- Allied Universal (Croton On Hudson, NY)
- …a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for Insurance ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....+ Ability to be properly licensed as a Private Investigator as required by the states in which you… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=7108) Job Brief The Incident Management Investigator assists with completing thorough investigations into situations which… more
- MVP Health Care (Tarrytown, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that...outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education,… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems...inpatient encounters. 20. May be responsible for collection of time of service payments, and maintaining daily transaction record… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator.… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... **Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + Associates Degree or high school diploma/GED ... + 2 years? experience in medical billing or health claims , with experience in Epic billing systems in a...outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education,… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …Manager, a typical day may include:** + Act as the lead investigator on employee concerns including devising investigation strategies, reviewing data and documents, ... compliance and legal teams and HR leadership to address Ethics Points claims + Appropriately document, maintain, and handle sensitive and privileged and confidential… more
- Mount Sinai Health System (New York, NY)
- …roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred ? Experience ... and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from Quality Director ? Effective communicator ?… more
- Mount Sinai Health System (New York, NY)
- …**Senior Revenue Accountant-(Revenue Cycle) Patient Financial Services- Corporate 42nd Street-Full- Time Days (Hybrid)** The Senior Revenue Accountant for the Mount ... written communication and organizational abilities. Accuracy, attentiveness to detail and time management skills are required. + Ability to interact effectively with… more
- Mount Sinai Health System (New York, NY)
- …Cycle Management Training & Education -Patient Financial Services- Corporate 42nd St-Full- Time -Days** The Manager of Revenue Cycle Management (RCM) Training & ... role ensures that all team members involved in patient registration, billing, claims processing, denial management, and collections are equipped with the necessary… more
- Mount Sinai Health System (New York, NY)
- …RCM EPIC Optimization Patient Financial Services -Corporate 42** **nd** **Street- Full- Time -Days (Hybrid)** The Director of EPIC Workflow Optimization for the Mount ... in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred. + Minimum 7-10 years of progressive… more
- Mount Sinai Health System (New York, NY)
- …Description** **Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full- Time -Days -Remote** The Director, Pre Appeals Management is a ... + Insurance: Understanding of benefits verification, coverage determination, or claims workflows + Fintech/IT: EPIC **Describe Work Environment** Office-based May… more
- Mount Sinai Health System (New York, NY)
- …**Director of Revenue Intelligence -Patient Financial Services- Corporate 42nd Street-Full- Time -Days (Hybrid)** The Director of Revenue Intelligence for the ... models. + Extensive knowledge of healthcare/medical data such as hospital/physician claims , utilization data, and healthcare industry coding systems and revenue… more
- Mount Sinai Health System (New York, NY)
- …9. Interfaces with the HRA/TDC on-site Professional Liability Investigators: reporting potential claims as well as cases of concern by preparation of preliminary ... outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education,...on the most complex health care challenges of our time - discovering and applying new scientific learning and… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity for mentorship from senior MSHP leaders + Opportunity to be part of a forward-thinking team driving a system-wide transformation + Opportunity to work ... + In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and payment reconciliation. + Familiarity with **Stratajazz** ,… more
- Mount Sinai Health System (New York, NY)
- …for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality ... Interface with the insurers and legal counsel, reporting potential claims as well as cases of concern by preparation...outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education,… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... **Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and… more