• Supervisor Member Services…

    Highmark Health (Albany, NY)
    …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for supervising member service call center and ensuring timely, professional, and courteous ... to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make...routine medical approval decisions. **This role sits within the Medicaid Market - looking for someone who has Customer… more
    Highmark Health (12/16/25)
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  • Case Manager - Registered Dietician

    CDPHP (Latham, NY)
    …in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and ... Applies case management criteria and professional clinical judgment to determine a member 's appropriateness for case management services . + Initiates case… more
    CDPHP (11/25/25)
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  • Community Resource Navigator - Emergency…

    Catholic Charities of the Dioscese of Albany (Troy, NY)
    …on local committees as requested by supervisor + Conduct screenings with Medicaid eligible individuals for services under the 1115 Waiver using the approved ... a Community Resource Navigator at Catholic Charities of Tri-County Services . Imagine yourself as part of an organization...in fact, that every application is screened by a member of the HR team or a trained hiring… more
    Catholic Charities of the Dioscese of Albany (12/14/25)
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  • Accounts Receivable Representative

    Ellis Medicine (Schenectady, NY)
    …Handles and processes all customer calls and written requests in Patient Financial Services (PFS) and responds in a timely manner to challenging customers, patients, ... information on programs to assist patient and family financial issues (ie Medicaid Program, Uncompensated Care). + Facilitates in gathering accurate patient billing… more
    Ellis Medicine (10/31/25)
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  • Risk Adjustment Coding Specialist -St. Peter's…

    Trinity Health (Albany, NY)
    …adhering to coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified ... required** . Excellent verbal and written communication skills. . Customer service -oriented attitude/behavior. . Detail oriented with the ability to multi-task and… more
    Trinity Health (12/12/25)
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