- Centers Plan for Healthy Living (Staten Island, NY)
- …developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for ... further resolution of the callers issue while adhering to CPHLs policies. + Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends + Prepares correspondence, maintains phone and contact logs, and documents… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that ... contact, investigation, and resolution of claims . The Claims Research & Resolution Representative 2 performs...or more years of Call Center or Telephonic customer service experience (in the past 5 years)** + **Previous… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for working across ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. The Financial Claims Analyst Representative shall be responsible for claims payment ... School diploma or GED required; Associates degree preferred. + Experience with claims processing and procedures required. + Independent Health claims experience… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives must be able to work in various shifts Monday to Friday… more
- CDPHP (Albany, NY)
- …values and invites you to be a part of that experience. The Member Service Representative shall assume full responsibility and ownership for all aspects ... complaints, and advise the customer of their rights and responsibilities. The Member Service Representative will work closely with all departments, such as… more
- CDPHP (Albany, NY)
- …values and invites you to be a part of that experience. The Document Service Representative shall assume full responsibility for the completion of the necessary ... mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with...queue for handling by each business area. The Document Service Representative will work closely with Member… more
- Latham, The Pool Company (Albany, NY)
- …a difference? A little about the position: Job Summary The Latham Customer Service Representative is responsible for handling complex customer orders and queries ... Covers and Kits. + Process customer payments, returns, merchandise claims and remake requests through Request Center. + Meet...experience or 6 months experience as a LPP Customer Service Representative II + Previous experience in… more
- CAI (Albany, NY)
- …time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Customer Service Representative ready to take us to the next level! If you ... now! **Job Description** We are looking for a Customer Service Representative to provide first point of...with navigating and resolving a variety of issues, including claims and continuity of care + Work towards meeting… more