- Independent Health (Buffalo, NY)
- …perks, benefits and commitment to diversity and inclusion. **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
- Saint Regis Mohawk Tribe (Bombay, NY)
- Pharmacy Clerk/Technician Open Until Filled Job Code: 31-9095/29-2052 Salary: Negotiable Status: Non-exempt Full-time, Permanent Location: Health Services Building ... Department: Health Services, Pharmacy Reports To: Supervising Pharmacist SUMMARY: The ...Assist the pharmacist on duty with inputting, filling, insurance claims etc. when working Saturday shift . Responsible for… more
- Independent Health (Buffalo, NY)
- …and commitment to diversity and inclusion. **Overview** The Provider Relations Representative is responsible for assisting our provider constituents and providing ... exceptional customer service. The Provider Relations Representative will answer incoming calls from health care providers including physician offices, ancillary… 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
- Independent Health (Buffalo, NY)
- …and paid time off (PTO), including company paid holidays. The Customer Service Representative position offers an opportunity to begin a career at Independent Health. ... the department and our family of companies. **Overview** The Customer Service Representative (CSR) is responsible for displaying confidence, passion for service, and… more
- Molina Healthcare (New York, NY)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- Cardinal Health (Albany, NY)
- …Supplemental, and pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 ... that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health,… more
- Pfizer (New York, NY)
- …proper utilization of such data. The position will primarily be focused on Specialty Pharmacy , but will include some work with HUB data and/or data feeds between ... SAS SOP's and Policies. The individual will primarily be aligned to the Specialty Pharmacy Centers of Excellence, but may also be tasked with other SAS COE analytic,… more
- Independent Health (Buffalo, NY)
- …+ Frequent review of Independent Health policies, contracts, clinical documentation, claims systems, pharmacy formularies, procedures and department directives ... within the contractual team in rendering consistent coverage determinations and claims payments in accordance with policy, regulations, and member benefit contract.… more