- Cardinal Health (Albany, NY)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- University of Rochester (Rochester, NY)
- …advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in ... and manipulates database. Responds to or clarifies internal requests for medical information. **ESSENTIAL FUNCTIONS** + Uses thorough knowledge of coding systems… more
- University of Rochester (Rochester, NY)
- …review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes system edit reviews ... make corrections before transmittal. + Troubleshoots problems that prevent claims from being released. Identifies cause of edit and...+ High School diploma or equivalent and 1 year Medical Coder experience required + Associate's degree preferred +… 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
- Catholic Health (Buffalo, NY)
- …(IDM) position is responsible for monitoring and aggressively managing claims leaves, and absences associated with occupational and non-occupational injury ... regulations, and procedures for handling NYS Workers' Compensation and Disability claims . This position also requires the necessary expertise and active involvement… more
- City of New York (New York, NY)
- …Billing by working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and support functions ... information with clinic teams to ensure transparency. - Track and manage medical records requests from MCO to obtain prior authorization approvals and claim… more
- New York State Civil Service (Endicott, NY)
- …Civil Service Law. Eligible titles include, but are not limited to: Administrative Specialist 1, Claims Service Representative 1, Claims Services ... meetings with policyholders to collaborate on systematic approach to claims mitigation.* In-depth analysis of type and cause of...Leave Accruals. * Paid State and Federal Holidays.* Full Medical , Vision, and Dental. * Retirement Options. * Public… more
- New York State Civil Service (Buffalo, NY)
- …Case Manager in the NYS Segment. *Work-up and process Workers' Compensation claims .*Approve and deny medical bills.*Respond to claimant and provider inquiries ... phone and email.*Routinely communicate with employers to obtain info about claims .*File forms and correspond with the Workers' Compensation Board.*Review claims… more
- Molina Healthcare (Albany, NY)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- Sumitomo Pharma (Albany, NY)
- …Oncology (Albany, NY).** In this field-based role, the Prostate Cancer Sales Specialist will focus on achieving sales goals within the prostate cancer therapeutic ... have a proven record of success in urology and/or medical oncology and will be highly collaborative, tactical, energetic...in a nimble, start-up organization. The Prostate Cancer Sales Specialist will demonstrate a sense of urgency to prepare… more