- Capgemini (New York, NY)
- …gather feedback Support integration with backend systems such as policy management claims processing and CRM platforms Troubleshoot and resolve issues related ... Developer Lead AEM Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you'd like, where you'll be supported and… more
- Guardian Life (New York, NY)
- **Overview** As the Payroll Tax Lead at Guardian Life Insurance Company, you will play a vital role in ensuring accurate, compliant, and timely payroll tax ... + In-depth knowledge of Workday (Payroll Platform), including payroll processing and reporting functionalities. + Experience with OneSource Information Reporting… more
- Walmart (Elmira, NY)
- …types, programs, and benefits to current and prospective members; processing memberships, upgrades, and credit accounts; encouraging membership renewals; ... up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying… more
- Walmart (Fishkill, 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
- KPH Healthcare Services, Inc. (Alexandria Bay, 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
- 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 ... Issues: * Proactively escalate issues to Directors that could lead to significant legal ramifications or require intervention by...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- University of Rochester (Rochester, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established procedure for missing ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …Serve as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and ... review of batch records, deviation investigations, and change controls. + Lead or significantly contribute to troubleshooting efforts and root cause investigations… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Medicaid, CPT, HCPCS, ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems, claims flow, adjudication process, system edits ... in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …in ERP system. + Manage 3PL processes for inventory, returns and claims , recall activities and reporting, and product destructions. + Manage inventory reporting ... + Manage distribution state license submissions and renewals with Legal and processing vendor. + Manage international and intercompany order and shipment processes… more
Recent Jobs
-
Electrician Maintenance Technician
- WestRock Company (Dallas, TX)
-
Senior Environmental Project Manager - Grid Resilience
- Langan Engineering, Environmental, Surveying and Landscape Architecture, DPC (Pittsburgh, PA)
-
Sales Development Representative
- BasicBlock Inc. (Lincoln, NE)
-
Assistant Teaching Professor, Department of Writing Arts - Temporary
- Rowan University (Glassboro, NJ)