• Processor , COB Review

    Molina Healthcare (Buffalo, NY)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible ... and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Contacts CMS directly or coordinates… more
    Molina Healthcare (07/19/25)
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  • CPC Processor Customer Support

    Datavant (Albany, NY)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
    Datavant (08/16/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Albany, NY)
    …environment and able to multi-task successfully? If so, please apply today! The Claims Processor , you will ensure accurate and timely adjudication of ... for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare claims adjudication. + Ability to work at a… more
    Cognizant (08/01/25)
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  • Call Center Supervisor

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …of 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
    KPH Healthcare Services, Inc. (07/28/25)
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