- Catholic Health Services (Centereach, NY)
- Overview Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care ... hospitals, three nursing homes, a home health service, hospice and a network of physician practices...EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on pharmacy dispensing systems and… more
- WTW (New York, NY)
- **Description** Fundamental Advisors is seeking a risk and insurance manager to join its NYC based team. Candidates must have a minimum of 5 - 10 years' experience ... ensure premiums are paid in a timely manner 3. Track and review insurance claims with designated claims administrator + **Broker Relations & Insurance Strategy**… more
- Molina Healthcare (Yonkers, NY)
- …to ensure accuracy and clarity. + Reviews regulatory reporting requirements and Health Plan project documentation. + Maintains reporting service level benchmarks for ... medical management. + Interfaces and maintains positive interactions with Health Plan and Corporate personnel. **JOB QUALIFICATIONS** **Required Education**… more
- Northwell Health (Melville, NY)
- …and enhancement support to nurses, clinicians, pharmacists, providers and allied health professionals throughout the organization. Acts as a liaison with Nursing ... + Develops, communicates, and builds consensus for goals in alignment with the health system. + Leads design, implementation, and enhancement of assigned CIS areas.… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Plans. Internal & External reports are required for eligibility, claims and claim financial data for various stakeholders across… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...coding/nursing professionals who conduct reviews of medical records and claims for suspected healthcare fraud, waste, and abuse. Provides… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
- Arnot Health (Elmira, NY)
- …for concurrent and retrospective authorization and denial activities for Arnot Health . Identify, track and trend, record and collect patient accounts denied ... Director of Care Coordination coordinates data with other Arnot Health departments and third party payers to discourage preventable...billing clerks and management. 6. Follow up on denial claims using reports to ensure completion of appeal with… more
- Corning Incorporated (Corning, NY)
- Manager , Trade Compliance (Duty Optimization) **Date:** May 23, 2025 **Location:** Charlotte, NC, US, 28216Corning, NY, US, 14831 **Company:** Corning Requisition ... and exceed customer requirements. **Overview/Scope of Position:** The Trade Compliance Manager is responsible for managing Corning's global duty spend & cost… more
- Whitney Young Health Center (Albany, NY)
- …reviews and updates all demographic and insurance data as necessary. + Process pending claims as directed by Director and/or Manager of Revenue Cycle. + ... + Completes patient itemized statements upon request. + Manages/Assists on supplemental claims billing as instructed by Director and/or Manager Revenue Cycle.… more
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