- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical ... audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital...Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to… more
- Molina Healthcare (Buffalo, NY)
- …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- CVS Health (Amherst, NY)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more