- Molina Healthcare (NY)
- … claims function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant ... education and experience. * Medical claims processing experience across multiple states, markets, and claim types. * Knowledge of claims processing … more
- Molina Healthcare (Rochester, NY)
- …goals. + QNXT **Job Qualifications** **REQUIRED QUALIFICATIONS:** + 5+ years of experience in medical claims processing , research, or a related field. + ... Claims Research Analyst provides senior-level support for claims processing and claims research....cause analysis, and project management. + Advanced knowledge of medical billing codes and claims adjudication processes.… more
- Stony Brook University (Commack, NY)
- …full-time experience working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical ... Claims Processor **Required Qualifications (as evidenced by an...degree, two (2) years of full-time experience in a medical setting may be considered. Four (4) years of… more
- Humana (Albany, NY)
- …coding certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ... in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies...Policies and Claims Payment Policies + CAS claims processing experience + Experience in data… more
- Albany Medical Center (Albany, NY)
- …school education or equivalent + 1-2 years of experience in medical billing or medical claims processing + Working knowledge in Excel and Word + Ability ... 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
- FlexStaff (New York, NY)
- …Friday, 9:00am-5:00pm, working from the office. Requirements: * 5+ years of experience in medical billing and claims processing , and insurance follow-up. * ... Number** 166842 We are looking for a seasoned Senior Medical Biller with extensive experience and strong technical knowledge...this role you will be ensuring timely and accurate claims processing , managing denials, and assisting with… more
- Cognizant (Albany, NY)
- …Medicaid policies. **Basic qualifications:** 2 years of Appeals and Grievance 1 Year of medical claims processing experience (Must be with a healthcare plan, ... of provider or provider's office) Medicaid & Medicare insurance customer service or claims processing 2 Years of medical health insurance (Must be with a… more
- Humana (Albany, NY)
- …**Preferred Qualifications** + 2 years of Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with ... of our caring community and help us put health first** The Medical /Financial Risk Evaluation Professional 2 is responsible for supporting the development,… more
- Public Consulting Group (Albany, NY)
- …support through claim issue research. Additional this position will assist in performing claims processing , medical record audits for all implemented ... through claim issue research. Additional this position will assist in performing claims processing , medical record audits for all implemented agencies, and… more
- Rochester Regional Health (Rochester, NY)
- …Responsibilities Responsibilities will include basic knowledge of medical billing, medical claims processing and accounts receivable collections. The ... Medical collection specialist must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within Meditech and Emdeon to… more