- Constructive Partnerships Unlimited (Brooklyn, NY)
- …the code of business conduct, the NYS and federal false claims act, whistleblower protection and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. SUPERVISES: + Medical Case Manager Counselors more
- KPH Healthcare Services, Inc. (Moravia, NY)
- …in the initial submission, and resubmission (as required) of all third-party claims + Inventory management - proficient in inventory management including ordering & ... receiving processes, inventory freshness; proficient with return to stocks and cycle counting + Assist in the checking of pharmacy inventory for outdates and processing all returns + Locating prescription files and other manual records from storage as needed +… more
- Walmart (Westbury, NY)
- …in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise/supplies, ... identifying shrink and damages, and ensuring a safe work environment. Maintains merchandise presentation in the Pharmacy by stocking and rotating merchandise, removing damaged or out-of-date goods, setting up, cleaning, and organizing product displays, signing… more
- Shinda Management Corporation (Queens Village, NY)
- …processing and reviewing EIV reports/corrections, repayment agreements, and process special claims + Pre-audit LIHTC/HUD and HOME tenant files for all properties ... including mixed-blended + Assist with preparation of site audits + Assist with the LIHTC portion of the rent ups + Assist with review of Certified Rent Rolls mid-year and at year end + Assist with preparation of Annual Owner Certifications + Tracking and… more
- Highmark Health (Albany, NY)
- …Strong understanding of end-to-end RCM processes, including billing, coding, collections, claims processing, and payer relationships. + Proven track record of ... driving process improvement and automation in RCM operations. + Demonstrated ability to manage large teams, with a focus on performance management and talent development. + Strong financial acumen, with the ability to analyze data and provide actionable… more
- Catholic Health (Buffalo, NY)
- …moral, ethical and social expectations placed on the health care provider who claims a Catholic identity + Well-formed in Catholic tradition, knowledge of Catholic ... theology and catholic social teaching + At least two years of experience in one or more of the following are recommended: health care, education, mission or spiritual care KNOWLEDGE, SKILL AND ABILITY + High level of interpersonal, facilitative and… more
- Cardinal Health (Albany, NY)
- …a background in healthcare (such as medical assistant, working in medical claims /billing, pharmacy technician, clinician in a doctor's office, etc) or with insurance ... verification - highly preferred * Ideally targeting individuals with a high level of attention to detail, eagerness to learn, willingness to collaborate and communicate effectively * Ability to work in an environment that involves a high volume of varying… more
- New York State Civil Service (Rensselaer, NY)
- …decisions, Section 1983 Federal Civil Rights litigation, and NYS Court of Claims matters.Additional duties will be discussed in detail during the interview. Minimum ... Qualifications Transfer: One year of permanent competitive or 55b/c service in this title or in a title eligible for 70.1 or 52.6 transfer.Open to the Public: This title is part of the New York Hiring for Emergency Limited Placement Statewide program (NY… more
- Humana (Albany, NY)
- …processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; ... Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Delivery focused - time, scope, quality + In-depth knowledge of Medicaid regulations, policies,… more
- Guardian Life (New York, NY)
- …+ Partner with leaders and key stakeholders across dental network, product, claims , service, finance and other business areas to pressure test recommendations, gain ... buy-in and implement solutions as well as with Finance and Actuarial to develop annual growth plans and obtain buy in from network management. + Collaborate with Finance and Actuarial to prepare and enhance our comprehensive monthly and quarterly reporting… more