- Amgen (New York, NY)
- …the process for medication access + Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews + Partner with ... and by extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy. The PAL will work with numerous internal… more
- CVS Health (Albany, NY)
- …- Performs baseline demographic transaction updates in provider system applications in support of claim adjudication and Provider directory. - Performs intake ... processes with other departments regarding database improvements. - Provides support for baseline provider data transactions that cannot be administered… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with MTM, Corporate Service strategy, NCQA, ... First Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other complex… more
- Evolent (Albany, NY)
- …will be part of a team who thrives on driving analysis and support for Evolent's fast growth and innovative risk-based Performance Suite business. **Collaboration ... Medical Cost Action Planning work to identify, size, and support new programs aimed at reducing cost of care...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more
- Zurich NA (New York, NY)
- …School Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... an Associate Degree and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s of business and the legal and… more
- Cognizant (Albany, NY)
- …will make an impact by configuring and maintaining QNXT systems to support provider contracts, benefits, and fee schedules. You will collaborate with stakeholders ... and clarify gaps. + Interpret paper contracts for reimbursement and troubleshooting, claim pending issues. + Create detailed technical design documents and perform… more
- University of Rochester (Rochester, NY)
- …complex secretarial and administrative duties in a fast-paced environment in support of clinical, educational, and academic programs. Responsible for all clinic ... provider patient schedule, coordination of patient care and information/data support . SUPERVISION AND DIRECTION RECEIVED: Receives minimal direction from physician,… more
- Cardinal Health (Albany, NY)
- …understanding of service level goals and objectives when providing customer support . + Demonstrates ability to respond to non-standard requests from vendors ... within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams. **_Responsibilities_** + Provides ongoing… more
- Hannaford (Ballston Spa, NY)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms. * Maintain organized filing system for invoices, manual insurance ... claims , daily reports, etc. in accordance with Standard Practice...our company's management planning guidelines to maintain productivity. * Support company's safety standards. Communicate any needed equipment repairs… more
- New York State Civil Service (NY)
- …Regions 1-3.* Directing Pre-Default Meetings and Show Cause Meetings * Take lead in claim review for claims on contracts in Regions 1-3. Technical Liaison ... and bidding. The incumbent will oversee Regions 1-3 and support the Director in the establishment and modification of...levels, upcoming workload levels, and upcoming staffing needs to support workload in Regions 1-3. * Direct work assignment,… more