- Brighton Health Plan Solutions, LLC (New York, NY)
- …healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals . The Customer Service Representatives must be able to ... and communicate effectively with teams. + Transfer misdirected requests and offer solutions to non-routine issues. + Contribute to customer satisfaction and… more
- Whitney Young Health Center (Albany, NY)
- …payers via phone or website, contacting practices, navigating cross-departmentally, writing appeals and facilitating their direction to Athena CBO for submission, ... required by WYH for employment purposes and co-pays when appropriate. + Develops solutions to claim processing and payer adjudication problems. + Learn and keep up… more
- CDPHP (Albany, NY)
- …values and invites you to be a part of that experience. The Customer Care Representative shall assume full responsibility and ownership for all aspects regarding ... incumbent will address and resolve service problems, complaints, and advise the customer of their rights and responsibilities. The Member Service Representative will… more
- Sanofi Group (Albany, NY)
- …patients like required Benefits Investigations (BI), Prior Authorization (PA), Denial Appeals , detailed Clinical Documentation, and Peer to Peer reviews. Assisting ... to gain access to prescribed treatments requires dedicated and knowledgeable customer facing support. Field Reimbursement Manager/Director for TZIELD. This is a… more
- Mount Sinai Health System (Long Island City, NY)
- …will direct and manage departmental activities involved in utilization review, appeals management and discharge planning to facilitate the case management process ... regarding the implementation of department activities to garner satisfactory customer results. 7.Emphasizes a collaborative approach and seeks to influence… more
- Mount Sinai Health System (New York, NY)
- …team of data analysts. The Assistant Director models the highest standards for customer service and is committed to client satisfaction while responding to dynamic ... as well as collaboratively as part of a team + Must have a strong customer service orientation Non-Bargaining Unit, 807 - Development Office - ISM, Icahn School of… more
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