- Northern Rivers Family Services (Albany, NY)
- …for Northern Rivers and affiliates. You will report to the Revenue and AR Manager and work onsite. Responsibilities: + Perform billing for a variety of programs ... Submit billing data to insurance providers (including Medicaid) through electronic or paper claims . + Perform posting charges and completion of claims to payers.… more
- City of New York (New York, NY)
- …requirements, and internal policies related to the payment of daily healthcare claims and monthly administrative fees. 2. Claims Data Validation: Verify the ... accuracy, completeness, and timeliness of daily healthcare claims payment data submitted by the health plan prior...fire, casualty or surety insurance as a corporate insurance manager , insurance agent, insurance underwriter or insurance broker; or… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... Acts as a resource to staff members. + Provides back-up for Supervisor/ Manager , whenever necessary. Minimum Qualifications: NOTE: We include multiple levels of… more
- Utilities Service, LLC (Queens County, NY)
- …the benefits available for this role, please contact the recruiter or hiring manager . **Individuals with a disability who desire a reasonable accommodation can ... are appropriate for the causes. + Assist the Regional Manager with an assignment of recommendations to individuals, and...Safety Management Process _(SMP)_ . Monitor and review current claims . + Work with the Home Office Claim Examiners… more
- Sharecare (Albany, NY)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... vision plans + Support for spending accounts, pharmacy, and disability . + Assistance with incentives and rewards + Aid...resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization… more
- New York State Civil Service (Melville, NY)
- …11747 Duties Description * Manage the day-to-day duties as a medical only Case Manager in the NYS Segment.* Work-up and process Workers' Compensation claims .* ... via phone and email.* Routinely communicate with employers to obtain info about claims .* File forms and correspond with the Workers' Compensation Board.* Review … more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …+ Experience working with Oncology datasets, including prescription, sales data and claims /patient level data sets inclusive of pharma data sources such as IQVIA, ... LAAD, MMIT, etc. ) + Experience working with prescription, sales data and claims /patient level data sets inclusive of pharma data sources is required (e.gl, IQVIA,… more
- Lithia & Driveway (Albany, NY)
- …the Warranty Administrator prepares, submits, and tracks warranty repair orders and claims . The Warranty Administrator is responsible for the accuracy and timeliness ... that is easily understood and accessible to the warranty manager that is set by the manufacturer's guidelines and...highly preferred + Experience preparing, recording, and submitting warranty claims + Experience Processing warranty claims on… more
- Walgreens (Medford, NY)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Cortland, NY)
- …records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader. + Performs duties as assigned by Pharmacy ... Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more