- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …service, account management, and quality assurance. Act as an internal resource for other departments for maintaining integrity of benefit designs. ... all appropriate systems. + Assist Custom Service Representatives and Account Resources in the resolution of customer service issues, requiring additional support,… more
- YAI (Manhattan, NY)
- …and their circles of support, Citywide, serving as the primary resource for medication-related requests, providing excellent service while ensuring appropriate ... assisting with redirecting patients and circles of support to appropriate resources and appropriately escalating concerns and issues to Nurse Manager, Medical… more
- Saratoga Hospital (Saratoga Springs, NY)
- …formats course content for uploading. Analyzes reports. Collaborates with Human Resource LMS System Administrator to assure consistent and timely customer service, ... of educational programs in order to evaluate programming. Collaborates with Human Resources to ensure data integrity. Provides reports according to established audit… more
- Emerson (New York, NY)
- …and vision coverage, Employee Assistance Program, 401(k), tuition reimbursement, employee resource groups, recognition, and much more. Our culture offers flexible ... digital transformation to measurably improve their operations, conserve valuable resources and enhance their safety. We offer equitable opportunities, celebrate… more
- Highmark Health (Buffalo, NY)
- …some areas of the organization.Use multiple software systems and various resource sites to determine member plans and requirements.Gather all required documentation ... including verification of benefit eligibility. Build cases in the utilization management system. + Use knowledge of process and judgement to evaluate identified cases that require additional notification to member, provider, and/or pharmacist.At times,… more
- Northwell Health (Nanuet, NY)
- …care appointments. + Creates and maintains up-to-date community partnership and resource directory. + Maintains a HealthySteps family support line and responds ... to and track call requests within designated response time. + Provides appropriate referrals to families for support with individualized needs. + Appropriately documents all clinical activities and care coordination in the electronic health record with… more
- Fresenius Medical Center (Brooklyn, NY)
- …patients per physician's orders. + Act as the subject matter expert and as a resource for staff members. + Supervise and participate in completion of short and long ... term care plans. + Admit new patients according to facility procedure. + Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. + Supervise the safe and effective… more
- Saratoga Hospital (Saratoga Springs, NY)
- …department staff to achieve identified goals and objectives. + Acts as a resource for the optimal planning and implementation of programs and procedures for Saratoga ... Hospital's cancer services in alliance with the organizations ACoS CoC accreditation and Community Needs Assessment. Provides medical staff and hospital leadership with special reports from the cancer data system to aid in the improvement of cancer care and… more
- Highmark Health (Albany, NY)
- …in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. + Other duties as assigned or requested. **QUALIFICATIONS:** ... **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary… more
- University of Rochester (Rochester, NY)
- …for timely submission of pretreatment estimates and insurance approvals. Acts as a resource to patients and care providers of Medicaid approval process and other 3rd ... party billing issues. Collaborates with all members of the dental care team to facilitate superior communication with the patient for best treatment outcomes. Maintains good working relationship with other Dentistry care providers, Billing and front-line staff… more
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