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office representative
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Frank C Argento Jr - State Farm Agent Webster, NY, United StatesPosition Overview · Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Office Representative - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value-based conve ...
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Hotel General Manager
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DelMonte Hotel Group Webster, United StatesAre you ready to apply your expertise to a rewarding career with a leader in the hospitality industry? Join the DelMonte Hotel Group team We are currently seeking experienced and driven candidates just like you to serve as a Hotel General Manager. · You will play a key role to e ...
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Behavior Intervention Specialist II
1 week ago
CDS, Inc. Webster, United StatesCDS Monarch values their employees and offers:No Weekends or On-Call · Competitive salary · Flexible scheduling · Licensure not required for MSW and Psychology Degrees · Paid time off (including your Birthday), Vacation time, Personal time · Affordable health care coverage incl ...
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Behavior Intervention Specialist II
6 days ago
CDS Life Transitions Webster, United StatesCDS Monarch values their employees and offers: · + No Weekends or On-Call · + Competitive salary · + Flexible scheduling · + Licensure not required for MSW and Psychology Degrees · + Paid time off (including your Birthday), Vacation time, Personal time · + Affordable health ...
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Retail Sales Representative
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MarketSource Webster, United StatesMarketSource - JobID: [Sales Associate / Team Member] As a Sales Representative at MarketSource, you'll: Drive sales productivity and customer satisfaction within Target Mobile retail locations on various Wireless products, accessories and services to customers; Engage in side-by ...
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Human Resources Assistant
5 days ago
CDS Life Transitions Webster, United StatesSummary: · The HR Assistant is responsible for providing administrative support to the Human Resource Department. Duties include providing excellent customer service for internal and external recipients, maintaining and updating employee files, assisting with reporting and cleric ...
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Applications Administrator
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CDS Webster, United States Full timeSummary: · The Applications Administrator will be responsible for day to day operation of assigned system(s). The Applications Administrator responds to service issues, performs routine maintenance and assists business units with application needs. This includes working collabo ...
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Customer Advisor 1
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Claims Representative
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BeneCare Dental Plans Webster, United StatesCLAIMS REPRESENTATIVE · Department: Third Party Administration (TPA) · Reports To: TPA/COBRA Benefits Manager FLSA Status: Non-Exempt · Salary Range: $50,000 - $55,000 · Employment Status: Full-Time; Monday-Friday 8:30am -5:00pm · Position Summary: · The Claims Representative wil ...
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St. Anns Community Webster, NY, United StatesPer Diem opening · As an LPN Supervisor, you will supervise resident care for the Most Important People on Earth, our Assisted Living residents, and be a visible and key customer service representative providing the St. Ann's Experience to staff, residents, families, visitors, an ...
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CDS, Inc. Webster, NY, United StatesCDS Monarch is hiring for Registered Nurses · CDS Monarch is a world-class organization that provides opportunities for individuals with intellectual and developmental disabilities to lead independent and fulfilling lives in their community. · CDS Monarch values their employees ...
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Office Representative
4 days ago
Frank C Argento Jr - State Farm Agent Webster, United StatesJob Description · Job DescriptionPosition Overview · Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Office Representative - State Farm Agent Team Member. We seek an energetic professional interested in helping our busine ...
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Manager of Nursing Services
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CDS Life Transitions Webster, United StatesSummary: · Under supervision of the Director of Nursing Services, coordinates daily activities of Registered Nurses and Licensed Practical Nurses. Provides nursing services to assigned sites, consultation, and any required clinical supervision related to the provision of nursing ...
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Human Resources Assistant
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CDS Life Transitions Webster, United StatesSummary: · The HR Assistant is responsible for providing administrative support to the Human Resource Department. Duties include providing excellent customer service for internal and external recipients, maintaining and updating employee files, assisting with reporting and cleri ...
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Registered Nurse, Monday-Friday.. No On Call
1 week ago
CDS Life Transitions Webster, United StatesCDS Monarch is hiring for Registered Nurses · CDS Monarch is a world-class organization that provides opportunities for individuals with intellectual and developmental disabilities to lead independent and fulfilling lives in their community . · CDS Monarch values their employees ...
