- KPH Healthcare Services, Inc. (Malone, NY)
- …in the initial submission, and resubmission (as required) of all third-party claims + Inventory management - proficient in inventory management including ordering & ... as well as other patient centered professional services **Qualifications** **Education** + Preferred : AS Degree or Higher **Qualificaitons** + Preferred hospital… more
- Elevance Health (Latham, NY)
- …and coordinates responses to inquiries. + Works with FEP Customer Service and Claims to resolve member issues. + Remains informed of the various FEHB competitor ... provide an equivalent background. + Health and Life license required. ** Preferred Experience, Skills, and Capabilities:** + Extensive customer service experience,… more
- Highmark Health (Buffalo, NY)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... an RN license or + Bachelor's Degree in Nursing **Substitutions** + None ** Preferred ** + Master's Degree in Business, Finance, or Healthcare related field (can be… more
- Highmark Health (Albany, NY)
- …6 years of related and progressive experience in lieu of Bachelor's degree ** Preferred ** + Master's Degree in Fraud, Forensics Accounting, Business or related field ... progressive experience in the health insurance industry and/or healthcare fraud investigations ** Preferred ** + 1 year in Financial Analysis in an acute care hospital… more
- The Institute for Family Health (New Paltz, NY)
- …Compiles and reports monthly activity as required Shall work to resolve claims issues for assigned accounts receivable Shall develop, analyze and maintain specific ... School Diploma, or equivalent work experience (Required) Associate's degree ( Preferred ) COMPUTER PROFICIENCY (Required) Basic computer and internet navigational… more
- Elevance Health (Latham, NY)
- …or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan ... of education and experience, which would provide an equivalent background. ** Preferred Skills, Capabilities, and Experiences:** + CPCU, CLU, LOMA, HIAA or… more
- J&J Family of Companies (New York, NY)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... advanced business degree (MBA), or public health (MPH) is preferred . + Minimum of 5 years of relevant professional...50% travel. + Permanent residence in the listed territory ** PREFERRED ** + Immunology disease state experience + Advanced degree… more
- Walmart (Cheektowaga, NY)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... position. Must be 18 years of age or older ** Preferred Qualifications ** _Outlined below are the optional ...Preferred Qualifications ** _Outlined below are the optional preferred qualifications for this position. If none are listed,… more
- Walmart (Medford, NY)
- …area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, ... position. Must be 18 years of age or older ** Preferred Qualifications ** _Outlined below are the optional ...Preferred Qualifications ** _Outlined below are the optional preferred qualifications for this position. If none are listed,… more
- MVP Health Care (Rochester, NY)
- …data highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA HEDIS and NYS QARR) ... or more years of related work experience. Master's degree preferred . + Minimum 3 years of analytics experience with...standards strongly preferred + Strong analytical skills, with the ability to… more