- Molina Healthcare (Rochester, NY)
- …or equivalent combination of relevant education and experience + Basic knowledge of medical billing and basic claims processes. + Problem-solving skills + Verbal ... **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role...manage claims inquiries and adjustment requests + Understanding of billing and coding procedures + Experience with… more
- City of New York (New York, NY)
- …Division are responsible for all medically related issues for medical management of workers' compensation claims. Responsibilities include: Consult managerial ... and legal staff in regards to medical necessity of treatment as it relates to injured...claims. Review and process high value and complicated in-patient billing . Coordinate with hospital administrators and social workers with… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …codes, dental interpretation, etc (Sr. level). Is knowledgeable of mandates for medical /dental coverage specific to NY state for accidental injury coverage and ... + Participates in activities reflecting Dental Review activity such as procedure coding development and fraud and abuse. Monitors utilization, cost and quality of… more