- Excellus BlueCross BlueShield (Rochester, NY)
- …Medical Services division. Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support ... to the grievance and appeals process within the + Medical Services department Level III (in addition...employee development and promotional opportunities. All Levels + LPN, Medical Assistant, Health Plan customer service or… more
- New York State Civil Service (Rochester, NY)
- …Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade ... Code 14620 Duties Description Primary Duties and Responsibilities:As a Medical Specialist , you would actively participate in...referral service that connects employees with local service providers and support services to address… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial Services Location: SLH - Regional Administrative Campus Hours Per Week: 40 ... Schedule: 8am-4pm SUMMARY: A Medical Billing and Denials Specialist is responsible...degree in healthcare or business administration + Experience in medical billing and denials, customer service and… more
- Highland Hospital (Rochester, NY)
- …to resolve, requests estimated cost and collects deposits for non-covered services , ensures appropriate medical justification is documented for out-of-network ... high degree of professionalism and motivation with excellent communication and customer service skills, and medical terminology. Good interpersonal and telephone… more
- NBT Bank (Rochester, NY)
- Pay Range: $26.66 - $39.10 The Compliance Specialist II is directly responsible for preparing increasingly complex compliance and government filings within company ... service standards and following department procedures to ensure accuracy...conduct self and peer review as needed. + 15% Coordination of data input and validation for annual compliance… more
- Anthony Jordan Health Corp (Rochester, NY)
- …barriers to health and health care, meeting their need for comprehensive medical , dentistry, behavioral health, and community services . Starting in northeast ... RISK MANAGEMENT SPECIALIST ROCHESTER, NY (http://maps.google.com/maps?q=214C+Lake+Avenue+ROCHESTER+NY+USA+14608) * Corporate Compliance Apply Job Type Full-time… more
- Anywhere Real Estate (Rochester, NY)
- The **Client Experience Specialist ** is a service -minded professional who manages all non-licensed aspects of the transaction, from contract to close, to create ... efficient, and accurate manner. + Collaborate closely with agent services department, agents and/or other third parties to ensure...with all parties involved in the transaction. + Prioritize service to the agent and all parties with a… more
- Philips (Rochester, NY)
- …our Ultrasound, Image Guided Therapy Systems & Devices, Training & Education, Field Service Engineers and Field Management business segments to ensure alignment and ... coordination of activities that meet defined VeriSight business objectives....+ Your skills include + Extensive knowledge of the medical device industry and associated product portfolios, preferably within… more
- AutoZone, Inc. (Rochester, NY)
- …and ensure smooth order fulfillment and delivery. This role combines customer service , sales support, and logistics coordination , with opportunities to lead ... ensureon-time deliveries. + Conductaccount visitsto build relationships and ensure service quality. + Generate new business throughoutbound callsandin-person outreach.… more
- Stantec (Rochester, NY)
- …and enhance our communities. The Commissioning and Validation role provides crucial services to confirm equipment and facilities meet the design requirements and ... group for an enthusiastic, diligent and experienced Commissioning / Validation Specialist . In this role you will prepare and implements project… more
- Molina Healthcare (Rochester, NY)
- …Summary Provides support for CA Medi-Cal and Marketplace benefits and services including reviewing and resolving member appeals and complaints, then communicating ... of Managed Health Care (DMHC) and CA Department of Health Care Services (DHCS) **Essential Job Duties** * Facilitates comprehensive research and resolution of… more
- Molina Healthcare (Rochester, NY)
- …with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive research and ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- University of Rochester (Rochester, NY)
- …s ce standards, and scenario development. **ESSENTIAL FUNCTIONS** + Patient Service Center (PSC) property management and maintenance coordinator. + Coordinates with ... process improvement. + Evaluates requests from departments, administrative units and service units for renovation, relocation, expansion or improved use of existing… more
- Molina Healthcare (Rochester, NY)
- …systems to determine appeal and grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per ... the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting the member/provider through written and verbal… more
- University of Rochester (Rochester, NY)
- …verification. + May perform complex appointment scheduling, linking referrals and ancillary services for the assigned specialty service . + Provides patients with ... to insure delivery/receipt. + Prior authorization functionality required for testing and services ordered by referred to specialist includes, preparing and… more
- University of Rochester (Rochester, NY)
- …telephone interviews to screen potential study candidates and eligibility for clinical services . + Reviews medical chart history with Principal Investigator to ... skills, especially with regard to interfacing with participants, individuals seeking services , community partners, and medical professionals. Preferred + Prior… more
- WSP USA (Rochester, NY)
- …signed Service Agreement where WSP has expressly requested recruitment/staffing services specific to the position at hand. Any unsolicited resumes, including ... number of crossings + Serves as an overhead transmission line design technical specialist and has knowledge and skillset to provide consultation and guidance to… more
- Rochester Housing Authority (Rochester, NY)
- …self-sufficiency and quality of life. This position bridges direct tenant services ( specialist -level) and departmental oversight (director-level), with a strong ... grant opportunities and, when possible, supports the drafting of applications in coordination with the Director of Resident Services . + Represents RHC… more
- Oak Orchard Health (Brockport, NY)
- …and Quality Manager is responsible for the overall development, coordination , monitoring and presentation of mandatory trainings, ongoing staff development ... and performance of the Oak Orchard Health Medical Department. The Clinical Performance and Quality Manager will directly report to the Director of Nursing and… more
- Rochester Regional Health (Rochester, NY)
- …actively support recovery goals of PROS Participants. As such, the PROS Specialist assists PROS participants with skill development and elimination of barriers to ... interventions as outlined in PROS participant IRP. Symptom monitoring services will be reviewed and co-signed by MD/RN +...functionally as a member of an interdisciplinary team in coordination and delivery of care. Demonstrates knowledge of and… more