- KPH Healthcare Services, Inc. (Syracuse, NY)
- …improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical information to ... Duties:** + Manages the existing process of medical billing in the specialty pharmacy space to ensure prompt submission and reconciliation of claims from specialty… more
- Merck (Albany, NY)
- …thrive in a team environment and are driven to succeed. The Rare Disease Account Specialist serves as a key point of contact to customer accounts for our Company's ... leaders practicing within a designated territory **Key capabilities & competencies:** **Scientific/ Clinical Proficiency:** + Deep understanding of clinical and… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …selecting billing and shipping methods for incoming patient orders + Provide clinical services in TherigySTM + Provides resolution to customer service issues to ... **Educational Requirements:** + Minimum: High School Diploma or GED + Preferred: Pharmacy technician or related certification **Experience:** + Past experience in a… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …non-covered items + Facilitate prior authorization process for customers + Provide clinical services in TherigySTM + Customer service coverage for incoming calls and ... **Educational Requirements:** + Minimum: High School Diploma or GED + Preferred: Pharmacy technician or related certification **Experience:** + Past experience in a… more
- Bristol Myers Squibb (Flushing, NY)
- …+ Creates demand for BMS medicines by articulating in a balanced manner the clinical and scientific rationale for use of products in appropriate patients. + Engages ... HCP / nurse. + Ability to communicate scientific or clinical data accurately and convincingly to help physicians best...then in effect and may include the following: Medical, pharmacy , dental and vision care. Wellbeing support such as… more
- Bristol Myers Squibb (Poughkeepsie, NY)
- …+ Creates demand for BMS medicines by articulating in a balanced manner the clinical and scientific rationale for use of products in appropriate patients. + Engages ... HCP / nurse. + Ability to communicate scientific or clinical data accurately and convincingly to help physicians best...then in effect and may include the following: Medical, pharmacy , dental and vision care. Wellbeing support such as… more
- Bristol Myers Squibb (Manhattan, NY)
- …+ Creates demand for BMS medicines by articulating in a balanced manner the clinical and scientific rationale for use of products in appropriate patients. + Engages ... HCP / nurse. + Ability to communicate scientific or clinical data accurately and convincingly to help physicians best...then in effect and may include the following: Medical, pharmacy , dental and vision care. Wellbeing support such as… more
- Rochester Regional Health (Rochester, NY)
- …timely access to treatment. + Collaborate with providers to gather clinical documentation and assist patients with enrollment in pharmaceutical assistance programs, ... + 2 years work experience in a healthcare settings, medical billing, pharmacy , or insurance verification. PREFERRED QUALIFICATIONS: + Associates Degree in healthcare… more
- Highmark Health (Albany, NY)
- …requirements and CMS Stars rating measures including HEDIS, CAHPS, Pharmacy , HOS, PQA, PQRS. + Supportdevelopment of the overall conceptualization, ... + 7 years of experience in managed care, primary care management or other clinical setting. + Experiencein Lean, Six Sigma, TQI, TQC or other quality management… more
- Molina Healthcare (Albany, NY)
- …Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and...experience (such as specialties in: surgical, Ob/Gyn, home health, pharmacy , etc.). + Experience demonstrating knowledge of ICD-9, CPT… more