- Humana (Albany, NY)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent… more
- Humana (Albany, NY)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment… more
- Ferguson Enterprises, LLC. (Coxsackie, NY)
- …and resolve issues involving purchase order and receiving documents + Ensure that all receiving documentation, freight claims , and correspondence with HQ are ... completed with attention to detail + Promote safe work practices and resolve all safety concerns as identified + Establish and communicate performance standards to… more
- Sysco (Clifton Park, NY)
- …core Human Resource (HR) processes (eg coordinate and conduct new associate orientation, unemployment claims processes, onboarding and exit interviews, ... video- conference calls, webinars/e-meetings, new hire orientation, etc. + Performs all other duties as assigned. **QUALIFICATIONS** **Education** + High school… more
- WMCHealth (Valhalla, NY)
- Pharmacy Tech Company: WMC Advanced Physician Services PC City/ State : Valhalla, NY Category: Allied Health Prof/Technical Department: Pharmacy Union: No Position: ... Per Diem Hours: Per Diem Shift: All Shifts Req #: 42080 Posted Date: Apr 29,...to the filling of prescription + Assisting with insurance claims processing (usually a pharmacist will handle this, but… more
- Molina Healthcare (Buffalo, NY)
- …**Job Summary** Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible for payment. ... Phones or utilizes other insurance company portals to validate state , vendor, and internal COB leads. + Updates the...leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Contacts… more
- Ryder System (Albany, NY)
- …to areas such as: I-9 compliance, Pre-employment services, Unemployment Insurance claims , Immigration Services, Leave Administration, Drug and Alcohol program, HR ... direction of the Manager + Exhibit positive attitude while communicating with all internal and external customers + Develop deep expertise and specialized knowledge… more
- Molina Healthcare (Yonkers, NY)
- …for process developments and improvements. + Reviews, researches, analyzes and evaluates all data relating to specific area of expertise. Begins process of becoming ... identify root cause and assist with problem management as it relates to state requirements. + Analyzes business workflow and system needs for conversions and… more
- Molina Healthcare (NY)
- …Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff ... Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate 's Degree or equivalent provider contract, network development and management,… more
- Cognizant (Albany, NY)
- …productivity standards. + **Billing Guidelines** : Demonstrate knowledge of state /federal billing guidelines, reimbursement methodologies, and payer policies. + ... denials and underpayments to identify improvement initiatives. + **Communication** : Ensure all actions are documented, appeal letters are effective, and root causes… more