- Walmart (Elmira, NY)
- …merchandising; and completing required documentation. Tracks and processes claims by returning damaged goods; handling liquidation merchandise; maintaining ... listed, there are no minimum qualifications._ Minimum Qualifications Forklift Certification OR will obtain a Forklift Certification ...Forklift Certification OR will obtain a Forklift Certification within 30 days of job entry date. Must… more
- Molina Healthcare (Rochester, NY)
- … Certification , Association** Active and unrestricted Pharmacy Technician Certification **Preferred Education** Associate degree **Preferred Experience** 3+ ... Services, pharmacies, and health plan providers in resolving member prescription claim , prior authorization, or pharmacy services access issues. + Articulates… more
- Molina Healthcare (Yonkers, NY)
- …least 5 years of experience in FWA or related work. **PREFERRED LICENSE, CERTIFICATION , ASSOCIATION** : + Health Care Anti-Fraud Associate (HCAFA). + Accredited ... Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects… more
- Towne Park (Manhasset, NY)
- …are not eligible for benefits outlined above. **SUMMARY** The Guest Service Associate is responsible for providing exceptional hospitality services to guests in an ... attentive, friendly and efficient manner. The Guest Service Associate is responsible for parking and retrieving guest vehicles in a prompt yet safe manner and… more
- WMCHealth (Valhalla, NY)
- …for specialty medications, tracking expiring authorizations and renewals + Review claims and rejections to determine required follow-up, ensuring timely resolution ... continuity of care + Manage daily billing operations, including submission of claims and coordination with prior authorization technicians as needed + Process… more
- Walmart (Waterloo, NY)
- …mentoring of associates assigning duties settingclear expectations providing associate recognition communicating expectations consistently and effectively ensuring ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Highmark Health (Albany, NY)
- …and other related software. + Strong analytical and communication skills Preferred + Associate 's Degree + 3 years with claims processing and data management ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- University of Rochester (Rochester, NY)
- …related to the following: + Bankruptcy filings and resolution + Estate Claim verification + Presumptive financial assistance + Other recommendations to resolve ... to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +...Based Reports + Budget Plans + Insurance billing **QUALIFICATIONS:** Associate 's degree in Business Administration and 2 years of… more
- CVS Health (Albany, NY)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies,… more
- City of New York (New York, NY)
- …attorneys, Estate executors, Administrators, Fiduciaries, and Beneficiaries); eg, Proof of claim , Notice of Lien. - Manage, maintain, and organize all papers ... HRA's One Viewer. - Obtain Welfare Management System (WMS), Claim Detail Report (CDR) and Division of Accounts Receivable...Council for Higher Education Accreditation (CHEA); or 2. An associate degree or completion of 60 semester credits from… more