- Elderwood (Buffalo, NY)
- …#Talroo Responsibilities + Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system. + ... of NY is looking for an experienced, detail- oriented Pharmacy Billing Specialist to join our team...retail, long term care or hospital. + Experience with Pharmacy claims and various types of … more
- Independent Health (Buffalo, NY)
- …health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care ... organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. **Overview**… more
- Walgreens (Depew, NY)
- …balances and pricing. + Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor ... transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy / prescription claims . + Completes execution of all pricing… more
- Otsuka America Pharmaceutical Inc. (Queens, NY)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... of everyday health. In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person, virtual and digital… more
- Independent Health (Buffalo, NY)
- …health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care ... organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. **Overview**… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Finance and Authorization Specialist - Lead Department: Location: Hours Per Week: Schedule: Sign-On Bonus: SUMMARY: The primary responsibility of the Lead ... Finance and Authorization Specialist is be the subject matter expert and participate...maintain all authorization accounts to increase billing of clean claims + Complete other duties as assigned Oncology Specific… more
- SUNY Upstate Medical University (Syracuse, NY)
- …patients with understanding prior authorizations and their medical (and possibly the pharmacy ) benefits as required. Educates patients and clinic staff regarding ... inbound inquires related to prior authorizations and assists billing group on insurance claims . Completes outbound calls to payors and clinics to assist with prior… more
- Molina Healthcare (Albany, NY)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more