- Healthfirst (NY)
- …Finance, or Business Administration from an accredited institution preferred. + Certification in claims processing or related area (eg, CPC, AIC) WE ARE AN ... Responsibilities:** + Oversee the enrollment process, ensuring timely and accurate processing of new and modified enrollments, renewals, and terminations. +… more
- YAI (Manhattan, NY)
- …remittance statements, collections reports, etc.) to assess the correctness of claims submitted for processing , identifying and communicating discrepancies, ... in assigned clinic(s) with the execution of timely and accurate bill processing through commercial insurance, Medicare and/or Medicaid and assessing eligibility for… more
- CDPHP (Albany, NY)
- …+ Demonstrated ability to determine, analyze and solve problems related to benefits, claims processing , claims and benefit appeals/complaints, enrollment and ... as Marketing, Enrollment, Pharmacy (internal and external), Provider Services, and Claims Operations to resolve member inquiries as defined within Member Services… more
- Independent Health (Buffalo, NY)
- …to pharmacy system administration and reporting, vendor delegation oversight, medical pharmacy claims processing and training. They will establish and monitor ... as pharmacy department subject matter expert on medical drug claims . + Coordinate with pharmacy clinical team and system...clinical team and system configuration to ensure medical drug claims are built and processed as intended. + Maintain… more
- Mount Sinai Health System (New York, NY)
- …claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing claims , maintaining related files and logs, and checking ... in solving payment and other business office issues. 2. Monitors processing of claims for reimbursement and ensures all necessary documentation and attachment… more
- Highmark Health (Buffalo, NY)
- …AND CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Auditing + Claims Processing + Customer Service + Billing Systems + Benefit Coding ... **EXPERIENCE** **Required** (one or more of the following) + 3 years in Claims Support and Processing + 3 years in Customer Service + 3 years in Billing +… more
- General Dynamics Information Technology (Menands, NY)
- …best practices, experience with manual testing tools and have knowledge of health care claims processing . We are looking for a qualified candidate who has a ... as an individual. + Preferred Skills: + MMIS related claims and ancillary transaction processing + Knowledge of Electronic Data Interchange (EDI) - HIPAA… more
- Independent Health (Buffalo, NY)
- …daily basis. Assist in interpreting database information as it relates to pharmacy claims processing . + Assist with PBM implementation by identifying potential ... department with various data entry projects/information as they relate to pharmacy claims processing . C. Administrative Duties + Provide accurate and up-to-date… more
- Robert Half Office Team (Syracuse, NY)
- …manage time effectively in a fast-paced environment. * Experience with insurance authorization, claims processing , and patient intake. * Attention to detail and ... seamless experience for all visitors. * Handle insurance authorizations and claims administration with precision and efficiency. * Coordinate billing tasks, ensuring… more
- Highmark Health (Albany, NY)
- …ESSENTIAL RESPONSIBILITIES: 1. Ensure the consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit ... of specialization. Exempted experience requirements effective August 2016. + Experience in claims and/or inquiry processing or equivalent experience in quality +… more