- J&J Family of Companies (Garden City, NY)
- …building strong customer relationships. . Demonstrated expertise with both pharmacy and medical /buy & bill benefits (as applicable), coding , and billing. . ... authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers,… more
- J&J Family of Companies (New York, NY)
- …building strong customer relationship. + Demonstrated expertise with both pharmacy and medical /buy & bill benefits (as applicable), coding , and billing. + ... authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers,… more
- 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 ... Initial and Appeals/Disputes level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- CenterWell (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. ... data requires an in-depth evaluation of variable factors. The Medical Director relies on medical background and...authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which… 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,...authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which… more
- WMCHealth (Valhalla, NY)
- …Integrity Coordinator reviews and revises accounts to achieve revenue enhancement and billing/ coding compliance . This position updates and reviews accounts to ... billing. The incumbent identifies patterns for educational opportunity, researches coding questions, and tracks audited cases. Responsibilities: + Monitors various… more
- Fresenius Medical Center (Brooklyn, NY)
- …and your career._ **Connect with your goals and change lives** **with Fresenius Medical Care North America.** Here is your opportunity to make profound connections ... and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company...Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.… more
- Arnot Health (Elmira, NY)
- …Minimum of three years of medical office experience preferred; knowledge of medical coding is a plus. + Certification: Basic Life Support (BLS) certification ... impact in healthcare? Arnot Health is seeking a dedicated Medical Office Assistant to join our Float pool on...record requests according to protocol. + Office & Safety Compliance : Maintain professional behavior, ensure OSHA compliance ,… 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
- 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
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