Medical Jobs in Albany

Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Description Responsibilities The Payment Integrity Professional 2 contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. This position ..

Job Information Humana Bilingual / Call Center / Customer Service Rep / Remote / Work from Home / Virginia / Maryland / North Carolina / South Carolina / Florida (Evergreen) in ..

Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..

Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..

Job Information Humana On-Call Scheduler in Albany New York Description SeniorBridge is hiring a remote, Part-Time Scheduling Coordinator to cover On-Call hours (Evenings/Weekends). On-Call hours include Mon-Fri from 5pm to 8:30am ..

Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..

Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Albany New York Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for ..

Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ..

Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area, including but not limited to mobile touch point locations in the various markets. ..

Professional, Web Content & French CA Translations (Remote) Date: May 31, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Albany New York Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

Job Information Humana Medical Claims Processing Representative 2 in ... Albany New York Description The Medical Claims Processing Representative 2 reviews ... Go365 perks for well-being Responsibilities Medical Claims Processing..

FQHC in western Massachusetts is seeking a Family Medicine provider. The desired candidate will want to focus on providing good health care for patients with compassion. This is a well-established and ..

Job Information Humana Medicare Membership Retention Specialist- Bilingual in English and Mandarin - (HYBRID REMOTE) Flushing, NY in Albany New York Description Humana is continuing to grow! This opening for a ..

Job Information Humana Bilingual / Call Center / Customer Service Rep / Remote / Work from Home in Albany New York Description Healthcare isn't just about health anymore. It's about caring ..

... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... Management Behavioral Health Nurse completes medical record reviews from medical records sent from Behavioral Health ... of..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Job Information Humana Manager, Specialty Pharmacy Sales in Albany New York Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route ..

Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..