- Molina Healthcare (Albany, NY)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting experience. +… more
- Fujifilm (Albany, NY)
- …be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc., ... (HLUS). The Senior Counsel, reporting to the Division General Counsel, Medical Devices, will be an experienced commercial transactions lawyer, responsible for… more
- Humana (Albany, NY)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Oak Orchard Health (Brockport, NY)
- …knowing that your work is making a difference in someone's life. We have 8 medical offices located in communities throughout Western NY and we continue to expand and ... the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: + Review and accurately code radiology procedures using ICD-10, CPT, and HCPCS codes. + Ensure compliance with current healthcare regulations and payer ... requirements. + Prepare and submit claims to insurance companies, following up on unpaid or...work days in office Minimum Qualifications: + Certification in medical coding (eg, CPC, RCC) preferred. + Minimum of… 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… more
- CVS Health (Albany, NY)
- …improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in providing our ... and screens to obtain and record claim information + Review claims information to determine the nature...willingly to change, and a positive, willing attitude. Prior medical claim processing experience is a plus. Successful candidates… 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… more
- Independent Health (Buffalo, NY)
- …Innovation + Retain technical knowledge of Independent Health's customer documentation and claims processing systems to review and maintain member records, as ... phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. The COB… more
- General Dynamics Information Technology (Menands, NY)
- …of regression testing methodology + REQUIRED TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience writing SQL ... Required:** None **Job Family:** IT Quality Assurance **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 + years… more