- Highmark Health (Albany, NY)
- …relationships hold the key to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as a vast, dynamic network of ... work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means… more
- Gerber Collision & Glass (Albany, NY)
- …Glass America is a respected leader in the auto glass industry. As a Claim Specialist , you are a key member of Glass America's shop operations team and instrumental ... paid parental leave. + 6 paid holidays annually. + Medical , Prescription Drug, Dental & Vision Insurance + 401(k)...+ Have a sense of urgency when filing insurance claims with and/or without customers on the line. +… more
- Centene Corporation (Queens, NY)
- …such as ICD 10 codes, medical abbreviations, medications. Experience in medical records review, claims processing or utilization and case management in ... or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for...order to ensure that all components of the Member's medical record are completed with quality standards and accuracy… more
- Molina Healthcare (Syracuse, NY)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional ... administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists in coordinating… more
- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Senior Resident Billing Specialist position reports directly to the Director of Revenue Cycle Management and will assist in the resident ... (5) to seven (7) years of billing and computer experience + Knowledge of medical billing with five (5) years minimum experience in a healthcare facility, healthcare… more
- Gilead Sciences, Inc. (Syracuse, NY)
- …relationships with key executives, decision influencers, and decision-makers at major medical centers, clinics, and other accounts. *Tracks and reinforces measures ... *Coordinates with leadership across Gilead functions: National Accounts, Marketing, Medical Scientists and other internal teams on appropriate cross-functional… more
- Highmark Health (Albany, NY)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups… more
- Evolent (Albany, NY)
- …Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager ... The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:**… more
- MVP Health Care (Schenectady, NY)
- …across MVP departments and teams. + Collaborate with the Value Stream Specialist and Director of Product Operations to thoroughly plan product implementation across ... responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information,… more
- Trinity Health (Rensselaer, NY)
- …with proper documentation. - Works in colaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. - ... pre-certification process. Care Coordination - Confirms payer is in-network with specialist . If not, contacts patient to discuss and make alternate arrangements… more