- Independent Health (Buffalo, NY)
- …culture that fosters growth, innovation and collaboration. **Overview** The Servicing Representative is a customer service professional who displays confidence, a ... listening towards all Pharmacy Benefit Dimensions (PBD) customers. The Servicing Representative functions as an advocate for all customers and resolves all… more
- Molina Healthcare (NY)
- …and/or providers using one or more contact center communication channels and across multiple states and/or products. To include, but not limited to, phone, chat, ... member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job… more
- Molina Healthcare (Yonkers, NY)
- …external clients and internal partners to resolve membership issues. Utilizes multiple applications and has deep understanding of eligibility related processes. ... party administrators. + Performs enrollment functions to include call tracking, claims workflow, and encounter requests for verification and updates, PCP assignment… more
- WTW (New York, NY)
- **Description** Fundamental Advisors is seeking a proactive and detail-oriented Associate Risk Manager to join its New York City-based team. This individual will ... of business functions, including finance, legal, investments, and operations. The Associate Risk Manager will be responsible for budgeting and allocating insurance… more
- LSI Solutions (Victor, NY)
- …After all, our customer is ultimately the patient. POSITION TITLE: Production Control Associate Evenings (Monday to Friday 3pm to 11pm) LOCATION: Onsite at LSI ... at LSI Solutions in Victor, NY JOB SUMMARY: The Production Control Associate supports schedule obtainment and production reporting. This role ensures the accuracy… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Pharmacy Access Representative III (PAR) is responsible for the overall financial ... to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and… more
- Highmark Health (Albany, NY)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician ... in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds to physician and pharmacy… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …new product lines, and working closely with Operations, Customer Care, Claims , and Finance/Underwriting departments to support group implementations and address ... and initiates changes and improvement. + Attends meetings and/or trainings as a representative of the Account Service Team and shares the information learned with… more
- National Express (Philadelphia, NY)
- …Effectively facilitate and manage the flow of parts & warranty information across multiple Maintenance facilities, acting as the first-line support for any parts & ... Processing and tracking internal parts transfers from one location to another within multiple inventory systems. . Review repair orders with status of complete and… more
- New York State Civil Service (Albany, NY)
- …assigned to the Administrative Adjudication Unit (AAU) under the direction of an Associate Attorney, the Hearing Officer 1 is responsible for holding fair and ... hearings on behalf of the Commissioner of Labor. These hearings involve multiple areas of Labor Law, including settlement conferences involving alleged violations of… more
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