- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Appeals Representative 4 Investigates and resolves member and practitioner issues. manages ... determine if an a grievance, appeal or further request is warranted. The Appeals Representative 4 + Review documents + Building cases + Inventory Management +… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a ... with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties… more
- Northwell Health (Melville, NY)
- …and medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care ... current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness… more
- HANAC, Inc. (Astoria, NY)
- …integral part of a team with the immigration attorney, Board of Immigration Appeals (BIA) accredited representative , and support staff. The Immigration Paralegal ... will assist the staff attorney and the Program Director in providing legal services, education, and outreach, including coordination of community events, and working under attorney supervision to assist clients on Immigration law matters. The Paralegal will… more
- Independent Health (Buffalo, NY)
- …and 5pm** **Monday through Friday** . **Overview** The Provider Relations Representative will be responsible for assisting our provider constituents and providing ... exceptional customer service. The Provider Relations Representative will answer incoming calls from health care providers including physician offices, ancillary… more
- New York State Civil Service (Menands, NY)
- NY HELP Yes Agency Labor, Department of Title Labor Services Representative /Trainee 1/2 - Menands (NY HELPS) Occupational Category Other Professional Careers Salary ... Zip Code 12204 Duties Description Standard Duties:As a Labor Services Representative /Trainee 1/2 with the Unemployment Insurance Appeal Board (UIAB), the incumbent… more
- 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
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role The Customer Service Representative assists members, physicians, hospitals, and other healthcare providers with member benefits, eligibility, and ... appeals . The Customer Service Representatives must be able to...high-volume call center, experience with medical specialties, complaints and appeals and call center responsibilities. Previous experience in a… more
- New York State Civil Service (Albany, NY)
- …rules, regulations and case law. The incumbent serves as the Chancellor's representative in hearing appeals of disciplinary and contract grievances pursuant ... policy for classified service employees.- Serves as the University's representative in the administration of the grievance procedures (contract, non-contract… more
- Garnet Health (Middletown, NY)
- …invite to make your career home with us as a Patient Accounting Representative on our Patient Financial Services team at/in Garnet Health Medical Center-Middletown. ... claims to all payers in timely and accurate manner. Representative serves as primary contact for patient reimbursement issues...in Revenue/CPT Code descriptions and the ability to write appeals for denials is required. Should know the statutes… more