- Humana (Albany, NY)
- …duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and ... The Medical Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional market… more
- Independent Health (Buffalo, NY)
- …Representative will answer incoming calls from health care providers including physician offices, ancillary provider offices and facilities and aid with benefit ... essential. + Strong working knowledge of CPT, ICD-9-CM, ICD-10-CM and HCPCS coding preferred. + Experience in compliance regulations, appeals and grievance knowledge… more
- Raymond James Financial, Inc. (New York, NY)
- …focus on an individual security, clinical data, interviews with physician /industry experts, literature reviews, and critically evaluating clinical/scientific data. ... in oncology, cardiology, ophthalmology, or genetic medicine. + Data analytics/ coding skills preferred. **Education** Bachelor's: Biology (Required), Bachelor's: Chemistry… more
- Arnot Health (Elmira, NY)
- …for various services such as Observation, Laboratory, Radiology, Therapy, and Physician services. + Acquire precertification status for applicable services, ensuring ... preferred. + Experience with computer applications required; medical terminology and coding knowledge are beneficial. + Strong interpersonal skills with the ability… more
- Molina Healthcare (Albany, NY)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- Molina Healthcare (Albany, NY)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- St. Mary's Healthcare (Amsterdam, NY)
- …to SMH core behaviors. * Reviews scripts for accuracy: Ensures accurate coding * Follows all procedures relating to registration including notification of patient ... admission, medical necessity, checking and scanning of physician prescriptions * Conducts patient interviews with compasson and confidentiality * Position will… more
- Centene Corporation (New York, NY)
- …+ Perform training, orientation and coaching for performance improvement within physician practices, community agencies, and health plan. + Educate members and ... of health care, managed care, Medicare or Medicaid. Claims billing/ coding knowledge preferred. **License/Certification:** Valid driver's license. Insurance producer… more
- Arnot Health (Bath, NY)
- …for various services such as Observation, Laboratory, Radiology, Therapy, and Physician services. + Acquire precertification status for applicable services, ensuring ... preferred. + Experience with computer applications required; medical terminology and coding knowledge are beneficial. + Strong interpersonal skills with the ability… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …+ Minimum: High School Diploma or GED + Preferred: Medical Billing/ Coding certification, Pharmacy technician or related certification **Experience:** + Past ... as required. **Job Skill Requirements:** + Broad knowledge of medications, physician orders, and pharmacy systems + Strong communication skills + Outstanding… more