- CVS Health (Albany, NY)
- …complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare. The candidate will contribute to establishing ... assigned accounts. + Stays informed about industry trends, changes in healthcare regulations, and advancements in revenue cycle management practices. **For this… more
- Elevance Health (Latham, NY)
- …and coordinates responses to inquiries. + Works with FEP Customer Service and Claims to resolve member issues. + Remains informed of the various FEHB competitor ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Catholic Health Services (Smithtown, NY)
- …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... Support Prepare agendas, handouts, and minutes for risk, safety, and claims review meetings. Support scheduling, communication, and follow-up on action items… more
- Elevance Health (Latham, NY)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- St. John's Embrace Living (Rochester, NY)
- …of medical billing with five (5) years minimum experience in a healthcare facility, healthcare business office, physician's office, or insurance billing ... viable assets associated with paying privately. + Prepares and submits billing claims for Private, Medicare, Medicaid and other third-party insurances + Maintain… more
- Duane Reade (Woodside, NY)
- …party processing, filling, and dispensing prescriptions. + Assists pharmacists and other healthcare providers in delivering patient care and services that are within ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Arnot Health (Elmira, NY)
- …payer policies) + Assist in claim edit resolution to ensure compliant, clean claims are submitted + Maintain proficiency in CPT, HCPCS, ICD-10, OPPS, and related ... monitoring What We're Looking For: + Associate's degree or higher in Healthcare , Finance, Business, Accounting, or equivalent experience required. + AAPC CPC (not… more
- Cardinal Health (Albany, NY)
- …data, CMS and CCI initiatives, OIG work plans and advisories and healthcare industry best-practices. + Develops and implements compliance training to ensure ... patient medical records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs, the registration process… more
- Centene Corporation (Queens, NY)
- …Planning. Certification courses or other higher education in nursing, healthcare administration, business, operations management or other related discipline. ... Proficiency with healthcare terminology such as ICD 10 codes, medical abbreviations,...codes, medical abbreviations, medications. Experience in medical records review, claims processing or utilization and case management in a… more
- Elevance Health (Latham, NY)
- …written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more