Utilization Insurance Specialist
22 hours ago
We are seeking a highly skilled Utilization Insurance Specialist to join our team at Mount Sinai Health System. As a key member of our Utilization Management team, you will be responsible for reviewing medical admission records and continued stays to ensure that patients receive the necessary care and services.
Key Responsibilities- Conduct thorough reviews of medical admission records and continued stays to determine the appropriateness and timeliness of services.
- Develop and maintain relationships with clinicians, insurance providers, and other stakeholders to ensure seamless communication and coordination of care.
- Coordinate insurance authorizations and approvals, and communicate with inpatient clinical staff to ensure timely discharge planning.
- Monitor and coordinate the designation of alternative levels of care with the UM Manager and/or Program Manager and Physician.
- Generate data and reports for providers and regulatory agencies as needed.
- Utilize Hospital Mainframe programs, CANOPY Care Management System, and TRAC effectively to coordinate updates with Insurance Verification, Social Work management, and Patient Accounts.
- Masters degree preferred with experience in a related field.
- Computer literate with knowledge of MS Word, Excel, Access, and ability to learn work-related applications.
- Highly organized, articulate, with demonstration of sound judgment, mature attitude, excellent interpersonal and communication skills.
- Requires minimal supervision.
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Insurance AR Specialist
23 hours ago
New York, New York, United States EPIC Insurance Brokers & Consultants Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Insurance AR Specialist to join our team at EPIC Insurance Brokers & Consultants. As an Insurance AR Specialist, you will be responsible for processing timely premium payments to insurance carriers, researching and resolving payable discrepancies, and collaborating with third-party...
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Insurance Utilization Coordinator
2 weeks ago
New York, New York, United States Mount Sinai Health System Full timeJob OverviewAs an Insurance Utilization Coordinator, you will be responsible for the assessment and management of patient care plans, ensuring that services are delivered in a timely and appropriate manner.Key ResponsibilitiesOversee the concurrent review program, including insurance certification and authorization processes for Psychiatric and Chemical...
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Insurance Product Development Specialist
4 months ago
New York, New York, United States Glatfelter Insurance Group Full timeWho We AreFor over 70 years, Glatfelter Insurance Group has believed in doing the right thing for our clients, agents, communities and associates. This founding principle has enabled Glatfelter to grow from the kitchen-table, one-man-operation as it began, to one of the largest managing general agencies in the U.S. with nearly 500 associates across the...
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Insurance Customer Support Specialist
2 weeks ago
New York, New York, United States Pearl Insurance, a division of One80 Intermediaries Full timeThe Insurance Customer Support Specialist addresses inquiries and resolves issues raised by policyholders and insurance providers through various communication channels including phone, mail, and electronic correspondence. Common inquiries relate to coverage details, claims processing, billing, and may necessitate further investigation or referral for...
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Insurance Utilization Coordinator
2 weeks ago
New York, New York, United States Mount Sinai Health System Full timeJob OverviewThe Insurance Utilization Coordinator plays a crucial role in overseeing the concurrent review program and managing the insurance certification and authorization processes for psychiatric and chemical dependency inpatient units.Key ResponsibilitiesConcurrent Review Management: Oversee all aspects of the concurrent review program, ensuring timely...
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Insurance Claims Specialist
2 weeks ago
New York, New York, United States Collabera Full timeJob OverviewPosition Title: Insurance Claims SpecialistWork Arrangement: RemoteContract Duration: 7+ monthsCompensation: $18 - $20 per hourRole Summary:The Insurance Claims Specialist will be responsible for managing Travel Insurance Claims. An active adjuster's license from New York state is mandatory, and possessing licenses from multiple states is highly...
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Utility Cost Management Specialist
2 weeks ago
New York, New York, United States FirstService Residential New York Full timePosition Summary: The Energy Procurement Specialist plays a pivotal role in collaborating with various stakeholders to enhance the service offerings of FirstService Residential. Reporting directly to the Director of Procurement, this position aims to further develop the existing energy management program tailored for residential buildings. The specialist...
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Utilities Operations Specialist
2 weeks ago
New York, New York, United States Upward Full timeAbout the RoleWe are seeking a Utilities Operations Specialist to join our dynamic team at Upward. This position is ideal for an individual with a strong background in utility analysis, particularly within the realm of property management. The successful candidate will have a minimum of 3 years of relevant experience and will play a crucial role in...
