- ZOLL Medical Corporation (Bronx, NY)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... as well as support activities to promote consistent use (Local Medical Education Programs, Tradeshows, clinical symposiums and conferences). Call points include:… more
- Elevance Health (Latham, NY)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Sedgwick (Albany, NY)
- …PURPOSE OF THE ROLE:** While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical ... and a successful return to work through advocacy, communication and coordination of medical services. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic… more
- GE Vernova (Schenectady, NY)
- …critical path analysis for deliverables and ensure no impact to contract dates. + Claims (EOT, etc.); perform delay analysis to support extension of time and cost ... claims . **Required Qualifications** + Bachelor's degree from an accredited...130% of salary in certain areas._ _Healthcare benefits include medical , dental, vision, and prescription drug coverage; access to… more
- Mount Sinai Health System (New York, NY)
- …**Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, ... care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...a health plan or consulting actuarial, financial reporting or medical economics departments highly valuable. + Experience as a… more
- Mount Sinai Health System (New York, NY)
- …**Responsibilities** + Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, ... care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...a health plan or consulting actuarial, financial reporting or medical economics departments highly valuable. + Experience as a… more
- City of New York (New York, NY)
- …Compensation Division are responsible for all medically related issues for medical management of workers' compensation claims . Responsibilities include: Consult ... relates to the claimant's work injury and assist with medical case management of claims . Review and...valid license as a New York State Registered Professional Nurse and 2 years of satisfactory nursing experience in… more
- Public Consulting Group (Albany, NY)
- …and on a team. + Proven working experience in case management, including as a nurse , medical , mental health care manager or a related job + Excellent knowledge ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more
- University of Rochester (Rochester, NY)
- …Under the direct supervision of the Practice Manager, Clinic Director and Nurse Manager works with considerable latitude for independent judgement. Responsible for ... routine and non-routine letters of correspondence related to appeals on denied claims , billing and patient communications. + This includes compiling all necessary… more
- Elevance Health (Middletown, NY)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data entry of referral requests… more