- New York State Civil Service (Albany, NY)
- …of over $30 million.o Supporting the Ancillary Reimbursement team in reviewing claims for over 400 day habilitation programs and applicable residential programs to ... sites, including related cost savings for reinvestment purposes.o Reviewing and processing Option Agreements, Feasibility Requests and related vouchers to OPWDD… more
- Humana (Albany, NY)
- …specified time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** This is a remote ... off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is… more
- Highmark Health (Albany, NY)
- …**Substitutions** + 6 years of Dental Solutions Application Portfolio (eg, Concordia Claims Processing & RENO, Portal applications, UCD billing, etc.) experience ... + Demonstrated leadership skills + Experience in Healthcare or Health Insurance Industry + Experience with technology platforms, application development tools,… more
- Independent Health (Buffalo, NY)
- …National Pharmacy Technician Certification (CPhT) preferred. + Experience working with online claims processing system preferred. + Effective oral and written ... + One (1) year of experience working in a high-volume pharmacy or health insurance company handling prior authorizations required; OR six (6) months as a temporary… more
- Robert Half Finance & Accounting (Forest Hills, NY)
- …and reconcile payments, including checks, credit cards, and bank deposits. * Handle insurance claims and Explanation of Benefits (EOB) documentation. * Post ... York. In this role, you will play a key part in managing payment processing , reconciliations, and financial data accuracy. This position is ideal for someone eager… more
- Cardinal Health (Albany, NY)
- …reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization ... other duties if necessary & must be knowledgeable of a variety of Insurance Plans and Policie **Responsibilities** + Submit authorizations for all internal and… more
- Humana (Albany, NY)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 10-30-2025 **About us**… more
- Walmart (Latham, NY)
- …types programs and benefits to current and prospective members processing memberships upgrades and credit accounts encouraging membership renewals participating ... up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink… more
- CVS Health (Albany, NY)
- …cases (1,000 life). **Key Responsibilities** + Researches, and resolves eligibility and claims inquiries for an assigned book of business. + Consults with ... to designated procedures, maintenance of production levels and quality goals, efficient processing of new and changing information, the ability to establish and… more
- Walmart (Latham, NY)
- …and federal laws and Company policies and procedures by assisting with processing prescription andor overthecounter OTC orders and purchases stocking and securing ... in accordance with Company policies and procedures by properly handling claims and returns zoning the area arranging and organizing merchandisesupplies identifying… more