- 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
- Northern Rivers Family Services (Schenectady, NY)
- …to be in-person with the member . + Level II - Provides care management services to low, medium, and high acuity members. Care Manager will provide a minimum of ... Health Home program. You will coordinate and monitor subsequent services to meet the needs of your members. You...of your members. You will report to a program supervisor , working in a hybrid model. Work will involve… more
- 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
- 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
- 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