- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services ... and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The… more
- WMCHealth (Valhalla, NY)
- Medical Assistant (GRANT FUNDED) Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Allied Health Prof/Technical Department: OB/GYN ... link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29898) Internal Applicant link Job Details: Family Planning Medical Assistant Position Westchester Medical Center Locations:… more
- WMCHealth (Valhalla, NY)
- …Coordinator reviews and revises accounts to achieve revenue enhancement and billing/ coding compliance. This position updates and reviews accounts to ensure accurate ... billing. The incumbent identifies patterns for educational opportunity, researches coding questions, and tracks audited cases. Responsibilities: + Monitors various… more
- Mount Sinai Health System (New York, NY)
- …direction and leadership of operational, business, financial activities of the medical practice. This includes incorporation of Mount Sinai Doctors Downtown's ... optimization and innovative strategies for the practice. **Qualifications** 5 years medical insurance experience including medical office administration, benefit… more
- Sedgwick (Syracuse, NY)
- …Best Workplaces in Financial Services & Insurance Workers Compensation Claims Associate | NY Medical Only Claims | Syracuse, NY Are you looking for an impactful job ... empathic and solution-focused. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + **Adjusts medical -only claims** and minor lost-time workers compensation claims under… more
- Independent Health (Buffalo, NY)
- …Specialist-Associate will have an understanding of industry and/or regulatory coding standards related to reimbursement methodology, billing practices, and ... coding rules and continue to build that knowledge while...color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender… more
- Bassett Healthcare (Oneonta, NY)
- …optimum health and enjoy the best quality of life possible. What you'll do The Medical Office Assistant II serves as the first point of contact for patients within ... sure the patients' needs are met) or prescription requests using the electronic medical record messaging system as observed by Supervisor and reported by providers… more
- Bassett Healthcare (Oneonta, NY)
- …optimum health and enjoy the best quality of life possible. What you'll do The Medical Office Assistant I serves as the first point of contact for patients within ... sure the patients' needs are met) or prescription requests using the electronic medical record messaging system as observed by Supervisor and reported by providers… more
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