- Humana (Albany, NY)
- …of our caring community and help us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with claims ... up and maintaining hospice/facility/ pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support… more
- Independent Health (Buffalo, NY)
- …a daily basis. Assist in interpreting database information as it relates to pharmacy claims processing. + Assist with PBM implementation by identifying potential ... systems department with various data entry projects/information as they relate to pharmacy claims processing. C. Administrative Duties + Provide accurate and… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental ... claims against established criteria, and in accordance with specific...claim payments working in conjunction with the Customer Service Representative . **Qualifications** + High school diploma required; medical office… more
- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Pharmacy Access Representative III (PAR) is responsible for the ... other related duties as required, including work relating to the Intake Pharmacy Access Representative **Prior Authorization Management** + Maintains expertise… more
- CDPHP (Albany, NY)
- … will work closely with all departments, such as Marketing, Enrollment, Pharmacy (internal and external), Provider Services, and Claims Operations to ... invites you to be a part of that experience. The Member Service Representative shall assume full responsibility and ownership for all aspects regarding education of… more