- Datavant (Albany, NY)
- …resolving complex coding edits efficiently and accurately to ensure timely and compliant claim processing .** **What You Will Do:** + Review medical records and ... and optimizing service outcomes in both hospitals and alternative care settings. ** Claim edit experience is required; Must be proficient in resolving claim… more
- Northwell Health (Lake Success, NY)
- …time off. In this role you will be ensuring timely and accurate claims processing , managing denials, and assisting with billing-related reporting and audits. ... office. Requirements: * 5+ years of experience in medical billing and claims processing , and insurance follow-up. * Certification in medical billing and coding… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... unified view of stakeholder interactions. + Apply natural language processing (NLP) to extract insights from unstructured medical texts,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Walmart (North Tonawanda, NY)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …Assist in billing and cash application of Medicaid/Medicare/DME/Home Infusion claims . Manage open accounts receivable which requires rebilling within timely ... Duties:** + Manual billing and payment application for secondary insurances, Noble Medical Billing Claims , home infusion claims , and DME claims + Oversight… more
- CVS Health (Amherst, NY)
- …and timely policy and eligibility data utilizing administration systems for claim payment purposes and product production ensuring services and products meet ... issues + Partner directly with clients, vendors, internal teams, and/or local claim operation to resolve problems and achieve positive outcomes + Anticipate and… more
- CUNY (New York, NY)
- …disbursements or refunds; keep logs and issues pertinent receipts. - Assists in processing invoices, vouchers, claims , statements, bills, etc. - Perform various ... accounts and in performing reconciliations. - As instructed, examines invoices, claims , vouchers, etc.; verifies documents for accuracy by reviewing supporting data… more
- New York State Civil Service (Latham, NY)
- …such as interns, and/or directly perform the more difficult or complicated clerical processing and office support work for which substantive knowledge of the program ... appointments, meetings, and travel using various office tools.* Perform routine processing activities, including checking forms for completeness and accuracy.* Type,… more
- New York State Civil Service (Albany, NY)
- …appropriate bureaus. * Monitors Albany Claims Bureau E-filing and Albany Claims Bureau mailboxes, including downloading and processing , as necessary. * ... Processes all electronically and hard copy mail received from the Court of Claims including entering information into NYMatters, emailing the assigned AAG and … more
- Walmart (Cheektowaga, NY)
- …resolves problems in the prescription fulfillment process when necessary by processing information for thirdparty insurance claims rescanning illegible images ... procedures by assisting the pharmacist in the prescription fulfillment process processing third party insurance claims andor rejections assisting patientsmembers… more
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