Anticipated End Date: 2025-01-04 Position Title: Wellness & Recovery Specialist Job Description: Wellness... and Recovery Specialist Work Location: 100% onsite at an inpatient facility in New York city Work schedule: Monday – Friday 8...
/uninstall art for onsite projects Load/unload trucks to ensure safe transit Plan, organize, and pack trucks to ensure utmost... to handle diverse and non-traditional collections. Ultra High-resolution 3D scanning, digitization, and archival solutions...
, as well as communication of Plan policies and procedures. Contact for all escalated issues from the Provider and internal... coordinating of Joint Operating Committees (JOCs), claim review and resolution and support of audits when needed. Responsible...
departments, delegated entities, medical groups and network physicians to ensure timely resolution of cases. Research appeal... of their investigation for consideration in the plan’s determination. Monitor daily and weekly pending reports and personal worklists...
departments, delegated entities, medical groups and network physicians to ensure timely resolution of cases. Research appeal... of their investigation for consideration in the plan’s determination. Monitor daily and weekly pending reports and personal worklists...
and implements alternate means of resolution. Manages litigated claims. Develops litigation plan with staff or panel counsel..., litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality...
, and/or Professional network; coordinate Joint Operating Committees (JOCs), claim review and resolution and support of audits when... needed. Assist participating providers when issues require coordination of various Plan departments (Claims, Care Management, EDI...
departments, delegated entities, medical groups and network physicians to ensure timely resolution of cases. Research appeal... of their investigation for consideration in the plan’s determination. Monitor daily and weekly pending reports and personal worklists...
detailed explanation of plan structures and operational processes. Lead internal/external conference calls: planning, follow... requirements required Familiarity with health plan pricing, claims administration and benefit designs required Experience...
and ensures resolution of all entitlements – including Medicaid, social security, HRA Public Assistance, SNAP, etc. denials... Union; FSAs; Short-and-Long-Term Disability; Transportation Plan; Generous Paid Vacations and Holidays Company Overview...
, application of medical criteria and regulatory requirements to ensure appropriate appeal resolution and execution of the plan... and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability...
and implement alternate means of resolution. Manages litigated claims. Develop litigation plan with staff or panel counsel..., negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific...
, as well as communication of Plan policies and procedures. Contact for all escalated issues from the Provider and internal... and resolution and support of audits when needed. Responsible for the accuracy of all documentation in support of contracts. Serve...
(k) savings plan, 401(k) matching, and paid time off (vacation days, sick days, and 11 holidays). This position will remain open... product roadmaps Critical thinking and problem resolution skills Ability to work independently, provide updates, and ask...
(k) savings plan, 401(k) matching, and paid time off (vacation days, sick days, and 11 holidays). This position will remain open... product roadmaps Critical thinking and problem resolution skills Ability to work independently, provide updates, and ask...
(k) savings plan, 401(k) matching, and paid time off (vacation days, sick days, and 11 holidays). This position will remain open... product roadmaps Critical thinking and problem resolution skills Ability to work independently, provide updates, and ask...
with. Job Summary: As a Client Service Specialist (CSS), you will be an integral part of our call center operations, offering first... and maintain member demographic information across internal and external systems. Capture and advise on plan elections, aiding...
complete follow-through to successful resolution. Perform hardware diagnostics and execute or coordinate repairs in a timely... with current operating system and execute on the installation and maintenance of practice specific applications. Plan, schedule...
and email communications. COMMUNICATION SKILLS – Superior interpersonal skills and customer service, with proactive resolution skills... to the success of this position. ORGANIZATIONAL SKILLS – Ability to organize, plan, and prioritize work in a fast-paced work...
with. Job Summary: As a Client Service Specialist (CSS), you will be an integral part of our call center operations, offering first... and maintain member demographic information across internal and external systems. Capture and advise on plan elections, aiding...