- Molina Healthcare (Rochester, NY)
- …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing ... the core processing system (QNXT). * Conducts focal healthcare Medical claim audits on samples of processed transactions impacted...EXPERIENCE, SKILLS & ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations… more
- Fresenius Medical Center (Staten Island, NY)
- …leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee ... of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department.… more
- Stony Brook University (East Setauket, NY)
- …months of business experience, preferably in a healthcare setting such as revenue cycle, medical billing , or follow-up experience; **_or_** in lieu of degree, at ... preferably in a healthcare setting such as revenue cycle, medical billing , or follow-up experience. **Preferred:** +...hospital claims. + Knowledge of CPT, HCPCs and ICD-10 coding principles. + Experience with Cerner Invision and/or Cerner… more
- Helio Health Inc. (Syracuse, NY)
- …problem-solving skills and possess the ability to multi-task. + Experience in coding and Medicaid billing strongly desirable. Our Comprehensive Employee Benefits ... collects insurance and other information to ensure payment for services, and process medical records and clinical data necessary to manage services rendered by the… more
- SUNY Upstate Medical University (Syracuse, NY)
- …experience required. Working knowledge of medical terminology, medical billing /insurance requirements, familiarity with medical coding , and excellent ... carrier requirements including services not covered. Will determine if patient needs an estimate based on current CMS No-Surprise Act requirements, will inform… more
- SUNY Upstate Medical University (Syracuse, NY)
- …experience required. Working knowledge of medical terminology, medical billing /insurance requirements, familiarity with medical coding , and excellent ... including services not covered. Will determine if patient needs an estimate based on current CMS No-Surprise Act requirements,...permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current… more
- SUNY Upstate Medical University (Syracuse, NY)
- …experience required. Working knowledge of medical terminology, medical billing /insurance requirements, familiarity with medical coding , and excellent ... Obtains insurance authorizations, referrals, and manages denial processes in an accurate and efficient manner. Accepts assignments to other...permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current… more
- SUNY Upstate Medical University (Syracuse, NY)
- …experience required. Working knowledge of medical terminology, medical billing /insurance requirements, familiarity with medical coding , and excellent ... signatures. Obtains insurance authorizations, referrals, and manages denial processes in an accurate and efficient manner. Accepts assignments to other areas and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …experience required. Working knowledge of medical terminology, medical billing /insurance requirements, familiarity with medical coding , and excellent ... co-workers, and other individuals. Preferred Qualifications: One year of experience in an Ambulatory healthcare setting. Work Days: 8:00 AM - 4:30 PM Message… more
- SUNY Upstate Medical University (Syracuse, NY)
- …experience required. Working knowledge of medical terminology, medical billing /insurance requirements, familiarity with medical coding , and excellent ... signatures. Obtains insurance authorizations, referrals, and manages denial processes in an accurate and efficient manner. Accepts assignments to other areas and… more
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