- Trinity Health (Rensselaer, NY)
- …standards and practice workflows: Scheduling and registration Check-in Check-out Charge entry/ claims End of day processes General duties including but not limited ... to: Document processing Scanning Inbox monitoring Complies with Patient Centered Medical Home (PCMH) care delivery model. Performs all mandatory training. Maintains… more
- Healthfirst (NY)
- …service appeals utilizing appropriate sources of information; including eligibility, claims , authorizations, service forms, faxes, and any additional information ... auditing and handling of specific appeal and grievance requests including processing where applicable, tracking, documenting, reporting and dispersal of findings and… more
- Walgreens (Manlius, NY)
- …pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …Directors to secure appropriate backup source documentation to substantiate invoices and claims + Ensure payroll reports are reviewed and corrections returned to the ... timesheets on a bi-weekly basis and submit them to the payroll department for processing . Ensure proper staff coverage for scheduled and unscheduled time off; + Hold… more
- CVS Health (NY)
- …regulations, and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post ... go-live validation + QNXT Experience + Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & CV) + Extensive knowledge of CPT, HCPCS, ICD-10 coding **Preferred Qualifications** + Prior Relevant Work Experience… more
- Humana (Albany, NY)
- …Qualifications** + Associate's or Bachelor's Degree + Previous experience in medical claims processing + Grievance and appeals experience + Medical terminology ... experience + Prior experience with Medicare + Ability to manage large volume of documents including tracking, copying, faxing and scanning + Excellent interpersonal skills with ability to sensitively and compassionately interact with geriatric population… more
- Walgreens (Rochester, NY)
- …accordance with Walgreens standard operating procedures for entering, third party processing , filling, and dispensing prescriptions. + Assists pharmacists and other ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- JPMorgan Chase (New York, NY)
- …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... banking, consumer and small business banking, commercial banking, financial transaction processing and asset management. We offer a competitive total rewards package… more
- JPMorgan Chase (New York, NY)
- …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... banking, consumer and small business banking, commercial banking, financial transaction processing and asset management. We offer a competitive total rewards package… more
- Trinity Health (East Greenbush, NY)
- …and practice workflows: + Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties including but not limited ... to: + Document processing + Scanning + Inbox monitoring + Complies with Patient Centered Medical Home (PCMH) care delivery model. + Performs all mandatory training.… more