• Claims Service Representative

    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
    Centers Plan for Healthy Living (04/15/25)
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  • Administrative Specialist 1/Trainee 1/2 - NY Helps

    New York State Civil Service (Albany, NY)
    …Management Specialist Trainee 2, Policy Holder Services Representative Trainee 2, Claims Service Representative Trainee 2 OR*A bachelor's degree and ... are not limited to: Administrative Assistant 1, Office Assistant 3, Program Aide, Claims Services Representative Trainee 1; OR*A bachelor's or higher degree.For… more
    New York State Civil Service (05/08/25)
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  • Claims Resolution Representative

    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
    University of Rochester (03/17/25)
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  • Financial Claims Analyst…

    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
    Independent Health (05/06/25)
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  • Claims Auditor

    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
    Centers Plan for Healthy Living (04/15/25)
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  • Temporary Document Services Representative

    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
    CDPHP (04/26/25)
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  • Member Service Representative

    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 (05/08/25)
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  • Customer Service Representative

    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
    CAI (05/02/25)
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  • General Liability Claim Representative

    Travelers Insurance Company (Melville, NY)
    …reserve activities are consistent with corporate policies. + Resolve complex, severe exposure claims , using high service oriented file handling. + In order to ... and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer… more
    Travelers Insurance Company (02/12/25)
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  • Client Service Representative

    World Insurance Associates, LLC. (Syosset, NY)
    …retirement services, and human capital management solutions. Position Overview Our Client Service Representative provides general account support and customer ... products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is...inquiries and escalate issues related to eligibility and member claims + Develop and leverage knowledge of customer needs… more
    World Insurance Associates, LLC. (03/19/25)
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  • Labor Services Representative Trainee 1/2…

    New York State Civil Service (Brooklyn, NY)
    …Labor employees only, with at least one year of permanent, contingent-permanent, or 55b/c service as a Labor Services Representative or Trainee 1/2; if you have ... NY HELP Yes Agency Labor, Department of Title Labor Services Representative Trainee 1/2 - Brooklyn (NY HELPS) Occupational Category Other Professional Careers Salary… more
    New York State Civil Service (05/06/25)
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  • Accounts Receivable Representative

    Ellis Medicine (Schenectady, NY)
    The Accounts Receivable Representative will be responsible for achieving accurate and timely accounting of all Inpatient and Outpatient accounts receivable as set by ... Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider… more
    Ellis Medicine (03/04/25)
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  • Provider Relations Representative

    Independent Health (Buffalo, NY)
    …responsible for assisting our provider constituents and providing exceptional customer service . The Provider Relations Representative will answer incoming calls ... paid time off (PTO), including company paid holidays. The Provider Relations Representative position offers an opportunity to begin a career at Independent Health.… more
    Independent Health (04/24/25)
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  • Senior Field Representative - Creedmoor PC

    New York State Civil Service (Queens Village, NY)
    …- Dormitory Authority of the State of New York Title Senior Field Representative - Creedmoor PC Occupational Category Other Professional Careers Salary Grade NS ... NY Zip Code 11427 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
    New York State Civil Service (04/11/25)
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  • Field Representative - Rockland PC

    New York State Civil Service (Orangeburg, NY)
    …- Dormitory Authority of the State of New York Title Field Representative - Rockland PC Occupational Category Other Professional Careers Salary Grade NS Bargaining ... Orangeburg State NY Zip Code 10962 Duties Description Primary PurposeThe Field Representative assists the Project Manager or Senior Project Manager in all aspects… more
    New York State Civil Service (04/02/25)
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  • Member Services Associate, Care Center…

    MVP Health Care (Tarrytown, NY)
    …interaction. **Your key responsibilities:** + The Member Services Associate, Care Center Representative is responsible for providing optimum customer service as ... Member Services Associate, Care Center Representative 625 State St, Schenectady, NY 12305, USA...for you if you have a passion forhealthcare, customer service , and compliance. **What's in it for you:** +… more
    MVP Health Care (05/07/25)
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  • Professional, Provider Relations…

    MVP Health Care (Plattsburgh, NY)
    Professional, Provider Relations Representative Plattsburgh, NY, USA * Vermont, USA Req #2356 Friday, January 24, 2025 At MVP Health Care, we're on a mission to ... achieve this, we're looking for a **Professional, Provider Relations Representative ** to join #TeamMVP. If you have a passion...triaged provider issues including (but not limited to): + Claims Inquiries + Payment Inquiries + Recovery Inquiries +… more
    MVP Health Care (03/04/25)
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  • Patient Account Representative

    Catholic Health Services (Melville, NY)
    …16,000 employees, six acute care hospitals, three nursing homes, a home health service , hospice and a network of physician practices across the island. At Catholic ... Job Details Under the direction of the Supervisor, the Patient Account Representative is responsible for accurate and timely hospital billing, follow up,… more
    Catholic Health Services (05/07/25)
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  • PIP Claim Representative

    Travelers Insurance Company (Melville, NY)
    …is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement and payment ... regulations. **What Will You Do?** + Customer Contacts/Experience: + Delivers consistent service quality throughout the claim life cycle, including but not limited… more
    Travelers Insurance Company (03/14/25)
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  • Patient Financial Representative - Full…

    Mohawk Valley Health System (Utica, NY)
    …patient demographic and insurance information is correct, resulting in accurate claims for reimbursement. Position provides excellent customer service during ... Patient Financial Representative - Full Time - Days Department: PATIENT...been verified as eligible for the designated date of service range. For each insurance, benefit information is obtained… more
    Mohawk Valley Health System (03/19/25)
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