- …to health and health care, meeting their need for comprehensive medical , dentistry, behavioral health, and community services. Starting in northeast Rochester, ... ensure: . Risk identification and incident management . Proactive risk reduction and claims prevention . To manage and encourage ongoing education of Jordan Health… more
- Molina Healthcare (NY)
- …organized and analytical thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work ... case managers. + RNs are assigned cases with members who have complex medical conditions and medication regimens + RNs conduct medication reconciliation when needed.… more