- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …the organization's insurance programs, including renewals, coverage adequacy, and claims oversight. **This is not a remote opportunity** **Responsibilities** **Job ... multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
- 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 ... multiple factors such as relevant skills, years of experience, and education. **KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …compliance issues to appropriate resources for investigation and resolution of claims adjudication issues. + Ensures that activities are conducted according to ... multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
- KPH Healthcare Services, Inc. (NY)
- …+ Oversees the initial submission, resubmission and collection of all third party claims + Manages and balances the pharmacy inventory to provide for maximum turns ... multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
- KPH Healthcare Services, Inc. (Marcy, NY)
- …the medication orders for various facilities. Ensuring that all Third-Party claims are billed properly. **Responsibilities** **Job Duties:** + Provides customer ... multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
- Genesis Healthcare (Southampton, NY)
- …within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in required orientation and training ... certification(s). Posted Salary Range USD $65.00 - USD $65.00 /Hr. Genesis HealthCare , Inc. and all affiliated entities (collectively "Genesis") has a strong… more
- St. Mary's Healthcare (Amsterdam, NY)
- …law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters data. Identify and assess the business ... experience may substitute for education * Three (3) years' experience in a healthcare setting preferred * Experience developing end user reports is a plus *… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …related field **Experience:** + Required: 1 year experience using the RxIQ claims adjudication platform + Preferred: 2 Years experience with Health Care, Insurance ... multiple factors such as relevant skills, years of experience, and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
- HUB International (New York, NY)
- …for presentation + Coordinating loss run delivery, loss summaries, detailed claims summaries, and loss displays for clients + Updating Exposure Spreadsheets ... in Excel and on Epic as clients and carriers make policy changes throughout the term + Serving as a Senior AE contact for the client - first stop on coverage questions and higher-level inquiries + Performing certificate reviews for less senior team members +… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …monthly, quarterly, and annual management reports for PBM clients, and from our Claims Processor + Assist with on-site resolution of customer service issues to ... clients + Training, coaching and development of call center staff + Assist with determining staffing/scheduling needs for ProAct Call Center + Providing call resolution in elevated customer service issues + Daily coaching and audits + Create and update… more