- Ankura (New York, NY)
- …+ Proficient in review of revenue cycle data including EOBs, 837/835 data, and payer denial information + Works with the Project Manager to analyze and understand ... client concerns and develop project work plans + Conducts independent review of medical records + Drafts clear and concise analyses of medical record review findings + Prepares clear and concise analyses of clinical and revenue cycle data including that from… more
- Evolent (Albany, NY)
- …around a shared product vision. They will work closely with healthcare payer executives, clinical experts, frontline staff, and internal stakeholders, while actively ... collaborating with data science teams to ensure AI models are effectively translated into impactful, user-facing product features. The ideal candidate will bring a deep passion for applying data-driven approaches to transform healthcare and operational… more
- Northeast Family Services (Bronx, NY)
- …to be highly organized, detail oriented, and have a working knowledge of payer portals, co-pays, deductibles, and health insurance benefits. Top candidates will also ... have excellent interpersonal skills and work well as part of a multidisciplinary team that includes therapists, clinicians, nurse practitioners and peers. If you're looking for rewarding work, have experience working in a behavioral health environment, and… more
- Nuvance Health (Poughkeepsie, NY)
- …coding decisions on revenue cycle, including the ability to assist in appealing payer denials. * Responds to all business office questions regarding diagnoses and ... procedures in a timely manner. * Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. * Maintains certified coding… more
- Cardinal Health (Albany, NY)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- Rochester Regional Health (Rochester, NY)
- …reduce AR > 90 to increase cash and lower bad debt + Maintain payer issue and resolution sheet to report to Director. + Drive efficiencies and improvements ... to streamline process and increase customer satisfaction. + Mail out HCFA claim forms daily. + Respond to any requests from third party insurance for any additional information and documentation. + Interact with department team members to resolve billing… more
- Molina Healthcare (Buffalo, NY)
- …contact to log tickets for premium restoration such as Medicare Secondary Payer and ESRD. **JOB QUALIFICATIONS** **Required Education** HS Diploma or GED **Required ... Experience** 1-3 years' experience in an administrative support. **Preferred Education** Associate degree **Preferred Experience** 3+ years' experience in an administrative support role. To all current Molina employees: If you are interested in applying for… more
- Highmark Health (Albany, NY)
- …knowledge of healthcare industry with latest trends and knowledge of payer systems. Deep understanding of healthcare technology products especially in Clinical, ... Digital, Provider, Claims, Enrollment, Billing, Benefits, Products and Services. Knowlege of Provider Health Systems like EMRs and RCM processes is a plus. + Develop virtual and in-person relationships with C-level and senior executives at assigned accounts… more
- Evolent (Albany, NY)
- …in value-based healthcare analytics or utilization management within a payer , provider, clinical vendor, managed care, or healthcare consulting environment. ... + Strong understanding of HCPCS, CPT, and ICD-10 coding systems. + 5+ years of experience managing and analyzing large data sets, ensuring accuracy and usability. + Strong organizational skills, with the ability to prioritize tasks and execute projects… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... professionalism, we're hired as strategic and creative partners by our biopharmaceutical clients to drive category/brand awareness and growth. Position Overview As a Group Copy Supervisor, you will lead the development of compelling, strategy-driven content… more