- Highmark Health (Albany, NY)
- …the consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit sampling review process. 2. Develop ... :** GENERAL OVERVIEW: Applicants Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing data… more
- Axis (New York, NY)
- …Accuracy and Data Integrity** + Verifies the accuracy of reported premiums, claims , and reserves. + Identifies discrepancies in ceded premium calculations or loss ... with treaty terms and regulatory requirements. + Review reinsurance premiums, claims , and recoverable for accuracy and completeness. + Collaborate with underwriters,… more
- New York State Civil Service (Albany, NY)
- …of the Microsoft Office suite.* Experience and competence in medical fields, medical research, medical claims , Access, Pandas, Anaconda, SQL, and/or ... Building - Core 1 City Albany State NY Zip Code 12239 Duties Description Audit and Risk Management is responsible for administering a comprehensive audit and… more
- The Estee Lauder Companies (Melville, NY)
- …savings opportunities for the Company. + Oversee and manage the Sales Tax Reverse Audit Claims projects completed by PWC determining those that are viable and ... **:** + Successfully manage and negotiate favorable Sales & Use Tax audit settlements and claims for refund with government authorities. Assist… more
- Robert Half Finance & Accounting (Cheektowaga, NY)
- Description Jenny Bour with Robert Half is seeking an experienced Medical Billing Manager to lead and oversee the medical billing operations for a growing ... non-profit organization. This Medical Billing Manager role is responsible for managing the...of the billing process, including charge entry, payment posting, claims submission, follow-ups, patient statements, and collections. + Monitor… more
- Highmark Health (Albany, NY)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- WTW (New York, NY)
- …+ **Conduct stewardship client meetings, assist underwriting in their renewal process, audit claims performance against best practices, and implement value added ... **Be responsible for the overall technical, financial, service, and audit performance and results of the partner TPA at...degree or equivalent with ten or more years of claims servicing and technical experience.** + **Knowledge at the… more
- Independent Health (Buffalo, NY)
- …dedicated to pharmacy system administration and reporting, vendor delegation oversight, medical pharmacy claims processing and training. They will establish ... for development and production of regulatory reporting to meet/exceed audit requirements. + Accountable for business need reporting to...+ Serve as pharmacy department subject matter expert on medical drug claims . + Coordinate with pharmacy… more
- Helio Health Inc. (Syracuse, NY)
- …mission of Helio Health, the Manager of Revenue Cycle Management (RCM) and Medical Records is responsible for utilizing agency resources to maximize revenue while ... compliance with all federal and state regulations. The Manager of RCM and Medical Records is responsible for the interpretation of patient insurance coverage and… more
- CenterLight Health System (NY)
- …+ Coordinate with healthcare providers, practice managers, and coders to submit claims appropriately and timely. + Audit billing and collection procedures ... its associated entities including C2Q Health Solutions, and Team Care Medical ) billing and revenue maximization activities, including analysis, reconciliation, and… more