- Independent Health (Buffalo, NY)
- …Pharmacy Technician Certification (CPhT) preferred. + Experience working with on line claims processing system preferred. + Effective oral and written ... communication skills and an aptitude for working with other health care professionals. + Ability to lift a minimum of 5lbs. + Proven examples of displaying the Reliance values: Collaborative, Accessible, Results-Oriented, Empowering, and Supportive.… more
- Highmark Health (Albany, NY)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be detailed… more
- Insight Global (New York, NY)
- …support a large body of work for the Dispute team's back-office operations. The claims agents use Pega Dispute as their platform to manage credit card disputes and ... parties. Pega is integrated with Mastercard and currently consists of many dispute processing workflows that are manual and require optimization. The goal of this… more
- Mount Sinai Health System (New York, NY)
- …all insurance assessment forms and agreements and ensures they are accurate for claims processing . 8. Performs other related duties. **About Us** **Strength ... through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount… more
- Cardinal Health (Albany, NY)
- …knowledge of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... working with cloud platforms like Google Cloud Platform (GCP) for data processing , model training, evaluation, monitoring, deployment and support preferred. + Proven… more
- Walmart (Westbury, NY)
- …federal laws and Company policies and procedures by assisting with processing prescription and/or over-the-counter (OTC) orders and purchases, stocking and securing ... in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise/supplies,… more
- Humana (Albany, NY)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Delivery focused - time, scope, quality + In-depth knowledge of Medicaid regulations,… more
- Charles Settlement House (Rochester, NY)
- …participating in the childcare food program (CACFP). This includes monitoring meals, processing paperwork, and data input related to the administration of the ... Complete and distribute monthly calendars and newsletters to providers. + Submit monthly claims to Finance and CACFP. + Recruit and onboard new daycare providers. +… more
- Walgreens (Peekskill, NY)
- …enhancements to pharmacy systems to further promote productivity. + 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 participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest… more
- ZOLL Medical Corporation (New York, NY)
- …and other value propositions based on ZOLL products and services.Ensure timely processing of required documentation to prevent delays in the appropriate provision of ... and workflows to achieve operational efficiencies. + Responsible for improved claims billing yield within a defined geography consisting of assigned accounts,… more
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