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Insurance Account Specialist
1 week ago
New York, New York, United States Alliant Insurance Services Full timeAlliant Insurance Services is looking for a dedicated Account Manager to assist our team in overseeing current client accounts and pursuing new business ventures. This position entails evaluating client requirements, negotiating terms, and crafting proposals to guarantee thorough coverage. As an integral part of our organization, you will play a crucial role...
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Utilities Operations Specialist
1 month ago
New York, New York, United States tapwage Full timeAt DuPont, we are working on things that matter; whether it's providing clean water to more than a billion people on the planet, producing materials that are essential in everyday technology devices from smartphones to electric vehicles, or protecting workers around the world.If you would like to be a part of a premier multi-industrial company that is...
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Insurance Claims Specialist
2 weeks ago
New York, New York, United States Fetch Pet Insurance Full timeJob OverviewFetch Pet Insurance, a pioneering company in the pet wellness sector, stands out as a leader in the pet insurance market, providing comprehensive and inclusive insurance options along with health guidance for pets.At Fetch, we believe in making veterinary expenses manageable. Our extensive offerings are designed without limitations based on...
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Operations Utility Specialist
2 weeks ago
New York, New York, United States Doyle Shamrock Industries Full timePosition Overview:We are seeking a dedicated and skilled Operations Utility Specialist to join our team at Doyle Shamrock Industries. This role is essential in ensuring smooth operations within our facility.Key Responsibilities:Consistently lift weights ranging from 30lbs to 75lbs.Flexibility to work various shifts, including first, second, or...
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RN Utilization Review Specialist
4 days ago
New York, New York, United States Confident Staff Solutions Full timeJob SummaryWe are seeking a highly skilled RN Utilization Review Specialist to join our team at Confident Staff Solutions. As a key member of our Utilization Management team, you will play a critical role in ensuring the efficient use of healthcare resources.Key ResponsibilitiesConduct concurrent reviews of patients' clinical information to identify...
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Insurance Coverage Specialist
2 weeks ago
New York, New York, United States CRC Insurance Services, Inc. Full timePosition Overview:This role involves the following responsibilities. Please review the details carefully.Regular or Temporary:RegularLanguage Fluency: English (Required)Work Shift:1st shift (United States of America)Job Responsibilities:The primary function of this position is to market, identify, solicit, and arrange suitable insurance solutions for clients...
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Insurance Customer Support Specialist
2 weeks ago
New York, New York, United States Pearl Insurance, a division of One80 Intermediaries Full timeThe Customer Care Representative is responsible for addressing inquiries and resolving issues raised by policyholders and insurance providers through various communication channels including phone, mail, and electronic correspondence. Common inquiries relate to coverage details, claims processing, costs, or billing issues, which may necessitate further...
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Insurance Loss Control Specialist
2 weeks ago
New York, New York, United States Starr Insurance Companies Full timeCompany Overview: Starr Insurance Companies stands as a prominent entity in the insurance and investment sector, delivering commercial property and casualty insurance solutions, including travel and accident coverage, to a diverse array of businesses and industries globally. About Us: Founded by Cornelius Vander Starr in 1919 in Shanghai, we have evolved...
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Global Insurance Services Specialist
4 days ago
New York, New York, United States Starr Insurance Companies Full timeAbout the RoleStarr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world.Cornelius Vander Starr established his first insurance company in Shanghai, China in...
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Global Insurance Services Specialist
22 hours ago
New York, New York, United States Starr Insurance Companies Full timeAbout the RoleStarr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world.Cornelius Vander Starr established his first insurance company in Shanghai, China in...
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Utilities Operations Specialist
4 weeks ago
New York, New York, United States Dupont Full timeEn DuPont, trabajamos en cosas que importan, ya sea en proporcionar agua limpia a más de mil millones de personas en el planeta, producir materiales esenciales en los dispositivos tecnológicos cotidianos (desde smartphones hasta vehículos eléctricos) o proteger a los trabajadores de todo el mundo. Si deseas ser parte de una empresa multindustrial líder...
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Insurance Customer Support Specialist
2 weeks ago
New York, New York, United States Pearl Insurance, a division of One80 Intermediaries Full timeThe Customer Care Representative is responsible for addressing inquiries and resolving issues raised by policyholders and insurance providers through various communication channels including phone, mail, and email. The inquiries typically pertain to coverage details, claims processing, costs, or billing matters, and may necessitate further investigation or...