- Brighton Health Plan Solutions, LLC (New York, NY)
- …at any time with or without notice. Primary Responsibilities + Thorough review of claims and medical documentation. + Prepare cases for clinical review. + ... client products and services. Essential Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. +… more
- JPMorgan Chase (New York, NY)
- …Morgan Health team. In this role, you will leverage your expertise in medical and pharmaceutical claims data, survey data, biometrics data and industry-standard ... a strong emphasis on health care data + Subject matter expertise in medical and pharmaceutical claims data, including familiarity with common coding standards… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
- Molina Healthcare (Rochester, NY)
- …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
- Walmart (Vestal, NY)
- …resolves problems in the prescription fulfillment process when necessary by processing information for thirdparty insurance claims rescanning illegible images ... by assisting the pharmacist in the prescription fulfillment process processing third party insurance claims andor rejections...mind, body, and wallet! - Health benefits include medical , vision and dental coverage - Financial benefits… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance ... Developing and leading formal presentations of results to the medical community, in written, verbal, andvisual formats. + Analyzes...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Kelly Services (Rochester, NY)
- …**Summary Description** The Pharmacy Prior Authorization Technician performs initial-level processing and review of prior authorization requests for both pharmacy ... and medical specialty drug reviews as permitted by law. Reviews...Communicate with pharmacies/physician offices for clarification on requests and claims + Act as lead troubleshooter for pharmacy help… more
- WMCHealth (Poughkeepsie, NY)
- …Applicant link Job Details: Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of medical services ... Responsibilities include initial billing, investigation and reconciliation of problem claims , insurance follow up, filing, and other clerical tasks.… more
- Otsuka America Pharmaceutical Inc. (Brooklyn, NY)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... and provide a superior experience. The "ecosystem approach" unifies account management, medical , patient access, and market access teams to engage with local… more