- KPH Healthcare Services, Inc. (Oneonta, NY)
- …patients. **Responsibilities** + Responsible for assisting with Noble Health Services operations and profitability + Follow all State and Federal guidelines ... and procedures at all times + Monitors all pharmacy claims for proper reimbursement + Assist in managing the...as relevant skills, years of experience, and education. **KPH Healthcare Services, Inc. is a multistate organization and abides… more
- KPH Healthcare Services, Inc. (Malone, NY)
- …Follows standard procedures to accomplish assigned tasks. Oversees the day-to-day operations of the pharmacy department. Responsible for assisting the supervising ... in the initial submission, and resubmission (as required) of all third party claims + Locating prescription files and other manual records from storage as needed… more
- KPH Healthcare Services, Inc. (NY)
- …stores within the area to help cover Pharmacy Departments.Oversees the day-to-day operations of the Pharmacy department. Assists in the training and development of ... + Oversees the initial submission, resubmission and collection of all third party claims + Manages and balances the pharmacy inventory to provide for maximum turns… more
- KPH Healthcare Services, Inc. (Rochester, NY)
- **Overview** **Scope of Responsibilities:** Oversees operations of the Pharmacy department. Relies on experience and professional judgment to plan and accomplish ... + Oversees the initial submission, resubmission and collection of all third party claims + Manages and balances the pharmacy inventory to ensure maximum turns while… more
- KPH Healthcare Services, Inc. (Seneca Falls, NY)
- …duties in pharmacy department to become familiar with staff functions, operations , management viewpoints and company policy and practices that affect pharmacy ... submission, and resubmission (as required) of all third party claims + Assist in the management of the pharmacy...as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. * Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. * Experience in ... team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. The Managed Care Contracting Team… more
- CVS Health (Albany, NY)
- …sponsors' benefit requirements and facilitate the design and implementation of customized healthcare benefit plans. + Provide expert advice and guidance on benefit ... compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...minimum of 6 months business experience, preferably in a healthcare setting; **_or_** an Associate's degree and at least… more
- MVP Health Care (Schenectady, NY)
- …innovation, and continuous learning. **Cross-Functional Collaboration** + Partner with Claims Operations , Finance, Provider Relations, Compliance, IT, and ... and strategic partnerships. **Qualifications you'll bring:** **Required** + 8-10+ years in healthcare operations , including 5+ years in leadership. + Bachelor's… more
- The Institute for Family Health (New Paltz, NY)
- …Change Healthcare , Ability {or current vendors}) + Ensures smooth operations with clearinghouse vendor and facilitates payer requirements as needed for ... to 10 Years Experience, Education, Certification) SUMMARY: The Revenue Cycle Operations Coordinator is cognizant of the philosophy, standards, objectives and… more