- Molina Healthcare (Buffalo, NY)
- …equivalent discipline **Required Experience** + 3-5 Years of experience with healthcare -related data ( claims /encounters, provider, CMS/EDGE response files, etc. ... of programming experience in python to support automated data validation / processing at scale (functions and objects) **PHYSICAL DEMANDS** Working environment is… more
- KPH Healthcare Services, Inc. (Weedsport, NY)
- …in orienting and training employees. Assist the professional staff in the triaging, processing and delivery of prescriptions to the patient. Assist in the management ... in the initial submission, and resubmission (as required) of all third-party claims + Inventory management - proficient in inventory management including ordering &… more
- KPH Healthcare Services, Inc. (Whitesboro, NY)
- …+ Oversees the initial submission, resubmission and collection of all third party claims + Manages and balances the pharmacy inventory to provide for maximum turns ... while still remaining in-stock for customer needs. Oversees the transmitting, processing and receiving of orders to and from the Kinney Warehouse and additional… more
- TEKsystems (Rochester, NY)
- …office and verification work. Will be using Excel heavily and will be processing new information through patient accounts. If any information is missing they will ... their accounts. They will be working with paper reports processing them into the system when updates need to...Excel Communication and writing skills EMR Epic Hospital billing Claims and denials Additional Skills & Qualifications Preferably a… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's ... rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database.… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's ... rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database.… more
- KPH Healthcare Services, Inc. (Ithaca, NY)
- …policies. **Job Su Summary:** Assist the professional staff in the triaging, processing and delivery of prescriptions to the patient. Assist in the management ... 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
- The Institute for Family Health (New Paltz, NY)
- …insurance companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider ... with clearinghouse vendor and facilitates payer requirements as needed for electronic claims processing and retrieval of electronic remittance advices. + May… more
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted ... May transfer secondary balances to appropriate financial class and provide documentation for processing the claims . 9. Reviews Credit Letter Sent (CLS) and… more
- Mount Sinai Health System (New York, NY)
- …claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing claims , maintaining related files and logs, and checking ... solving payment and other business office issues. 2. Monitors processing of claims for reimbursement and ensures...education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate… more