- KPH Healthcare Services, Inc. (Oneonta, NY)
- …with all Noble policies and procedures at all times + Monitors all pharmacy claims for proper reimbursement + Assist in managing the pharmacy inventory. + Assist in ... the industry + Responsible for periodic consultation with practitioners in the field + Responsible for meeting the on-call requirement of position + Responsible… more
- Trinity Health (Rensselaer, NY)
- …you will need:** **Education:** Bachelor's Degree in Basic Sciences or related field or equivalent work experience. Associates required. **Experience:** + Minimum of ... skills, required + Clinical/Healthcare experience, preferred. + EMR and Billing/ Claims familiarity, preferred, EPIC familiarity a plus + Detail oriented,… more
- Duane Reade (New York, NY)
- …with customers. **Operations** + Learn from store and pharmacy team members, field leadership, team members and customers/patients + Under the supervision by the ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Molina Healthcare (New York, NY)
- …Fee-For-Service and Pay for Performance Providers. It is an external-facing, field -based position requiring an in-depth knowledge of provider relations and ... SKILLS & ABILITIES** : * 3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare… more
- Elevance Health (Latham, NY)
- …of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... policies and procedures. **Minimum Requirements:** + Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of… more
- Cushman & Wakefield (New York, NY)
- …accidents and incidents which occur in the area of responsibility and conduct field audits, report and manage the corrective actions * Support Workers Compensation ... (WC) claims tracking, investigation, and management process * Liaise with WC Program Manager and benefits group on all aspects of injury management and… more
- Trinity Health (Albany, NY)
- …and practice workflows: + Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties including but not limited ... + At least 10 months' work and/or clinical training experience in the healthcare field + Proficient in obtaining manual vital signs + Experience using an electronic… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Levels + Bachelor's degree in Mathematics, Statistics, Medical Informatics, Economics, or related field preferred. In lieu of a degree, a minimum of two related ... of the health care system and experience working with physician or hospital claims /group data preferred. In depth knowledge of product and member desirable. +… more
- Mount Sinai Health System (New York, NY)
- …in business administration, Healthcare Administration, Information Systems, or related field (master's degree preferred). + EPIC certification(s) in relevant RCM ... modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred. + Minimum 7-10 years of progressive experience in… more
- City of New York (New York, NY)
- …active contracts. - Direct the processing of approximately 30,000 Medicaid reimbursement claims per month, related to a class-action settlement. - Develop and ... human resources development, political science, urban studies or a closely related field , and two years of satisfactory full-time professional experience in one or… more