- CDPHP (Latham, NY)
- …as Marketing, Enrollment, Pharmacy (internal and external), Provider Services, and Claims Operations to resolve member inquiries as defined within Member Services ... customer. Representatives are required to handle multiple product lines, complete system updates and respond to members via telephone and correspondence.… more
- Albany Medical Center (Albany, NY)
- …applies skills and knowledge of currently mandated coding and classification systems , and official resources to select the appropriate diagnostic and procedural ... requirements. Essential Duties and Responsibilities + Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by… more
- Stony Brook University (Commack, NY)
- …negotiation, and management of all Managed Care contracts for the health system , ensuring compliance with contractual obligations, State and Federal regulations, and ... timeframes. + Support internal operational departments by addressing contractual disputes, claim denials, and reimbursement issues. + Participate in and support… more
- CVS Health (Amherst, NY)
- …+ Process accurate and timely policy and eligibility data utilizing administration systems for claim payment purposes and product production ensuring services ... issues + Partner directly with clients, vendors, internal teams, and/or local claim operation to resolve problems and achieve positive outcomes + Anticipate and… more
- OLV Human Services (Lackawanna, NY)
- …patient insurance verifications utilizing other 3rd party payer portals verification systems . - Demonstrates friendly, courteous attitude in all communications. - ... Utilizes denial reports to assess root causes of dental claim denials monitor denials for frequency, eligibility, clinical; takes...* Reconciles daily schedules and charges * Creates electronic claim for submission to 3rd party payors * Provides… more
- City of New York (New York, NY)
- Job Description The New York City Employees' Retirement System (NYCERS) was founded by the New York State Legislature in 1920 with 13,331 members. Today, NYCERS has ... grown into one of the largest municipal public employee retirement systems in the United States with nearly 375,000 active/vested members, retirees and… more
- Walmart (Greece, NY)
- …3: 1 year's experience in one of the following areas: accounting, claims , inventory control, systems /UPC, personnel, or loss prevention/asset protection in ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Touro University (Valhalla, NY)
- …serve as an expert in the TouroOne Buy (Unimarket) online purchasing system , processing purchase orders, retrofit orders (check requests), blanket orders, and ... employee expense claim reimbursements. Additionally, manage the processing of honoraria payments...permissions for department funds within the Banner and Unimarket systems . Support departments and the College Budget Office by… more
- Leprino Foods (Waverly, NY)
- …orientation process for new hires. + Maintains the online application system , including real time status updates on applications and requisitions, communicating ... of quarterly standard deviation reporting. + Confidentially manages electronic filing system for HR-specific records and employee files, such as personnel, safety,… more
- Kelly Services (Rochester, NY)
- …+ Serve as content expert and liaison for prior authorization intake and claims systems interface + Triage daily workflow, monitor queues, monitor compliance ... information + Communicate with pharmacies/physician offices for clarification on requests and claims + Act as lead troubleshooter for pharmacy help desk, customer… more