- Brighton Health Plan Solutions, LLC (New York, NY)
- …for top payers across one or more domains (Enrollment & Benefit Administration, Claims processing & Reimbursements, Member & Provider Portals/Service, Clinical & ... Insurance Payer in one of more of the following areas: Claims Administration, Enrollment & Eligibility, Benefit Administration, Contribution Accounting, Billing &… more
- BronxCare Health System (Yonkers, NY)
- …of the patient file information Experience in an electronic Accounts Receivable processing environment Experience in a Health Care environment preferred Strong ... source documents as necessary. Utilize multiple billing applications for claims preparation, validation and submission.Using reports provided by billing system,… more
- Catholic Health Services (Melville, 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 across the island. At Catholic Health , our primary focus is… more
- CVS Health (Albany, NY)
- …SCM Rate Wizard input including non-preferred contracting options + 2 to 3 years claims processing experience + Working knowledge of EPDB + Intermediate SCSR ... At CVS Health , we're building a world of health...Proficiency in Microsoft: Excel, Word, and Teams + ACAS claims participating provider knowledge a plus + Familiarity with… more
- CVS Health (Amherst, NY)
- …stop loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with the suite ... At CVS Health , we're building a world of health...role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and… more
- Evolent (Albany, NY)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...in the Performance Suite where Evolent does not pay claims + Establish ideal data transfer protocols during client… more
- Catholic Health Services (Centereach, NY)
- …in Epic or similar EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on pharmacy dispensing systems ... Overview Catholic Health is one of Long Island's finest ...related experience Previous experience in a specialty pharmacy and/or processing prior authorizations is highly desirable Experience with 340B… more
- Trinity Health (Clifton Park, NY)
- …in Clifton Park, full-time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position is located ... with the mission and core values of St Peter's Health Partners Medical Associates. Perform and coordinate front-end functions...Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties… more
- Trinity Health (Albany, NY)
- …position in Albany, full-time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position is located ... manner consistent with the mission and core values of St Peter's Health Partners Medical Associates. Perform and coordinate front-end functions to ensure achievement… more
- Trinity Health (Troy, NY)
- …incoming phone calls. + Collects patient information necessary for prescription processing . + Understands timetable for courier deliveries to offsites. + Accurately ... order from wholesaler, resolves shortages and out of stocks. Order, Reporting Processing and Record Keeping Outpatient Pharmacy + Files prescriptions correctly on a… more