- CVS Health (Albany, NY)
- …providing training, coaching, or responding to complex issues. May handle customer service inquiries and problems. **Additional Responsibilities:** Reviews ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- The Institute for Family Health (New Paltz, NY)
- …which requires the ability to perform administrative, data entry, and /or customer service duties. RESPONSIBILITIES: + Maintains complete understanding of ... + Provides clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets as directed… more
- Catholic Health (Williamsville, NY)
- …the claim by the insurance company or State/Federal agency. A high level of customer service is expected in this role at Catholic Health. Responsibilities: ... accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and...limited to, the following : (1) Review of all claims for accuracy of demographic and charge information (2)… more
- Rochester Regional Health (Rochester, NY)
- …responsibility is accurate. Contact insurance as needed. Coordinate resolution with Customer Service staff. Desired Attributes: + Education/Training: At least ... effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials… more
- Rochester Regional Health (Rochester, NY)
- …responsibility is accurate . Contact insurance as needed. Coordinate resolution with Customer Service staff. REQUIRED QUALIFICATIONS: + None . PREFERRED ... managing a receivable . Resolve edits to ensure accurate claims are sent to primary and secondary insurances ....policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds… more
- Mount Sinai Health System (New York, NY)
- …prior authorization requests and verifies prescriptions. 3. Provides a high level of customer service by the completion of applications, including those for the ... primarily responsible for receiving prescriptions, addressing and rectifying rejected claims , conducting and completing necessary third party (insurance) prior… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …pharmaceutical and medical device industry. + Experience working with external service providers. + Working knowledge of current Good Manufacturing Practice (cGMP) ... to customers, patients, employees, and the business. **Patient & Customer Centricity -** Maintain an ongoing focus on the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Staffing Solutions Organization (Albany, NY)
- …external calls/inquiries + Maintains a positive, professional demeanor + Previous customer service experience _*Employees must follow established work schedules. ... savings and staff efficiencies. **Duties include:** + Review medical claims according to written procedures + Answer routine phone...to written procedures + Answer routine phone calls about claims review activities + Escalate issues & complex … more
- Walgreens (Newark, NY)
- …questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive ... the pharmacy cash registers. + Models and delivers a distinctive and delightful customer experience. ** Customer Experience** + Engages customers and patients by… more
- Walgreens (East Amherst, NY)
- …questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive ... the pharmacy cash registers. + Models and delivers a distinctive and delightful customer experience. ** Customer Experience** + Engages customers and patients by… more