- Erie 1 BOCES (West Seneca, NY)
- …services to school district clients, including but not limited to, internal claims auditing, payroll, cash management, bank reconciliation and reporting, and other ... Civil Service Qualifications: Must hold permanent status as a Senior Account Clerk Typist Schools, OR; Must be reachable...Typist Schools, OR; Must be reachable on the current Senior Account Clerk Typist Schools civil service list, OR;… more
- Molina Healthcare (Buffalo, NY)
- …subject matter expertise to successfully engage high priority providers, including senior leaders and physicians, to ensure provider satisfaction, education on key ... provider issues that may cross departmental lines and involve Senior Leadership. * Serves as a subject matter expert...3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+… more
- Walgreens (Bethpage, NY)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Delhi, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- City of New York (New York, NY)
- Job Description Claims and Collections pursues monetary recoveries owed to the City of New York from former Cash Assistance recipients who have received 1-Shot deals ... utility arrears as stipulated in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator...(4) four Fraud Investigator II to function as a Senior Fraud Investigator, who will: - Send letters to… more
- Nestle (New York, NY)
- …opportunities for your development and growth. Join us! **POSITION OVERVIEW:** The Senior Safety & Health Specialist will work towards zero unsafe behaviors and ... as all applicable external regulatory requirements. + Initiates WC Claims to insurance provider. + Ensure all locations have...locations have preferred HCP locations. + Follow up on Claims as required. + Partners with Human Resources and… more
- Ankura (Lexington, NY)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... operations, nursing, pharmacy, medical science, economics, accounting, and data science. As a Senior Director, you can expect to: . Demonstrate the highest degree of… more
- City of New York (New York, NY)
- …the Office of Revenue that houses DSS Accountability Office (DSS-AO) (C&C). Claims and Collections (C&C) collects cash assistance overpayments from former cash ... collects monies when the balances exceed the allowable levels. Claims and Collections (C&C) is recruiting (1) one Fraud...(1) one Fraud Investigator II to function as a Senior Investigator, who will: - Send letters to Clients… more
- CVS Health (Albany, NY)
- …with heart, each and every day. **Position Summary** As a Healthcare Encounter Senior Analyst for claim reconciliation in the State Medicaid Encounters ... department, you will work exclusively with Pharmacy generated Medicaid encounters. You will be responsible for researching, analyzing and correcting previously submitted, rejected, Medicaid encounters. A self-starter with a natural curiosity and a high… more
- CVS Health (Albany, NY)
- …organization (internal and external). - Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, ... acumen. - Relationship management: Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at… more