- CDPHP (Latham, NY)
- …to detail is key to this role. + Demonstrated knowledge of all claims processing systems, contracts, and riders. + Keen analytical skills, organizational, ... project management and excellent verbal and written communication skills, as well as the ability to interact with all levels of management, staff at other plans and outside professionals. + A thorough knowledge of current policies, procedures, and rules for… more
- Humana (Albany, NY)
- …impact** **Required Qualifications** + 3 years or greater with Medicare and/or Medicaid claims processing or auditing experience + 1+ years of leadership, ... coaching and/or team leadership experience + Experience with analyzing and visualizing large data sets + Prior experience in a fast-paced insurance or health care setting + Ability to manage multiple tasks and deadlines with attention to detail + Excellent… more
- CDPHP (Latham, NY)
- …two (2) years Utilization Management experience is preferred. + Knowledge of coding/ claims processing is preferred. + Experience working with Microsoft Office, ... including Outlook, Word and Excel, and other databases required. + Demonstrated ability to pro-actively identify problems and recommend solutions. + Demonstrated ability to stay organized and work effectively within strict deadlines. + Demonstrated ability to… more
- Capital One (New York, NY)
- …our systems and platforms that power Fraud defenses and Fraud & Disputes claims processing + Partner cross-functionally with client, cloud infrastructure, and ... machine learning platform teams to align on and co-develop technical solutions. + Architect and build highly secure & scalable systems that enable server-driven product experiences across devices, with exceptional reliability and availability. + Design… more
- Highmark Health (Albany, NY)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... education/training background in coding and reimbursement + Registered Health Information Associate (RHIA) credential **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work… more
- Albany Medical Center (Albany, NY)
- …school education or equivalent + 1-2 years of experience in medical billing or medical claims processing + Working knowledge in Excel and Word + Ability to work ... independently + Excellent Phone etiquette + Excellent written and oral communication skills + Close attention to detail and organizational skills + Represent the office/Institution in a positive manner + Can marshal resources to complete tasks and orchestrate… more
- Highmark Health (Buffalo, NY)
- …the supervisor's functions. + Act as subject matter expert for benefit plan and claims processing + Research and investigate any privacy or compliance concerns ... (CMS, HIPAA, internal policy, etc.).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate, which may involve working across teams and with different levels of… more
- WMCHealth (Valhalla, NY)
- …patient paperwork related to the filling of prescription + Assisting with insurance claims processing (usually a pharmacist will handle this, but assistant's ... help will be needed - the entire process is done online) + Stocking and pricing of medications in inventory + Ensuring availability of drugs by delivering them to patients or facilities + Maintaining pharmacy's (and its patients' employees') safety by adhering… more
- Trinity Health (Latham, NY)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... customer service activities. + Consideration may be given for commensurate customer service experience in another industry. + Knowledge of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid, Social Security Disability,… more
- Independent Health (Buffalo, NY)
- …National Pharmacy Technician Certification (CPhT) preferred. + Experience working with online claims processing system preferred. + Effective oral and written ... communication skills and an aptitude for working with other health care professionals. + Proven examples of displaying Reliance values: Collaborative, Accessible, Results-Oriented, Empowering, and Supportive. **Essential Accountabilities** + Answer patient and… more