- New York State Civil Service (Buffalo, NY)
- …Compensation Law as relates to enforcement unit procedures and related claims processes. Stay abreast of enforcement-related Workers' Compensation Board program ... requirements.* Proper use of board-issued equipment, such as iPad and iPhone, as designated in enforcement procedures and manuals.* Make phone calls, e-mails, faxes, and various forms of written correspondence to gain/report info. Complete a minimum of three… more
- Walgreens (Montgomery, NY)
- …and professional growth + A problem-solver - You navigate challenges, from insurance claims to medication management, with ease **Apply Today & Build Your Future ... with Walgreens!** This is more than just a job-it's a career with purpose. See below for more details! **About Us** Founded in 1901, Walgreens ( www.walgreens.com ) proudly serves more than 9 million customers and patients each day across its approximately… more
- Walgreens (Peekskill, NY)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows- up with ... insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest alternative medications, and answer… more
- WMCHealth (Valhalla, NY)
- …paperwork related to the filling of prescription + Assisting with insurance claims processing (usually a pharmacist will handle this, but assistant's help will ... be needed - the entire process is done online) + Stocking and pricing of medications in inventory + Ensuring availability of drugs by delivering them to patients or facilities + Maintaining pharmacy's (and its patients' employees') safety by adhering… more
- Oracle (Albany, NY)
- …AI to synthesize insights from multi-modal healthcare data (eg, EHRs, imaging, claims , and demographics) to enhance patient care and operational efficiency. * ... Explore and implement reinforcement learning and human feedback (RLHF) approaches to improve model performance in real-world healthcare settings. 3. **Solution Development** : * Design intelligent AI agents to automate tasks, such as chart reviews, care plan… more
- Oracle (Albany, NY)
- …inpatient/outpatient workflows including verification, dispensing, automation, inventory, and claims management + Strong communication and presentation skills, with ... prior Federal deployment experience a plus **Why You'll Love Working Here** At Oracle Health, you'll be part of a global mission that matters. We're reimagining healthcare with next-generation cloud and AI solutions - and your expertise will help bring that… more
- Highmark Health (Albany, NY)
- …the healthcare industry. + Understanding of health plan operations, including claims processing, enrollment, billing, and customer service. + Proven track record ... of successfully managing complex projects and delivering results on time and within budget. + Strong understanding of the market and competitive landscape. + Excellent communication, interpersonal, and presentation skills. + Demonstrated ability to build and… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient… more
- YesCare Corp (Goshen, NY)
- …upon approval to ensure accurate Coordination of Benefits (COB) on inpatient claims . + **Coordination of Benefits (COB):** + Work closely with Intake Coordinators ... and custody staff to determine if other insurance coverage exists at intake or during sick calls for existing inmates. + Collaborate with the COB Coordinator to search alternative coverage databases when current coverage details are unavailable. + **Tracking &… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of The Dr. Martin Luther King, Jr. Health Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and… more