- Molina Healthcare (Yonkers, NY)
- …knowledge on Medicare payment methods + Experience on Hospital payment methodology & processing is essential + Understanding on hospital claims processing and ... **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. **Preferred Education** Graduate Degree or… more
- Oracle (Albany, NY)
- …administration using Ambari and troubleshooting across the Cloudera stack. Real-time processing using Kafka, Flink. AI/ML workflow support, including OCI Gen AI ... patches, and installations using tools like Ambari. Support real-time data processing frameworks (Kafka, Flink) and ETL pipelines (ODI, Informatica). Collaborate… more
- Highmark Health (Albany, NY)
- …+ Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special handling claims. ... in accordance with Medical Policy Guidelines. + Monitor and identify claim processing inaccuracies. Bring trends to the attention of management. + Assist with… more
- Albany Medical Center (Albany, NY)
- …Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, and have the ... in billing codes and EDI requirements. + Knowledge of electronic claims processing and edits. + Excellent decision-making skills, detail oriented, and have the… more
- Bowery Residents Committee (Manhattan, NY)
- …for accounts receivable processes and daily cash receipts. Accurate and timely processing of billings, receipts, and related payments. Perform analysis of assigned ... proficient with Microsoft Office tools. + Prior knowledge of electronic claims processing would be preferred. *Vaccination preferred but not required. MAKE AN… more
- Molina Healthcare (Syracuse, NY)
- …requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role ... or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of claim… more
- Northwell Health (Westbury, NY)
- …Designs, develops and modifies systems and procedures to enhance departmental processing as needed. + Responsible for maintaining proprietary databases including ... data integrity, timeliness of data input and accuracy of data. + Conducts internal audits to ensure compliance to departmental policies and procedures and state and federal regulations. + Maintains compliance with various state, federal and industry standards… more
- Pfizer (New York, NY)
- …close collaboration with data mgmt. lead and ensure appropriate collection, storage, and processing of data within team + Collaborate with Medical Affairs teams to ... support the efficient and timely reporting of data in appropriate formats and escalate roadblocks with leadership as necessary **Collaborate with broader stakeholders** + Collaborate with UI experts to ensure data analyses can be easily visualized in… more
- American Express (New York, NY)
- …products & services **Minimum Qualifications** + 1 year experience in the processing , acquiring, and routing of US debit cards + Sound analytical, problem-solving, ... data analysis, and project management skills + Strong work ethic and organizational ability, with high level of intellectual curiosity, initiative, drive, and attention to detail + Demonstrated ability to guide, contribute, and execute strategies to deliver… more
- Northwell Health (Lake Success, NY)
- …in designing, developing and modifying systems and procedures to enhance departmental processing , as needed. + Monitors the input and accuracy of databases (match ... exceptions, accruals, RTV's, productivity). + Participates in audits to ensure compliance to departmental policies and procedures and state and federal regulations, as needed. + Maintains compliance with organization policies, state, federal and industry… more
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