- Walmart (East Syracuse, NY)
- …aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates ... optometry school. Licensed optometrist in good standing in state of practice. ** Preferred Qualifications ** _Outlined below are the optional preferred … more
- Molina Healthcare (Rochester, NY)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... **Required Experience** 1-3 years of call center or customer service experience ** Preferred Education** Associate degree ** Preferred Experience** + 3-5 years;… more
- CDPHP (Clifton Park, NY)
- …They will act as a primary resource for billing support, submission of claims , statement management, reporting and other duties as assigned or requested. Billers are ... required. + Experience in a medical office setting strongly preferred . + Knowledge of medical billing and/or collections ...preferred . + Knowledge of medical billing and/or collections preferred . + Experience with Medent preferred . +… more
- Independent Health (Buffalo, NY)
- …**Overview** The Provider Contracting & Reimbursement Analyst-Intermediate will analyze utilization, claims , membership, and cost data in support of Network Contract ... **Qualifications** + Bachelor's degree required. MBA or equivalent advanced degree preferred . An additional four (4) years of experience will be considered… 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 ... + Associates degree and active NYS RN license required. Bachelors degree preferred . + Minimum of three years of clinical experience required. Utilization Management… more
- Singer (Melville, NY)
- …delivery of equipment for inbound, outbound, and offsite. + Negotiating freight claims , experience preferred . + Preparing and tracking sales agreements, ... on bid and estimate job tracking charts for Project Managers, experience preferred . + Partner with manufacturers and their representatives in order to resolve… more
- Molina Healthcare (Syracuse, NY)
- …experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree and/or equivalent ... ABILITIES:** 4+ years experience in health care industry in related field ** PREFERRED EDUCATION:** Bachelor's degree in healthcare related field ** PREFERRED … more
- Cardinal Health (Albany, NY)
- …government programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law, Stark, Beneficiary Inducement Statutes), ... achievement in the undergraduate level and in law school preferred * Active license to practice law in any...minimum of 10 years of experience in related field, preferred in a large complex organization or law firm… more
- Independent Health (Buffalo, NY)
- …. + Ability to lift 40 lbs. + Experience working with an online claims processing system is preferred . + Effective oral and written communication skills ... + High school diploma or GED required. National Pharmacy Technician Certification (CPhT) preferred . + One (1) year of experience working in a high-volume pharmacy or… more
- Rochester Regional Health (Rochester, NY)
- …management of the budget; keep records, document injuries and process insurance claims ; evaluate and recommend new techniques and equipment that would enhance the ... Associate Board of Certification + New York State Licensed Athletic Trainer PREFERRED QUALIFICATIONS: + Familiarity with NJCAA governing rules + Previous experience… more