- 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
- CUNY (Bronx, NY)
- …disbursements or refunds; keep logs and issues pertinent receipts. - Assists in processing invoices, vouchers, claims , statements, bills, etc. - Perform various ... accounts and in performing reconciliations. - As instructed, examines invoices, claims , vouchers, etc.; verifies documents for accuracy by reviewing supporting data… 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
- 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 (New York, 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
- Walgreens (New Paltz, 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 (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
- 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
- Antech Diagnostics (Lake Success, NY)
- …completed according to established SOPs and reflect current manufacturing processes and label claims . May sort incoming specimens for processing track and sort ... Processors on problems and questions. + Coordinate the resolution to processing related errors. + Help Supervisor enforce departmental policies and procedures.… more
- SUNY Oneonta (Oneonta, NY)
- …Additional responsibilities include coordinating external audits and managing the investigation and processing of small legal claims . Reporting to the Associate ... of audit findings. + Investigate and coordinate the resolution of small legal claims , working with relevant stakeholders as needed. + Conduct daily audits of… more