- Northwell Health (New Hyde Park, NY)
- …and maximize case collections. + Reviews and recommends improvements for financial management of each billing area. + Performs related duties as required. All ... modifiers. + Knowledge National Correct Coding Initiative (NCCI) edits and their impact on claims + Ability to analyze large datasets (eg, claims data, denial… more
- CVS Health (Albany, NY)
- …work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including health insurance, PBM or… more
- Compass Group, North America (Brooklyn, NY)
- …safety and sanitation training* Take the lead in working with the Home Office Risk Management team in responding to or managing any safety and claims issues* ... and settling of team members, foodborne illness, liquor liability and guest claims * Work with local OSHA, sanitation or Everclean inspectors to support inspections… more
- Walgreens (Delhi, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... as assigned by the Pharmacy Manager. + Leads Pharmacy Department inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more
- CVS Health (Amherst, NY)
- …setup essential for online viewing and processing related to Customer Service, Claims , Enrollment, Billing and Reporting in support of internal and external ... experience with benefits interpretation **Preferred Qualifications** + Customer Service, Claims , and or Plan Build preferred + Salesforce experience preferred… more
- City of New York (New York, NY)
- …case folders for accurate claim establishment by accessing and checking the Welfare Management System (WMS), New York City Work Accountability and You (NYCWAY), HRA ... telephone contacts and other means for referral to the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP CR). - Review claims calculations and… more
- City of New York (New York, NY)
- …in casualty lien cases and with mixed recovery cases to assert its liens, claims and child support arrears to meet its statutory recovery goals. The Office of ... Liens, and on mixed recovery cases assert all liens, claims and child support arrears, including extensive litigation, motion...and update notes into Office of Legal Affairs case management system records on case status. - Determine the… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …Identifying business needs and proposing potential analytics approaches for solutions + Budget management **This Role May Be For You If You Have** + Experience ... working with prescription, sales, EMR, claims /patient level data sets inclusive of pharma data sources such as IQVIA, Symphony, Komodo etc. + Experience coding in… more
- Sedgwick (New York, NY)
- …| REMOTE | Casualty/Workers Compensation Experience required + **Program management experience specifically in the Casualty space/Workers Compensation** + **NY ... but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account,… more
- Independent Health (Buffalo, NY)
- …The CSR is called on to research complex issues pertaining to benefits, claims , plans, and eligibility across multiple databases which requires fluency in computer ... excellent customer service experiences. + Strong organizational and time management skills. + Ability to assume responsibility and maintain confidentiality.… more