• Interpreter, Language , SMH - Spanish

    University of Rochester (Rochester, NY)
    …+ Manages flow of communication autonomously and efficiently between source and target language during medical and non- medical healthcare encounters across ... services for all clinical and professional University of Rochester Medical Center staff, patients and family members/significant others who...hours a day, seven days a week as the specialist in language and culture + Provides… more
    University of Rochester (08/07/25)
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  • Provider Transformation Specialist (RN-…

    Highmark Health (Buffalo, NY)
    …of claims submission for superior coding accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps and other risk revenue ... and efficiency metrics, accountable care organization development and support, patient centered medical home, and electronic health records. + Experience may be from… more
    Highmark Health (08/27/25)
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  • Sr. Technical Specialist , GL

    Travelers Insurance Company (Melville, NY)
    …such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of ... + preferred. + Thorough understanding of business line products, policy language , exclusions, ISO forms, + and effective claims handling practices preferred.… more
    Travelers Insurance Company (08/21/25)
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  • Patient Services Specialist

    YAI (Manhattan, NY)
    …& Responsibilities + Accepts calls from patients referred to PHC for medical services and collects information required to schedule appointments, assist callers or ... requirements: + One year of call center experience in a medical environment Preferred Qualification Requirements (desired requirements beyond MQRs above) +… more
    YAI (08/19/25)
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  • Major Case Specialist , Construction

    Travelers Insurance Company (Melville, NY)
    …such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of ... shares ideas. + Thorough understanding of commercial lines products, policy language , exclusions, ISO forms and effective claims handling practices. + Demonstrated… more
    Travelers Insurance Company (08/14/25)
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  • Litigation Specialist , GL (Construction)

    Travelers Insurance Company (Melville, NY)
    …such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of ... shares ideas. + Thorough understanding of commercial lines products, policy language , exclusions, ISO forms, and effective claims handling practices. + Demonstrated… more
    Travelers Insurance Company (07/08/25)
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  • (USA) Member Specialist

    Walmart (Kingston, NY)
    …for a happier mind, body, and wallet! **-Health benefits** include medical , vision and dental coverage **-Financial benefits** include 401(k), stock purchase ... range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely… more
    Walmart (08/27/25)
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  • Lead Specialist , Appeals & Grievances…

    Molina Healthcare (Buffalo, NY)
    …systems to determine appeal and grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per ... for meeting production standards set by the department. + Apply contract language , benefits, and review of covered services + Responsible for contacting the… more
    Molina Healthcare (08/24/25)
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  • Specialist , Appeals & Grievances - Remote

    Molina Healthcare (Syracuse, NY)
    …systems to determine appeal and grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per ... for meeting production standards set by the department. + Apply contract language , benefits, and review of covered services + Responsible for contacting the… more
    Molina Healthcare (08/24/25)
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  • Senior Claims Specialist

    CRC Insurance Services, Inc. (NY)
    …other inquiries won't receive a response)._ **Regular or Temporary:** Regular ** Language Fluency:** English (Required) **Work Shift:** 1st Shift (United States of ... division of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred… more
    CRC Insurance Services, Inc. (08/22/25)
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