- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Service Representative 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #811 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to ... developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- New York State Civil Service (New York, NY)
- …- Dormitory Authority of the State of New York Title Senior Field Representative - Baruch College Occupational Category Other Professional Careers Salary Grade NS ... NY Zip Code 10010 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
- Molina Healthcare (New York, NY)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... equivalent **Required Experience** 1-3 years of call center or customer service experience **Preferred Education** Associate degree **Preferred Experience** + 3-5… more
- Molina Healthcare (New York, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Amalgamated Bank (New York, NY)
- Amalgamated Bank is seeking a Retail Banking Representative to be responsible for providing a high quality of Customer Service in a broad variety of activities. ... on to work in both the Teller and Customer Service areas, according to needs. This position is responsible...matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing… more
- City of New York (New York, NY)
- …When you work at DCAS, you're not just working for one agency, but in service of them all. It's an opportunity to provide impactful support, quality customer ... service , and help protect the future of New York...(UI) Unit is responsible for minimizing costs by monitoring claims for unemployment benefits from former City employees and… more
- B&H Photo (New York, NY)
- …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers… more
- Surgery Care Affiliates (New York, NY)
- …help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines. The new SCA Health represents who we are today and ... Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain...deductible amounts due on or before the date of service as applicable + The Insurance Verifier will call… more
- VNS Health (Manhattan, NY)
- …and operating requirements, Health Plan program and eligibility requirements, and service coordination. + Collaborates with the Network Development and Contracting ... and Service Operations departments to administer demographic changes and renewals...provider directories. + Assists providers in triaging billing and claims disputes. + Participates and collaborates with Compliance on… more
- Justice, Bureau of Prisons/Federal Prison System (Kings County, NY)
- …and Bureau of Prisons Claims Acts (FTCA/CECA/BOPCA), and inmate property claims . Receives service of legal documents, reviews for correct form and ... under the Freedom of Information and Privacy Acts, Administrative Remedy Appeals, and claims submitted under the Federal Tort Claims Act, Civilian Employee… more
- CDM Smith (New York, NY)
- …activities, including critical path method (CPM), and scheduling and claims administration. Interprets plans and specifications for clients, contractors, and ... as required. **Job Title:** Assistant Resident Engineer - Lead Service Line Replacement **Group:** PSF **Employment Type:** Regular **Minimum Qualifications:**… more
- City of New York (New York, NY)
- …of City agencies, coordinates City initiatives, and assists agencies in improving service quality and in measuring performance to provide greater accountability. For ... in a wide array of locations, including office-based settings, client service facilities, and, in some cases, off-site locations. Currently, CIP's portfolio… more
- City of New York (New York, NY)
- …the billing software. Perform and verify patient's insurance eligibility for all service areas of DOHMH Article 28/36 clinics. Obtain prior authorizations for ... services when required. Perform computations of service charges balance in the billing financial system. Calculate...to fee schedule. Perform claim reviews prior to submitting claims to payers. Communicate updated patient information with clinic… more
- Mina Group (New York, NY)
- …objectives in sales, costs, employee retention, communication and awareness, guest service and satisfaction, food quality, and compliance. GENERAL EXPECTATIONS + Act ... guests feel welcome and are given responsive, professional, gracious service at all times + Perform all aspects of...+ Facilitate and administer all workers comp paperwork and claims with BOURBON STEAK + Prepare all required paperwork,… more
- VNS Health (Manhattan, NY)
- …medical and related activities. Participates in implementing standards of medical service and advises senior leadership on medical and administrative questions and ... plan of care; assists in evaluating program and member service policies and procedures to help develop ways to...of care and member/provider satisfaction. + Acts as a representative of the VNS Health Plans and an advocate… more
- City of New York (New York, NY)
- …duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a ... Job Description APPLICANTS MUST BE PERMANENT IN THE CIVIL SERVICE TITLE OF ELIGIBILITY SPECIALIST OR BE PERMANENT IN...other means for referral to the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP CR). - Review claims… more
- Medtronic (Manhattan, NY)
- …Disseminates competitive information to regional teams. Delivers competitive training to field service and sales staff + Delivers tailored training and education on ... marketplace to enhance the technical and sales skills of local sales and service teams and ensure a best-in-class organization. + Delivers new product and procedural… more
- Fresenius Medical Center (New York, NY)
- …to the legal department when responding to State or Federal agency employment claims which may be filed against the organization. + Provides administrative support ... the legal department, collecting data and source documents when responding to legal claims , lawsuits and subpoenas. + Reviews all field requests related to employee… more
- City of New York (New York, NY)
- …witnesses, respondents, and other relevant parties to assess the validity of claims or concerns, including collaborating with other divisions or external agencies ... Health & Safety and Workplace Violence program and ensures service standards regarding matters of timeliness, accuracy, and compliance...for grievances at the Step II level. - Agency representative at Step III hearings at the Office of… more