- Independent Health (Buffalo, NY)
- …**Overview** The Provider Contracting & Reimbursement Analyst-Intermediate will analyze utilization, claims , membership, and cost data in support of Network Contract ... our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.… more
- Independent Health (Buffalo, NY)
- …receive and effectively resolve written inquiries from members regarding claims , benefits, eligibility, reimbursement and participating providers. + Knowledge of ... our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.… more
- Ankura (New York, NY)
- …understand client needs and develop project work plans accordingly + Understands Healthcare Compliance concepts, issues, and how to research and access regulatory ... processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D… more
- WMCHealth (Valhalla, NY)
- …Summary: The Payment Resolution Analyst processes all out of network insurance claims to ensure appropriate payments are received, negotiates payments with payers, ... diploma and combination of years of experience, college education or healthcare certification equivalent. Licenses / Certifications: Other: Must possess strong… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... EMTALA.. Qualifications - Minimum Two (2) years' experience of Hospital/ Healthcare in Financial Investigations and/or Insurance Verification and/or Insurance… more
- Defense Health Agency (Fort Drum, NY)
- …and tradition. Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal Tort Claims ... Act (28 USC | 1346(b)) while acting within the scope of their employment. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid time off, medical benefits, student loan… more
- Defense Health Agency (Fort Drum, NY)
- …and tradition. Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal Tort Claims ... Act (28 USC | 1346(b)) while acting within the scope of their employment. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid time off, medical benefits, student loan… more
- Catholic Health Services (Centereach, 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 ... similar EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on pharmacy dispensing systems and familiar… more
- Carrington (Albany, NY)
- …title records, organizing documents, creating chronologies, preparing and submitting title claims , monitoring for response from insurers and working with carrier ... estate. To read more visit: www.carringtonhc.com . **What We Offer:** + Comprehensive healthcare plans for you and your family. Plus, a discretionary 401(k) match of… more
- Bowery Residents Committee (Manhattan, NY)
- …Act (NLRA), and Equal Employment Opportunity (EEO) regulations. + Respond to unemployment claims and participate in Department of Labor hearing + Stay updated on ... for career development. + Flexible spending accounts (FSAs) are available so employees can set aside pre-tax dollars for healthcare , transit and childcare. more