- General Dynamics Information Technology (Menands, NY)
- …of regression testing methodology + REQUIRED TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience writing SQL ... development environment + PREFERRED SKILLS: + Experience with healthcare claims terminology and the health industry +...package for all US-based employees includes a variety of medical plan options, some with Health Savings… more
- Ellis Medicine (Schenectady, NY)
- …in a hospital or healthcare setting preferred. + Must have knowledge of medical records, medical terminology and billing requirements, CPT, HCPCS and ICD-9 ... Excel and Word. Experience with Siemens Soarian systems and Allscripts electronic health records preferred. + Must understand managed care concepts and healthcare… more
- Rochester Regional Health (Rochester, NY)
- …Patient Safety, Patient Relations, Security, Finance, Regulatory, Compliance, Ethics, Claims /Insurance, and Legal) to integrate risk management principles into daily ... qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... and Customer Service. - Reviews and denials notification letters along with the medical records and all pertinent documentation related to the episode of care being… more
- WSP USA (New York, NY)
- …+ Review schedule concepts, including baseline and monthly schedule updates + Review claims and related analysis and assist with response letters to contractor ... claims as necessary. + Analyze schedules, identify potential issues,...upholding workplace safety and ability to abide by WSP"s health , safety and drug/alcohol and harassment policies. Compensation Expected… more
- University of Rochester (Brighton, NY)
- …Prepares, processes, and reviews forms for compliance, accuracy, and completion including medical documentation. Determination of how to classify claims (WC- ... medical only or loss time or if multiple claims how to address concurrent DBL and WC ...you're looking for a career in higher education or health care, the University of Rochester may offer the… more
- Mohawk Valley Health System (Utica, NY)
- …Worker's Comp/No Fault is required. Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology is a plus. Core Job Responsibilities + Promotes a professional ... a contact when necessary to resolve outstanding issue on claims . + Determines whether payment from insurance billed is...years experience in billing, insurance, office procedures in a medical setting + Knowledge of general office equipment eg… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... investigate, analyze, and resolve denied insurance claims -ensuring timely reimbursement and supporting the financial integrity of our organization. Your critical… more
- Otsuka America Pharmaceutical Inc. (Brooklyn, NY)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of...needs and nutraceutical products for the maintenance of everyday health . In its evolved customer engagement model, a Hospital… more
- Kelly Services (Rochester, NY)
- …processing and review of prior authorization requests for both pharmacy and medical specialty drug reviews as permitted by law. Reviews are conducted in ... The Technician serves as a resource for staff on members' contract benefits, related health plan functions, and provides leadership in the intake area of the prior… more