- Humana (Albany, NY)
- …Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... caring community and help us put health first** The Medical Director relies on medical background and...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Bassett Healthcare (Norwich, NY)
- …by supervisory audit. Maintains job specific knowledge and proficiency (may include insurance , scheduling, charge coding information and creation of open ... on annual in-service record. Maintains a thorough knowledge and understanding of insurance and local carrier's medical coverage policies as they relate… more
- Bassett Healthcare (Cooperstown, NY)
- …by supervisory audit. Maintains job specific knowledge and proficiency (may include insurance , scheduling, charge coding information and creation of open ... on annual in-service record. Maintains a thorough knowledge and understanding of insurance and local carrier's medical coverage policies as they relate… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …not listed in the job description. Qualifications Requirements and Qualifications + Current medical coding certification. + Proficiency with a minimum of one (1) ... hospital information to properly bill provider services for hospital patients. + Audits medical records to ensure proper coding completed and to ensure… more
- WMCHealth (Valhalla, NY)
- …Basic office functions such as stocking supplies, billing and coding , routine insurance data entry + Cleaning and maintaining medical equipment and supplies, ... Medical Assistant (GRANT FUNDED) Company: WMC Advanced Physician...Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national… more
- CVS Health (New York, NY)
- …in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… 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
- Mount Sinai Health System (New York, NY)
- …optimization and innovative strategies for the practice. **Qualifications** 5 years medical insurance experience including medical office administration, ... direction and leadership of operational, business, financial activities of the medical practice. This includes incorporation of Mount Sinai Doctors Downtown's… more
- FlexStaff (Chappaqua, NY)
- …Billing & AR Experience- Experience in Medicare Part B and in Network Managed Care, Medical Coding Modifier Experience & Large Volume Experience. This role is a ... **Req Number** 159695 FlexStaff Our client is seeking a skilled Medical Biller/Accounts Receivable Specialist with a minimum of 2 years of experience in medical … more
- SUNY Upstate Medical University (Syracuse, NY)
- …orders and insurance claim submission preferred. Experience with healthcare insurance prior authorization/ coding and performing insurance carrier/managed ... and evaluate outpatient take-home medications to assure the appropriateness and medical necessity of medication use based on established criteria. Obtain prior… more