- Walgreens (New Paltz, NY)
- …systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory...Follows-up with insurance companies as well as medical providers… more
- WMCHealth (Poughkeepsie, NY)
- …an aberrant practice pattern, a potential lawsuit, etc.) and alerts the department director, medical staff leadership, and claims manager . + Conducts special ... leadership, direction and assistance to the hospital and the medical staff to achieve the goals of the Performance...etc.) and alerts the department director, administration, and the claims manager . Initiates a more thorough review… more
- Humana (Albany, NY)
- …2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives, ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …In the US, benefits may include health and wellness programs (including medical , dental, vision, life, and disability insurance ), fitness centers, 401(k) ... working with Oncology datasets, including prescription, sales data and claims /patient level data sets inclusive of pharma data sources...and the business + US Buy and Bill or Medical Benefit Market Access experience is required + Technical… more
- NBC Universal (New York, NY)
- …and application, worker classification, workforce management, discrimination and harassment claims , family and medical leave laws, restrictive covenants, ... need. + This position is eligible for company sponsored benefits, including medical , dental and vision insurance , 401(k), paid leave, tuition reimbursement,… more
- Lithia & Driveway (Albany, NY)
- …the Warranty Administrator prepares, submits, and tracks warranty repair orders and claims . The Warranty Administrator is responsible for the accuracy and timeliness ... that is easily understood and accessible to the warranty manager that is set by the manufacturer's guidelines and...highly preferred + Experience preparing, recording, and submitting warranty claims + Experience Processing warranty claims on… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …in any audits as needed. + Additional duties as assigned by Accounts Receivable Manager . Skills: + Prior Medical Billing with electronic and paper claim filing ... for a variety of billing as assigned individually by the accounts receivable manager . Experience in Medicare and Medicaid HMO's, Commercial payers such as ChampVA,… more
- New York State Civil Service (New York, NY)
- … Manager related to change order proposals.* Assist in the evaluation of claims and make recommendations to Project Manager .* Develop and maintain records for ... judgment and makes high-level decisions while assisting the Project Manager or Senior Project Manager in all...be fully vaccinated for COVID-19, unless approved for a medical or religious exemption as permitted by the law.Work… more
- Molina Healthcare (Buffalo, NY)
- …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... in the specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific… more
- Helio Health Inc. (Syracuse, NY)
- …+ Communicates insurance trends and unresolved appeals to the billing manager for further action. + Demonstrates adaptability and accept change in a positive ... To support the mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up on accounts receivable and any other… more