- Provide administrative assistance to clinical teams
- Adhere to customer service standards
- Review and process prior authorization requests
- Ensure accuracy and efficiency in workflow
- Maintain knowledge of benefit plans and policies
- Handle inbound calls from providers and members
- Associate's degree or equivalent experience
- Minimum 2 years in health insurance
- Utilization management experience preferred
- Knowledge of managed care and medical terminology
- Strong attention to detail and data entry skills
- Excellent customer service and communication skills
- Ability to handle multiple tasks effectively
- Experience with PC in a Windows environment
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VOLT Management Albany, United StatesIT Support Specialist Needed · This medical technology company is looking for an IT Support Specialist for onsite support. You will provide support of all PC, Network, Server hardware and Software Applications included but not limited to: Lotus Notes, MS Outlook, MS Office, Virtu ...
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Technology Support Specialist
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Application Support Specialist
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Zurich Insurance Group Albany, United States** Application Support Specialist** · 76495 **Our opportunity** · Based in Barcelona, the Application Support Specialist main focus will be ensuring the availability and proper functioning of a global application for our internal stakeholders. He or she will be part of a team o ...
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Medicaid Support Specialist
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Patient Support Specialist
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CommUnityCare Albany, United StatesAlbany Family Medicine is hiring a full-time Patient Support Specialist to join their team · This is a 40 hour work week. Monday - Friday, 8:30-5 · The ideal candidate will have superior customer service skills, preferably in the medical field. This position is formerly known as ...
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Computer Support Specialists
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Technical Support Specialist
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Computer Support Specialist
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Computer Support Specialist
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Application Support Specialist
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Zurich Investment Management Limited Albany, United StatesPerforming standardized operational tasks to ensure that the service levels and performance are met. · Taking action where necessary to address or escalate performance or operational issues. · Reporting service performance to line management and provides feedback on execution o ...
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Support Specialist
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Capital District Physicians' Health Plan Albany, United States· Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that ...
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Support Specialist
4 weeks ago
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC Albany, United StatesGrounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that off ...
Clinical Support Specialist - Albany, United States - CDPHP
Description
Welcome to CDPHP Careers!
Located in New York, CDPHP is a not-for-profit health plan founded by physicians in 1984. Committed to providing top-quality and affordable health insurance, we prioritize people, innovation, and community. Our inclusive corporate culture encourages employee engagement and volunteerism, fostering a sense of belonging.
Join us as a Clinical Support Specialist (CSS) at Member Health, where you'll play a vital role in supporting clinical staff and ensuring prompt handling of authorization requests and notifications.
Qualifications:
At CDPHP, we offer competitive salaries, opportunities for professional growth, and a comprehensive benefits package. Join us in making a difference in the lives of our members and communities.
CDPHP is proud to be an Equal Opportunity / Affirmative Action Employer, promoting diversity and inclusion in the workplace. All qualified candidates will be considered for employment without discrimination based on any protected status.
Discover more about CDPHP and our subsidiaries, including Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.