- UHS (Walton, NY)
- …in compliance with state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain ... accurate and complete patient medication records, ensuring confidentiality and compliance with HIPAA + Oversee the day-to-day operations of the retail pharmacy, including inventory management, ordering, and storage of pharmaceuticals + Ensure compliance with… more
- Walmart (Sunnyvale, CA)
- …be responsible for building the next-gen securable, scalable, automated, billable, pharmacy insurance claims system. **What you'll do:** + Design and implement ... core features to the Walmart Pharmacy Ecosystem. + Build components, libraries and services using .Net/C#, Entity Framework and WCF. + Influence and collaborate with engineering leaders, product managers, design leads and the business to develop a unified… more
- Rochester Regional Health (Rochester, NY)
- …healthcare industry, with an understanding of medical terminology, CPT/ICD codes, insurance claims , and billing procedures. + Healthcare experience preferred. ... RESPONSIBILITIES + Maintain an accurate and complete hospital chargemaster (CDM) ensuring competitive pricing, appropriate reimbursement and compliance with governmental billing regulations + Manage the department chargemasters by scheduling, coordinating, and… more
- Baylor Scott & White Health (Sacramento, CA)
- …reporting environment in a work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL queries ... against relational databases. + Must possess excellent documentation and communication skills. + The ability to understand, model, and interpret data. + Accuracy and attention to detail. + Must possess good social skills. + Excellent written and verbal… more
- Horizon Services, Inc. (Hayward, CA)
- …fees. Responsible for coordinating with Finance Department for submission of third-party insurance claims . Personnel Recruitment & Management: + Coordinates with ... Compliance and Outcomes Officer & related Compliance Managers to ensure staff credentialing documentation is maintained consistently in accordance with DHCS, DMC-ODS, BBS, SUD Counselor certification bodies, and other regulatory oversight agency compliance.… more
- CSL Behring (King Of Prussia, PA)
- …to traditional randomized clinical trials that make use of electronic health records, insurance claims databases, and/or registries in support of key messages + ... Evaluate statistical validity of proposals for investigator sponsored trials, and advise on reasonable improvements to ensure the highest quality of published evidence. + Develop, assess and conduct training in basic statistical methods and topics as needed +… more
- DoorDash (Tempe, AZ)
- …the quality of DoorDash operations through adjudication of background checks and insurance claims , investigation of safety incidents, and implementation of ... quality measures for users. On-demand food delivery has many advantages; however, there are extremely challenging logistics to ensure DoorDash is delivering the best service to the Customers, Dashers, and Merchants. Trust and Safety presents a united front to… more
- Meijer (Marysville, MI)
- …in the pharmacy dispensing system. + Creating prescription labels and adjudicating insurance claims . + Completing paperwork related to filling prescriptions and ... receiving drug orders. + Ordering prescription medication for the Pharmacy Department. + Stocking prescription medication. + Promoting pharmacy initiatives and clinical services to the customer. + Prioritizing workload. + Using effective communication skills… more
- Mohawk Valley Health System (Utica, NY)
- …with HR. Financial Management: + Oversee billing and coding processes, including insurance claims and patient billing. + Ensure appropriate co-pay and ... other receivable collections. + Collaborate with the finance department to develop and manage office budgets. Facilities Management: + Coordinate maintenance and repair activities for the medical office. + Ensure a clean, safe, and welcoming environment for… more
- University of Southern California (Los Angeles, CA)
- …tests ordered by the physician as needed. Reviews and codes charge slips, submits insurance claims . Returns patient phone calls. Must work with any and every ... physician in the Orthopaedic Clinic. Performs various office and clerical duties and other duties as assigned. Essential Duties: + Determines patient care needs and directs patients accordingly. + Ensures patient charts are prepared prior to appointment… more
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