- New York State Civil Service (Schenectady, NY)
- … Associate Workers' Compensation Examiner within the Office of Operations/ Claims Operations/No Insurance unit, the Worker's Compensation Examiner's duties will ... Discrimination, World Trade Center Volunteer and World Trade Center employee claims for Proposed Decision or Hearing* Processing calendar returns* Processing… more
- Walmart (Brockport, NY)
- …facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures ... training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Elderwood (Buffalo, NY)
- …(Long Term Care Preferred) or Pharmacy Technician experience in retail, long term care or hospital. + Experience with Pharmacy claims and various types of ... + Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system. + Skilled nursing facility, assisted… more
- Walgreens (Staten Island, NY)
- …This apprenticeship program gives you an entry point to a career in health care by guiding you in taking steps towards becoming a Pharmacy Technician Certification ... the high level of skill required in the pharmacy care industry. Arming you with a nationally recognized, portable...registers. + Models and delivers a distinctive and delightful customer experience. ** Customer Experience** + Engages customers… more
- Highmark Health (Albany, NY)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment **Preferred** + Associate degree + Pharmacy technician ... completely in the appropriate systems. + Monitor member medication adherence through claims data analysis and other available resources. + Identify and resolve… more
- University of Rochester (Rochester, NY)
- …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and ... between the referral source, patient, pharmacy, insurance, and staff to ensure coordinated care . The PAR will be assigned to incoming referrals or a set of… more
- BronxCare Health System (Bronx, NY)
- Overview Reports to Manager of Unit Associates and works on Patient Care Units to perform clerical and receptionist duties related to the day-to-day operations of ... and equipment. Assist in the coordination of patient flow and coordination of Patient Care Services under the Patient Care Manager of the designated unit.… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and converting groups to new product lines, and working closely with Operations, Customer Care , Claims , and Finance/Underwriting departments to support group ... patterns and/or trends generated by external and internal action affecting customer satisfaction and consistently and independently recommends and initiates changes… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …more work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
- Molina Healthcare (Yonkers, NY)
- …in FWA or related work. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Health Care Anti-Fraud Associate (HCAFA). + Accredited Health Care Fraud ... investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable… more
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