- Access: Supports For Living (Middletown, NY)
- …collections, and payment processes. + Maintain a clear understanding of claims processing , payer denials, and appeals. + Prepare recurring ... and adjusting journal entries and financial analyses for audits. + Perform monthly and year-end income and receivables analyses, recommending corrective actions. + Monitor and evaluate billing team productivity through KPIs: total revenue, collection rates, AR… more
- Independent Health (Buffalo, NY)
- …Pharmacy Technician Certification (CPhT) preferred. + Experience working with on line claims processing system preferred. + Effective oral and written ... communication skills and an aptitude for working with other health care professionals. + Ability to lift a minimum of 5lbs. + Proven examples of displaying the Reliance values: Collaborative, Accessible, Results-Oriented, Empowering, and Supportive.… more
- Capital One (New York, NY)
- …our systems and platforms that power Fraud defenses and Fraud & Disputes claims processing + Partner cross-functionally with client, cloud infrastructure, and ... machine learning platform teams to align on and co-develop technical solutions. + Architect and build highly secure & scalable systems that enable server-driven product experiences across devices, with exceptional reliability and availability. + Design… more
- Guardian Life (New York, NY)
- …team to deliver AI-centered solutions directed at our largest processes (eg, claims processing , customer service bots, operations automation) to grow our ... business and drive operational efficiency. AI Transformation Leads set strategy, define the product roadmap, and drive execution. They work closely with the data science team who build models, with the technology teams who integrate those models into our… more
- Highmark Health (Albany, NY)
- …their applicability to core healthcare payer operations (eg, utilization management, claims processing , member services). 3. Modeling & Experimentation: Conduct ... experiments in prompt engineering, model fine-tuning, and embedding generation to optimize LLM performance and minimize 'hallucination' for healthcare-specific data. 4. Cross-Functional Collaboration: Partner with data science, engineering, and business… more
- Cardinal Health (Albany, NY)
- …methodology and requirements gathering is a plus. + Basic understanding of operations and claims processing in pharmacy or other healthcare related area is a ... plus. + Basic understanding of low-code/no-code customer service related systems and applications is a plus (ex. Quickbase, SalesForce, etc.) **What is expected of you and others at this level** + Applies working knowledge in the application of concepts,… more
- Albany Leadership (Albany, NY)
- …applicable laws. ? Process Annual FRPL forms and input into the system ? Monthly CN Claims processing ? Assist in ordering and prepping all School event meals ? ... Perform special assignments and other duties as assigned or required by the supervisor. Desired Skills: ? Ability to complete 10 hours of training annually as required by the USDA. ? Experience in quantity food production and preparation preferred. ? Must be… more
- CDPHP (Latham, NY)
- …two (2) years Utilization Management experience is preferred. + Knowledge of coding/ claims processing is preferred. + Experience working with Microsoft Office, ... including Outlook, Word and Excel, and other databases required. + Demonstrated ability to pro-actively identify problems and recommend solutions. + Demonstrated ability to stay organized and work effectively within strict deadlines. + Demonstrated ability to… more
- Albany Medical Center (Albany, NY)
- …school education or equivalent + 1-2 years of experience in medical billing or medical claims processing + Working knowledge in Excel and Word + Ability to work ... independently + Excellent Phone etiquette + Excellent written and oral communication skills + Close attention to detail and organizational skills + Represent the office/Institution in a positive manner + Can marshal resources to complete tasks and orchestrate… more
- WMCHealth (Valhalla, NY)
- …patient paperwork related to the filling of prescription + Assisting with insurance claims processing (usually a pharmacist will handle this, but assistant's ... help will be needed - the entire process is done online) + Stocking and pricing of medications in inventory + Ensuring availability of drugs by delivering them to patients or facilities + Maintaining pharmacy's (and its patients' employees') safety by adhering… more