- New York State Civil Service (Liverpool, NY)
- …Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) Claims Med Pay (NYHELPS) Occupational Category IT Engineering, Sciences Salary ... City Liverpool State NY Zip Code 13088 Duties Description As a member of NYSIF's Claims MedPay DBL-PHS team, incumbents of these positions will play a key role in… more
- New York State Civil Service (Liverpool, NY)
- …Insurance Fund, State Title Assistant Insurance Fund Services Representative - Claims - Hearings Division (Hearings Support) (NY HELPS) Occupational Category ... and pay Magna and subpoena process server bills over the straight through processing (STP) limit* Assist with large billing projects, add subpoena documents and… 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
- CVS Health (NY)
- …forward. The position is open in a data engineering team that is responsible for processing Claims , Revenue, and Medicare Specific files and data from 30+ payors ... into our Data Warehouse. **Responsibilities:** + **Team Leadership & Management:** + Lead, mentor, and grow a team of talented data engineers, fostering a culture of technical excellence, collaboration, and continuous learning. + Manage the hiring, training,… more
- Molina Healthcare (Syracuse, NY)
- …proficiency in SQL for large dataset analysis and transformation, specifically in processing healthcare claims data and supporting managed care reporting needs ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… more
- MTA (New York, NY)
- …anticipating and forecasting potential claims ; negotiating and resolving claims /disputes; ensuring proper processing of change orders, contract amendments, ... and payments; and monitoring recovery plans. Contract management responsibilities will include oversight of contract procurement schedule and process, ensuring contract deliverables are received, ensuring MTA C&D compliance with its own contractual commitments… 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 ... related experience + Previous experience in a specialty pharmacy and/or processing prior authorizations is highly desirable + Experience with 340B purchasing… more
- Robert Half Accountemps (Rochester, NY)
- …you will play a critical role in managing billing operations and ensuring accurate processing of medical claims . This opportunity is ideal for professionals with ... and proficiency in industry-standard software. Responsibilities: * Manage and process medical claims efficiently using a variety of billing systems and software. *… more
- CVS Health (Albany, NY)
- …every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a ... and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise.… more
- Westchester Jewish Community Services (White Plains, NY)
- …Care, Medicaid and 3rd Party Insurance. This position ensures timely and accurate processing of claims , collections, and account reconciliations to support the ... financial health of our organization. The salary range for this full-time position is $50,000 to $60,000. Responsibilities: As a valued member of our team, your responsibilities will include, but are not limited to: + Process and review billing for Managed… more
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