- Otsuka America Pharmaceutical Inc. (NY)
- Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical ... interaction with technology, we tailor solutions to support individual health needs and improve how people engage. Data is...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering breakthrough innovations to solve complex problems for patients, Otsuka Precision ... Health (OPH) is the next step in our evolution....offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Sedgwick (Albany, NY)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... live within the United States. **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures pursuant… more
- CenterLight Health System (NY)
- …execution of enterprise-wide (CenterLight and its associated entities including C2Q Health Solutions, and Team Care Medical) billing and revenue maximization ... conversion, ESRD, and Nursing Home entitlements. + Perform membership and claims analytics, including IBNR, MMR and 820/834 reconciliation. + Perform reconciliation… more
- Independent Health (Buffalo, NY)
- …to pharmacy system administration and reporting, vendor delegation oversight, medical pharmacy claims processing and training. They will establish and monitor ... as pharmacy department subject matter expert on medical drug claims . + Coordinate with pharmacy clinical team and system..._As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its… more
- Independent Health (Buffalo, NY)
- …daily basis. Assist in interpreting database information as it relates to pharmacy claims processing . + Assist with PBM implementation by identifying potential ... department with various data entry projects/information as they relate to pharmacy claims processing . C. Administrative Duties + Provide accurate and up-to-date… more
- CDPHP (Albany, NY)
- …in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to ... the completion of the necessary activities related to the processing of incoming mail for the entire organization, as...mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with… more
- Highmark Health (Buffalo, NY)
- …AND CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Auditing + Claims Processing + Customer Service + Billing Systems + Benefit Coding ... or General Studies **EXPERIENCE** **Required** (one or more of the following) + 3 years in Claims Support and Processing + 3 years in Customer Service + 3 years… more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds as needed according… more
- Northwell Health (Lake Success, NY)
- …patient accounts for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, ... problems, attending to inquiries regarding an account. Job Responsibility + Assists in processing and managing patient claims . + Assists in collecting payments… more
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