- Walgreens (Utica, NY)
- …issues and prevent payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit . + Follows-up with ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- Walgreens (Amherst, NY)
- …patient issues and prevent payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit . + Follow-up with ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- Walgreens (Peekskill, NY)
- …issues and prevent payment rejections. Follows- up with insurance companies as well as medical providers and participates in 3rd party audit . + Follows-up with ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- CVS Health (Albany, NY)
- …if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary ... care management team (nurse case managers, medical directors, dietitians, social workers) to support members on their path to better health, decrease hospital… more
- Mount Sinai Health System (New York, NY)
- …of declines, charge corrections, and preparation of daily deposits and reconciliation/ audit of posted transactions. **Qualifications** + Associates Degree or HS ... years of related experience. + 3 years of health claims billing experience; prefer experience working with CPT and...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- BJs Wholesale Club (Oneonta, NY)
- …Leave, Jury Duty * Benefit plans for your changing needs* o Three medical plans**, Health Savings Account (HSA), two dental plans, vision plan, flexible spending ... be at least 18 years old) *eligibility requirements vary by position ** medical plans vary by location Job Summary Responsible for supporting administrative functions… more
- Datavant (Albany, NY)
- …**Quality, Compliance, and Scalability** + Ensure analytics products support audit defensibility, regulatory compliance, and documentation traceability. + Design ... SDLC. + **Technical Acumen:** Comfortable working with large datasets, EHR data, claims data, and HCC-based analytics. Familiarity with query languages such as SQL,… more
- Warner Music Group (New York, NY)
- …insights from financial statements, perform reconciliations, update cash forecasts and budgets, investigate audit issues and claims , perform tasks as part of the ... gender, gender identity, gender expression, national origin, ancestry, marital status, medical condition as defined by state law (genetic characteristics or cancer),… more
- CVS Health (Amherst, NY)
- …accounts and be accountable for open items + Work closely with AR and Claims Teams to successfully integrate and analyze all file feeds from claim systems to ... + Onboarding, maintenance, off boarding of groups + Quality Control & Internal Audit + Review invoices for reasonability and accuracy and make any necessary… more
- YAI (Manhattan, NY)
- …(eg Regional Centers, NJ DDD, etc.) and resubmits revised or corrected claims upon receipt and/or in accordance with applicable agency requirements. + Reconciles ... Receives and redirects inquiries from program staff regarding the electronic medical record including staff access or workflow questions, troubleshooting and overall… more
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