- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the ... them to the appropriate department or team for further research or correction. + Leverages knowledge of claims... research or correction. + Leverages knowledge of claims processing workflows, billing practices, and regulatory guidelines to… more
- Molina Healthcare (Rochester, NY)
- …tables through the user interface. + Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- MVP Health Care (Rochester, NY)
- …accuracy of claims and supporting overall payment accuracy. + Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, ... improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical… more
- Molina Healthcare (Rochester, NY)
- …Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution. **JOB QUALIFICATIONS** **Required Education** Associate ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** Candidate must reside in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab ... management, Operations, Core EIM teams. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience… more