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Independent Health
Independent Health
1 001 – 5 000 Xodimlar
H1B vizasi homiysiSog‘liqni saqlashSug‘urtaTibbiy sug‘urta
Independent Health — G‘arbiy Nyu-Yorkda faoliyat yurituvchi tibbiy sug‘urta tashkiloti va mintaqadagi eng qadimgi Sog‘liqni saqlashni boshqarish tashkilotlaridan (HMO) biridir. U 100 dan ortiq reja, mahsulot va xizmatlar orqali taxminan 355 000 kishiga sug‘urta qoplamasi hamda tegishli xizmatlarni taqdim etadi. Tashkilotning faoliyat yo‘nalishlariga tijoriy tibbiy sug‘urta, dorixona imtiyozlari, Medicare Advantage va o‘z mablag‘i hisobidan moliyalashtiriladigan tibbiy rejalar kiradi. Kompaniya o‘z madaniyatini a’zolar va xodimlarga o‘z imkoniyatlarini to‘liq namoyon etishga yordam berishga yo‘naltirilgan deb ta’riflaydi.
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Kompaniyadagi ish o‘rinlari

Claims Adjudicator – Medical and Dental Claims

Process medical and dental claims for Nova Healthcare Administrators, reviewing payments, coding, benefits, and customer questions. This hybrid role requires onsite attendance in Williamsville as needed.

USAmerika Qo‘shma ShtatlariNYNyu-York
19 $ / soat
GibridTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaUmumiy

Tavsif

  • Assess and adjust medical and dental claims using established criteria and client plan documents.
  • Address client, member, and provider questions about claim status, benefit design, and payments alongside Customer Service Representatives.
  • Process facility, professional, member-submitted, pharmacy, and dental claim edits for in-network and out-of-network benefits.
  • Review vouchers and payment explanations to find and resolve claim issues.
  • Meet departmental targets for output, accuracy, policy and procedure knowledge, and timely processing.
  • Investigate policy, payment, and coding matters.
  • Keep knowledge of contracts, summary plan descriptions, and benefits up to date.
  • Apply critical thinking when processing claims.
  • Use systems and applications to find details specific to each claim.
  • Find, interpret, and apply resources to individual claim scenarios.
  • Spot and communicate opportunities to improve processes.
  • Organize and prioritize claim-processing work.
  • Work with other Independent Health departments to resolve claim payment problems.
  • Attend the Williamsville office when required.

Talablar

  • A high school diploma is required.
  • A medical office assistant certificate and/or college degree is preferred.
  • At least six months of medical claims processing or medical billing experience, customer service experience preferably in healthcare or social services, or an equivalent combination of experience.
  • Knowledge of medical billing procedures.
  • Knowledge of CPT and ICD-9 coding.
  • Knowledge of medical terminology.
  • Data entry proficiency and familiarity with Microsoft Office products.
  • Strong organizational skills, attention to detail, and follow-through.
  • Strong written, verbal, and interpersonal communication skills.
  • Ability to communicate effectively with internal and external customers.
  • Ability to work collaboratively.
  • Flexibility to work additional hours as needed.
  • Examples of demonstrating Nova’s Core 4: Act with Passion, Work Together, Be Accountable, and Build Trust.
  • Ability to meet departmental deadlines and turnaround times and comply with state and federal regulations.
  • Immigration or work visa sponsorship is not provided.

Imtiyozlar

  • First-class perks and benefits.
  • Eligibility for scorecard incentives.
  • A full range of benefits.
  • Generous paid time off.
  • Hybrid work arrangement.

O‘xshash ish o‘rinlari

Overlake Medical Center & Clinics

Patient Access Scheduling Coordinator

Overlake Medical Center & Clinics
1 001 – 5 000 Xodimlar
FarovonlikNotijoratSog‘liqni saqlash
USAmerika Qo‘shma Shtatlari
28 $ – 42 $ / soat
GibridTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaBemorlar koordinatoriUmumiy

Coordinate specialty, hospital, and ancillary referrals and appointments at Overlake Medical Center & Clinics. The role includes patient notifications, records coordination, and referral follow-up.

Ochish
Allied Physicians Group

Medical Receptionist, Pediatrics — Allied Physicians Group

Allied Physicians Group
501 – 1 000 Xodimlar
Sog‘liqni saqlash
USAmerika Qo‘shma ShtatlariNYNyu-York
20 $ – 23 $ / soat
GibridTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaTibbiy resepsionistUmumiy

Welcome patients and coordinate appointments, insurance, and front-desk support for Allied Physicians Kids Care Pediatrics. Travel between the Elmont and Lynbrook offices as operational needs require.

Ochish
Healthfirst

Clinical Coding Retrieval Coordinator

Healthfirst
1 001 – 5 000 Xodimlar
H1B vizasi homiysiSog‘liqni saqlashSug‘urtaTibbiy sug‘urta
USAmerika Qo‘shma ShtatlariCTKonnektikutNJNyu-JersiNYNyu-YorkPAPensilvaniya
68 900 $ – 99 620 $ / yil
GibridTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaKlinik koordinatorUmumiy
SOAP

Coordinate medical record retrieval and review for Healthfirst’s RADV risk adjustment and compliance programs. Work with providers and internal teams to track audits, meet deadlines, and protect HIPAA-regulated documentation.

Ochish