- Citigroup (Getzville, NY)
- …an in-depth analysis and develop solutions to issues related to confirmations, processing , post-settlements, claims , and treasury operations + Capable of prompt ... Subject matter expert in at least one area of Securities and Derivatives processing + Advanced knowledge of hedge funds activities including calculation of Net Asset… more
- Humana (Albany, NY)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Robert Half Finance & Accounting (Amherst, NY)
- …+ Handle the processing of disability, FMLA, PFL, and workers' compensation claims , and ADA accommodations + Oversee the processing for Workers Compensation ... 3rd Party Sick Pay + Ensure accurate and timely processing of paperwork + Maintain open communication and good...for efficient management of leaves + Process NYS Unemployment Claims , dispute inaccurate claims , and represent the… more
- Catholic Health (Buffalo, NY)
- …up action for charity care or bad debt processing (3) Active engagement and processing of denied claims or other rebill efforts for follow up or escalation ... to ensure payment. A high level of customer service is expected in this role at Catholic Health. Responsibilities: EDUCATION + High School diploma EXPERIENCE + One (1) - three (3) years relevant experience in healthcare accounts receivable billing or… more
- Walmart (Vestal, NY)
- …resolves problems in the prescription fulfillment process when necessary by processing information for thirdparty insurance claims rescanning illegible images ... procedures by assisting the pharmacist in the prescription fulfillment process processing third party insurance claims andor rejections assisting patientsmembers… more
- Walgreens (Amherst, NY)
- …Seeks new and better ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment ... rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. + Follow-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions, and allergies to suggest alternative… more
- Walgreens (New York, NY)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest… more
- Walgreens (Queens Village, NY)
- …pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational… more
- Catholic Health (Buffalo, NY)
- …and/or require follow up action based on a payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or ... escalation to ensure payment. A high level of customer service is expected in this role at Catholic Health. Responsibilities: EDUCATION + High School diploma with two (2) - five (5) years of experience in billing or Associates Degree in Business or Accounting… more
- Walgreens (Peekskill, NY)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows- up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest… more