- Capital Region BOCES (Albany, NY)
- …sorts and distributes incoming mail. + Checks, codes and processes requisitions, claims and bills. + Prepares and maintains financial, statistical and personnel ... accredited by the New York State Board of Regents to grant degrees with an Associate 's degree in secretarial science or a closely related field and one (1) year of… more
- Molina Healthcare (NY)
- …Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate 's Degree or equivalent provider contract, network development and management, ... & ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed… more
- CVS Health (Albany, NY)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... Customary (calculations) and cost-benchmarking for drugs, supplies, and services. + Associate 's Degree. **Education** + High School Diploma or GED. **Anticipated… more
- Deloitte (Jericho, NY)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) exams, or achieved Associate -level status (ASA/ACAS) or higher. The wage range for this role takes… more
- Molina Healthcare (Buffalo, NY)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... eligibility) to guide technical decisions. REQUIRED EDUCATION: + Bachelor's or Associate 's degree in Data Science, Computer Science, Analytics, Information Systems,… more
- Claxton-Hepburn Medical Center (Carthage, NY)
- …gathered is used to determine the hospital database and reimbursement of hospital claims . EDUCATION: Required: + High school diploma or equivalent Preferred: + Three ... to five years of post-secondary education related to an Associate 's Degree in Medical Record Technology LICENSES AND CERTIFICATIONS: Required: + CCS/CCA TRAINING and… more
- NASCO (Albany, NY)
- …Skills, Abilities and Experience:** + General knowledge on NASCO's BlueCard, Claims , Membership and E-business product offerings. + General knowledge of NASCO ... home_** . This benefit offers significant, personalized outcomes for each associate including work/life balance, savings on commuting, work clothing, and increased… more
- New York State Civil Service (Albany, NY)
- …parties.*Routinely communicate with NYSIF Actuarial to obtain info about claims .*File forms and correspond with the Workers' Compensation Board.*Process basic ... required independence in both verbal and written communication responsibilities; OR *An associate degree or higher and two years of customer service experience that… more
- Humana (Albany, NY)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Capital Region BOCES (Albany, NY)
- …of daily, weekly and monthly reports which are compiled into summary reports or claims for state or federal reimbursement. + Prepares in final format accounting and ... from a New York State or regionally accredited college with an Associate 's Degree in Accounting, Business Administration or Business Management and one (1)… more