- Molina Healthcare (Yonkers, NY)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies. * Assists with… more
- Robert Half Office Team (Cooperstown, NY)
- …and prioritize tasks to meet deadlines efficiently. * Work with disability claims and TRICARE-related documentation as needed. * Maintain professionalism and adhere ... document management systems. * Attention to detail for verifying and processing sensitive patient information accurately. TalentMatch(R) Robert Half is the world's… more
- Air National Guard Units (Syracuse, NY)
- …education, and/or training that has provided a basic knowledge of data processing functions and general management principles that enabled the applicant to ... provide a copy of Official Transcripts as documentation to support your educational claims . To receive credit for Education, you must provide documentation of proof… more
- Walgreens (Staten Island, NY)
- …accordance with Walgreens standard operating procedures for entering, third party processing , filling, and dispensing prescriptions. + Assists pharmacists and other ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Racker (Ithaca, NY)
- …Generates reports to track utilization data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends and generates reports for ... with new-hire orientations - to include providing benefits information and processing clearances. + Performs quality checks of benefits-related data, including PPACA… more
- Elderwood (Williamsville, NY)
- …Order name badges, business cards and computer access as needed.17. Timely processing of employee termination and maintain staff roster in several databases.18. ... work expectations. Unemployment & Workers Compensation28. Ensure timely response to claims for unemployment insurance. Verify that all termination data isreported to… more
- City of New York (New York, NY)
- …responsible for managing payments for over 500 active contracts. - Direct the processing of approximately 30,000 Medicaid reimbursement claims per month, related ... to a class-action settlement. - Develop and enforce accounting policies, internal controls, and financial reporting systems within FMS to ensure compliance and efficiency. - Verify expenditures and program eligibility through the Passport system and close… more
- Trinity Health (Niskayuna, NY)
- …and practice workflows: + Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties including but not limited ... to: + Document processing + Scanning + Inbox monitoring + Complies with Patient Centered Medical Home (PCMH) care delivery model. + Performs all mandatory training.… more
- CVS Health (Albany, NY)
- …and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, ... of problem solving and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High School Diploma or equivalent… more
- Trinity Health (Clifton Park, NY)
- …and practice workflows: + Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties including but not limited ... to: + Document processing + Scanning + Inbox monitoring + Performs other duties as assigned. **What you will need:** + High School Diploma or equivalency +… more
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