- Defense Health Agency (Fort Drum, NY)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... Examination. **Licensure:** Applicants must possess a current, active, full, and unrestricted license or registration as a Physician from a State, the District of… more
- Defense Health Agency (Fort Drum, NY)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... Examination. **Licensure:** Applicants must possess a current, active, full, and unrestricted license or registration as a Physician from a State, the District of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and Federal Mandates. + May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical ... and promotional opportunities. All Levels + Associates degree and active NYS RN license required. Bachelors degree preferred. + Minimum of three years of clinical… more
- WTW (New York, NY)
- …day to day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.) + Preparing for and facilitating client meetings (prepare ... Microsoft Office skills, particularly in Excel and PowerPoint + State Life and Health license required within 90 days of joining + Pursuit of CEBS designation, or… more
- Molina Healthcare (Syracuse, NY)
- …experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree and/or equivalent ... industry in related field desired (Regulatory, Compliance and Auditing) **PREFERRED LICENSE , CERTIFICATION, ASSOCIATION:** PMP Certification a plus To all current… more
- Catholic Health Services (Centereach, NY)
- …PharmD degree required PGY1 residency desirable Current, unrestricted pharmacist license in the state of NY required 5+ years community/retail/ambulatory ... similar EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on pharmacy dispensing systems and familiar… more
- City of New York (New York, NY)
- …with significant experience with vendor contract and/or financial auditing, and auditing of claims for payment to assess their validity on a pre or post payment ... supervision of several teams of auditors; or 2. A valid Certified Public Accountant License or a certificate as a Certified Internal Auditor and four years of… more
- Chautauqua Opportunities (Dunkirk, NY)
- …AccuFund including the scanning of the cash receipt backup. * Reconcile payments with claims & correcting any errors resulting in reduction or denial of payment. * ... provide consistent even tempered customer service at all times. * Valid Driver's license * Reliable transportation * Works compassionately with a diverse population more
- MetLife (New York, NY)
- …product knowledge and possess knowledge of plan designs, benefit features and how claims are paid. * Proactive customer focused mindset with strong focus on customer ... diploma * Must already hold or be able to obtain State Life, Accident and Health license within 90 days of date of hire * Regular travel in local market (10% -… more
- Prestige Employee Administrators (Melville, NY)
- …carriers and clients + Collect and maintain plan documentation + Audit plans + Claims assistance + Partner with Accounting to reconcile bill + Benefit system set up ... and the ability to learn and adapt to new systems + Broker license preferred Skills and Personal Qualifications: + Fundamental understanding and experience in… more