- CVS Health (New York, NY)
- … processes analysis. Facilitate effective solutions related to adjudication and processing of pharmacy and vaccine/medical claims , maintaining current services, ... and actions **Required Qualifications** + 2+ years of experience with pharmacy claims adjudication and NCPDP standards + 3+ years of analytical experience within… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...Preferred: Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred: Experience… more
- Robert Half Accountemps (Cheektowaga, NY)
- …skilled and detail-oriented individual to join our team as a Billing/ Claims /Collections specialist in Cheektowaga, New York. This long-term contract position offers ... with internal teams and external partners to ensure efficient deduction processing , claim management, and exceptional communication. If you excel at problem-solving… more
- Baylor Scott & White Health (Albany, NY)
- …issues. + Knowledge and expertise of medical benefit policies and plan designs, claims hospital and medical processing , and adjudication with data skills. + ... to ensure the accurate configuration of business requirement + Analyze larger sets claims data to evaluate patterns of billing as it relates to benefit design… more
- New York Racing Association (NY)
- …between all parties (stewards, bookkeeper's office, and Clerk of Scales) during the processing of claims during a claiming race. + Stakes Coordinator: Assist ... on a team that is responsible for additional functions, such as Placing, Claims , Paddock, assisting Stakes Coordination, or the Clerk of Scales. Essential Functions:… more
- Robert Half Accountemps (Rochester, NY)
- …update records. * Assist with claim administration, including resolving billing discrepancies and processing claims . * Respond to inbound calls from clients to ... address payment-related inquiries and provide solutions. * Prepare and send invoices, ensuring accuracy and compliance with company policies. * Collaborate with other departments to address issues impacting collections and billing. * Maintain accurate… more
- City of New York (New York, NY)
- …guidelines. The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; ... monitoring the financial health of provider agencies through financial review and audits; maintenance of the ACS bank accounts; centralized oversight of ACS Child Welfare financial eligibility; and data maintenance for financial systems of record. The Audit… more
- Fiserv (New York, NY)
- …database with client information. + Handle inquiries related to unclaimed property, processing claims from individuals or entities. + Oversee the preparation ... and submission of unclaimed property reports to reporting jurisdictions, guaranteeing accuracy and timeliness. + Manage and maintain accurate records of unclaimed property, including tracking, reporting, and reconciling accounts. + Recover assets for Fiserv… more
- City of New York (New York, NY)
- …guidelines. The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; ... monitoring the financial health of provider agencies through financial review and audits; maintenance of the ACS bank accounts; centralized oversight of ACS Child Welfare financial eligibility; and data maintenance for financial systems of record. The Payment… more
- Catholic Health Services (Centereach, NY)
- …in Epic or similar EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on pharmacy dispensing systems ... related experience Previous experience in a specialty pharmacy and/or processing prior authorizations is highly desirable Experience with 340B purchasing… more