LRS HealthcareNew York
Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain high l...
TravelNurseSourceNew York
TravelNurseSource is working with Assured Nursing to find a qualified Case Manager RN in White Plains, New York, 10601!. Case Manager Management (Utilization Review). ...
TravelNurseSourceNew York
TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Webster, New York, 14580!. ...
LRS HealthcareNew York
Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain high l...
NAPA Management Services CorporationBrooklyn (NY), 7 mi from New York
for the medical management of patients who are rendered unconscious ad/or insensible to pain and emotional stress during surgery and other medical procedures
• Pre-anesthesia assessment
• Obtains and/or verifies patient consent
• Discuss anesthetic options...
NAPA Management Services CorporationBelleville (NJ), 9 mi from New York
for the medical management of patients who are rendered unconscious and/or insensible to pain and emotional stress during surgery and other medical procedures
• Pre-anesthesia assessment
• Obtains and/or verifies patient consent
• Discuss anesthetic options...
NAPA Management Services CorporationStaten Island, 12 mi from New York
for the medical management of patients who are rendered unconscious and/or insensible to pain and emotional stress during surgery and other medical procedures
• Pre-anesthesia assessment
• Obtains and/or verifies patient consent
• Discuss anesthetic options...
AlediumHRNew York
Their commitment is to provide exceptional anesthetic care and medical management to children undergoing surgeries. Their facilities encompass various surgical and non-surgical settings, ensuring the highest level of pediatric care.
Position Overview:
Due to team...
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Customer Service
Phaxis LLC | New York | www.resume-library.com |
Obtains information from doctors and/or providers and enters data into the medical management information system to enable clinical staff to correctly apply assessment tools.
Creates case files for services that require authorization and maintains accurate data in all applicable systems to ensure prompt decision-making and accurate claims adjudication.
Delivers strong customer service and problem solving while providing triage and management of calls with accuracy of data collection and ensuring established call performance targets are consistently achieved.
Tracks and monitors customer complaints concerning service requests. Reports any unusual or complex issues/trends to management; recommends corrective actions.
Provides triage and management of calls ensuring that established call performance targets are consistently achieved.
Provides feedback to leadership regarding training needs
Collaborates with management to determine the best approach to service customers, handle repeat vendor issues and other job-related matters to maximize and improve delivery, billing and payment of goods and services.
Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
Participates in special projects and performs other duties as assigned.
Has strong organizational skills
Work Experience:
Minimum of two years of experience in a customer service role Required
Excellent oral and written communication skills Required
Advanced personal computer skills, including Word, Excel or Access Required
Utilization Management experience Preferred
Health care background Preferred
Creates case files for services that require authorization and maintains accurate data in all applicable systems to ensure prompt decision-making and accurate claims adjudication.
Delivers strong customer service and problem solving while providing triage and management of calls with accuracy of data collection and ensuring established call performance targets are consistently achieved.
Tracks and monitors customer complaints concerning service requests. Reports any unusual or complex issues/trends to management; recommends corrective actions.
Provides triage and management of calls ensuring that established call performance targets are consistently achieved.
Provides feedback to leadership regarding training needs
Collaborates with management to determine the best approach to service customers, handle repeat vendor issues and other job-related matters to maximize and improve delivery, billing and payment of goods and services.
Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
Participates in special projects and performs other duties as assigned.
Has strong organizational skills
Work Experience:
Minimum of two years of experience in a customer service role Required
Excellent oral and written communication skills Required
Advanced personal computer skills, including Word, Excel or Access Required
Utilization Management experience Preferred
Health care background Preferred
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