- The Wesley Community (Saratoga Springs, NY)
- …Billing Specialist + 2+ years of billing procedures for all payer types including Medicare , NY Medicaid, HMO and Private insurance + Experience with Private Pay ... starts in the heart. Primary Job Duties: + Responsible for timely and accurate insurance claim submissions for all payer types. + Monitor and maintain aging reports… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Other components of the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time ... the Account Service Staff within a reasonable timeframe * Handles HIPAA ( Health Information Portability and Accountability Act) issues as requested by members… more
- Walgreens (Buffalo, NY)
- …of participating in the billing and submission of claims to government- sponsored health care programs, including Medicare , Medicaid, and all other third-party ... efficient service to patients, prescribers, pharmaceutical manufacturers, payers, and health systems. + Provide direction to ensure pharmacy department procedures… more
- New York State Civil Service (Dix Hills, NY)
- NY HELP Yes Agency Mental Health , Office of Title Teacher 2/ Teacher 3/ Teacher 4, Substitute (NY HELPS), Sagamore Children's Psychiatric Center, P27285 Occupational ... continued employment. Loss of certification will result in termination of employment. Medicaid/ Medicare Requirements: In order to be eligible for appointment and to… more
- Walgreens (Valhalla, NY)
- …of participating in the billing and submission of claims to government-sponsored health care programs, including Medicare , Medicaid, and all other third-party ... to customers inclusive of patients, prescribers, pharmaceutical manufacturers, payers, and health systems. + Provides direction to ensure that pharmacy department… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Humana Integrated Business Advancement (IBA) - BI (Business Intelligence) team is a high ... Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Lead, Data Quality/Integrity understands end-to-end master data processes and flows and ... reporting on progress, challenges, and achievements to management. + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Actuarial Analyst 1 provides actuarial support across a broad range of actuarial and ... + SAS and/or Databricks experience + Programming experience in SQL and VBA + Medicare Part D knowledge Travel: While this is a remote position, occasional travel to… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage experience + Strong Communication Skills + Ability to… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated ... Coder + Demonstrate ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + Strong data entry and attention to… more