- Molina Healthcare (Buffalo, NY)
- …pharmacies, and health plan providers in resolution of member prescription claim , prior authorization, and pharmacy service access issues. * Articulates pharmacy ... management policies and procedures to pharmacy/health plan providers, Molina staff and others as needed. Required Qualifications * At least 2 years pharmacy technician experience, preferably supporting Medication Therapy Management (MTM), or equivalent… more
- Allied Universal (New York, NY)
- …Join Us:** + **Smart Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:** Get paid training and access ... to career growth opportunities. + **Financial Benefits:** Participate in our retirement savings plan to invest in your future. + **Exclusive Perks:** Enjoy discounts on top brands and services through our Perks Program. **What You'll Do:** + Provide customer… more
- Allied Universal (New York, NY)
- …Join Us:** + **Smart Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:** Get paid training and access ... to career growth opportunities. + **Financial Benefits:** Participate in our retirement savings plan to invest in your future. + **Exclusive Perks:** Enjoy discounts on top brands and services through our Perks Program. **What You'll Do:** + Provide customer… more
- Guthrie (Binghamton, NY)
- Your Expertise Deserves More - Claim Up to $25,000 When You Join Guthrie's Urology Team! Join Guthrie Lourdes Hospital's Urology Clinic in Binghamton, NY Looking for ... a nursing role that offers predictable hours, specialty care, and real impact - without the demands of bedside hospital work? Guthrie Lourdes Hospital is hiring a Full-Time Registered Nurse to join our Urology outpatient clinic in Binghamton, NY. And to… more
- Mount Sinai Health System (New York, NY)
- …in health system documentation system. 2. Data analysis: such as payer data and claim 3. Support the pharmacist to implement the patient's care plan, such as ... navigating insurance benefits, assisting with provider communication 4. Provide medication, lifestyle, and disease state counseling 5. Coaches patients, families, and/or authorized care givers on how to use existing skills and develop new ones to make… more
- Allied Universal (New York, NY)
- …Join Us:** + **Smart Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:** Get paid training and access ... to career growth opportunities. + **Financial Benefits:** Participate in our retirement savings plan to invest in your future. + **Exclusive Perks:** Enjoy discounts on top brands and services through our Perks Program. **What You'll Do:** + Provide customer… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and compliance training. + Support revenue cycle teams in addressing claim denials, coding queries, and charge reconciliation. Education, Training and Previous ... Experience Requirements Education: + Associate's degree or a related healthcare discipline preferred. + Equivalent combination of education and experience may be considered. Certification (Required): + Current coding certification through AAPC or AHIMA: CPC,… more
- Travelers Insurance Company (New York, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills,… more
- Humana (Albany, NY)
- …responsible for estimates of short term and long term reserves required for unpaid claim liability, active life reserves, and other actuarial items that ought to be ... established, appropriate margins, and premium deficiency reserves for monthly, quarterly, and annual financial statement reporting. The Actuary, Valuation works on problems of diverse scope and complexity ranging from moderate to substantial. The Actuary,… more
- CVS Health (Albany, NY)
- …**Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive ... record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal… more
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