- Centene Corporation (New York, NY)
- …of medical services, unusual provider practice patterns, and adequacy of benefit/ payment components. + Identify clinical quality improvement studies to assist in ... unusual or new services in order to determine medical necessity and appropriate payment . + May develop alliances with the provider community through the development… more
- University of Rochester (Rochester, NY)
- …payments, receives incoming invoices from study email folders and processes invoices for payment in P2P. + Maintains excel database to record all study payments for ... + Prepares travel and conference forms or Request for Payment Forms for reimbursements of travel or miscellaneous expenses....+ CLASP (Continuous Learning for Administrators of Sponsored Programs) certified through the U of R and attends monthly… more
- Anytime Fitness (Pleasantville, NY)
- …County are adding to the Team the best-of-the-best gym membership managers and certified coaches/trainers. Part time or Full Time Available for the right person, ... Sales of Membership and Personal Training (ideal for those certified in training). - Clerical office work (ie CRM...- Clerical office work (ie CRM database, some filing, payment tracking/billing). - Positive and friendly attitude. - MUST… more
- Highmark Health (Albany, NY)
- …**LICENSES or CERTIFICATIONS** **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + ... Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency +… more
- Humana (Albany, NY)
- …NIST, BSIMM. * Professional security management certification, such as a Certified Information Systems Security Professional * (CISSP), Certified Information ... of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office… more
- Elevance Health (Latham, NY)
- …Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation ... of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding… more
- Tompkins Community Bank (Brewster, NY)
- …financial services or other related industry. + Relevant certification is a plus: Certified Fraud Specialist (CFS), Certified Fraud Examiner (CFE) Certified ... for check fraud, mobile deposit, ACH, wire, debit/credit card and other payment channels. Knowledge of banking operations is preferred. + Ability to research… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA ... a team environment Other duties as assigned Preferred Experience: Board Certified and Fellowship Training Work Schedule: Full-time Compressed Hours Available… more
- University of Rochester (Rochester, NY)
- …on a patient statement and the processes for further review + Advising about payment options + Working with other areas to determine accuracy of balances shown Acts ... or certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician… more
- University of Rochester (Rochester, NY)
- …been collected through billing and routine follow-up activities. Assesses payment probability to determine appropriate collection technique. **ESSENTIAL FUNCTIONS** ... + Certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician… more