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nursing coordinator
1 week ago
CDS, Inc. Webster, NY , USA, United StatesSummary: · Under supervision of the Manager of Nursing Services, collaborates with the training department to facilitate medication certification training and other health-related training to employees. Assist with placing PPDs for onboarding staff. Serves as a leader and assist ...
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Applications Administrator
2 weeks ago
CDS Life Transitions Webster, United StatesSummary: · The Applications Administrator will be responsible for day to day operation of assigned system(s). The Applications Administrator responds to service issues, performs routine maintenance and assists business units with application needs. This includes working collabor ...
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Convenience Store Cashier
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Overnight Stock Clerk Part Time
1 week ago
BJ's Wholesale Club Webster, United States Part timeJoin our team of more than 34,000 team members, supporting our members and communities in our Club Support Center, 235+ clubs and eight distribution centers. BJ's Wholesale Club offers a collaborative and inclusive environment where all team members can learn, grow and be their a ...
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Front End Lead Full Time
1 week ago
BJ's Wholesale Club Webster, United States Full timeJoin our team of more than 34,000 team members, supporting our members and communities in our Club Support Center, 235+ clubs and eight distribution centers. BJs Wholesale Club offers a collaborative and inclusive environment where all team members can learn, grow and be their au ...
Member Service Representative - Webster, United States - CDS Life Transitions
Description
Summary:
Primarily responsible for providing members with exceptional customer service in an inbound call center environment. Provide accurate and efficient member services as part of call center to ensure that members services are delivered in a timely manner. Responsible for all documentation of member contacts received through Member Services in Electronic Health Record. Creates and processes non-emergent medical transportation service authorizations as needed.
Essential Job Functions:
+ Responsible for answering member services calls via inbound call center who are seeking assistance related to their member benefits. Meet speed to answer guidelines.
+ Respond to all inquiries consistent with confidentiality and privacy policies, and transfer/refer callers to alternate sources when appropriate (such as care manager, enrollment, etc).
+ Create and process service authorizations, ensuring that current authorizations are maintained in the electronic record and sent and confirmed by providers.
+ Document all contacts with member(s) and provider(s) utilizing electronic record Facilitate the fulfillment of member requests for materials via mail, e-mail, tasks, etc.
+ Adhere to quality and accuracy standards, HIPAA compliance, timeframes, and proper procedures, ensuring errors are identified and corrected. Keeps supervisor apprised of any concerns or errors.
+ Document complaints in the electronic health record according to standard operating procedures .
+ Understands and is able to clearly communicate to members on the MLTC benefit package, Medicaid guidelines, and processes.
+ Perform all other duties relevant to the position as assigned by supervisor.
Knowledge, Skills, and Abilities
+ Ability to manage a high level of confidentiality, with strong attention to detail and ability to multitask.
+ Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
+ Creative decision-making skills with proven ability to work independently in on-site location, yet collaborate, communicate, and motivate others within a team setting.
+ Ability to actively listen and communicate effectively, both oral and written.
+ Preferable to be able to type minimum 30wpm.
+ Must be able to complete basic skills in Microsoft Windows and Microsoft Office programs, including Excel (search and filter), Outlook (send/reply to emails attaching documents), TEAMS (utilize chat functions and join meetings), and Word (search and copy/paste).
Education and Experience:
+ Must be at least 18 years of age.
+ High School diploma required, Associates degree preferred.
+ Healthcare experience, specifically in at least one of the following areas: call center operations, MLTC, grievance and appeals, and/or authorizations.
The listed salary range represents the organization's good faith and reasonable estimate of the range of possible compensation at the time of posting. The offered salary will be determined by: Applicant qualifications and experience, education, position specific licensing/training and departmental budgets.
CDS Life Transitions is an Equal Opportunity Employer, and as such affirms the right of every person to participate in all aspects of employment without regard to gender, race, color, religion, national origin, ancestry, age, marital status, sexual orientation, pregnancy, disability, citizenship, military or veteran status, gender expression and/or identity, or any other status or characteristic protected by federal, state, or local law. CDS Life Transitions will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at
