Utilization Management Representative I
4 weeks ago
We are seeking a skilled Utilization Management Representative I to join our team at Elevance Health. As a key member of our healthcare team, you will play a vital role in coordinating cases for precertification and prior authorization review.
Key Responsibilities- Manage incoming calls and post-service claims work, determining contract and benefit eligibility.
- Provide authorization for inpatient admission, outpatient precertification, prior authorization, and post-service requests.
- Refer cases requiring clinical review to a Nurse reviewer.
- Identify and data-enter referral requests into the UM system in accordance with the plan certificate.
- Respond to telephone and written inquiries from clients, providers, and in-house departments.
- Conduct clinical screening processes and authorize initial sets of sessions for providers.
- Check benefits for facility-based treatment and develop positive customer relations.
- High School diploma or GED.
- Minimum of 1 year of customer service or call-center experience.
- Medical terminology training and experience in the medical or insurance field.
Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. The salary range for this position is $15.72/hr to $23.57/hr, depending on location and experience.
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Utility Analyst
7 days ago
Latham, New York, United States Ladgov Corporation Full timeJob Title: Utility AnalystAt Ladgov Corporation, we are seeking a highly skilled Utility Analyst to join our team. The successful candidate will be responsible for accurately pulling utility bills from the FileNet program, ensuring that a utility bill is received for each facility for each billing period, and performing an audit of all utility bills to...
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Utility Billing Specialist
1 month ago
Latham, New York, United States Ladgov Corporation Full timeJob Title: Utility Billing SpecialistJob Summary: We are seeking a highly skilled Utility Billing Specialist to join our team at Ladgov Corporation.Key Responsibilities:* Pull utility bills from the FileNet program maintained by the Business Service Center.* Ensure that a utility bill is received for each facility for each billing period.* Perform an audit...
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Utility Operations Specialist
4 weeks ago
Latham, New York, United States LADGOV CORPORATION Full timeJob SummaryAs a Utility Operations Specialist with LADGOV CORPORATION, you will play a vital role in ensuring the efficient and cost-effective management of utility services for our facilities in Latham, NY 12110.Key ResponsibilitiesPull utility bills from the FileNet program and verify accuracy of data entered into the Utility Manager Database.Identify...
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Nurse Case Manager I
4 weeks ago
Latham, New York, United States Elevance Health Full timeCare Management RoleThe Nurse Case Manager I is a critical position at Elevance Health, responsible for delivering high-quality care management services to members with complex and chronic care needs. This role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member healthcare across the care...
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Financial Representative
1 month ago
Latham, New York, United States Thoroughbred Advisors Full timeUnlock Your Potential with Thoroughbred AdvisorsAre you a motivated and personable individual looking to start a rewarding career in financial services? Do you have a track record of success in your current field and a desire to make a meaningful impact in the lives of others? Look no further than Thoroughbred Advisors, a growing force in the Capital...
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Customer Service Representative
4 weeks ago
Latham, New York, United States Sunmark Credit Union Full timeAbout the Role:Sunmark Credit Union is seeking a highly skilled and customer-focused Member Relationship Representative I to join our team. As a key member of our financial center, you will play a vital role in providing exceptional service to our members, ensuring their financial needs are met, and helping them achieve their financial goals.Key...
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Utility Locating Team Lead
1 month ago
Latham, New York, United States C.T. Male Associates Full timeJob Title: Utility Locating Team LeadAs a Utility Locating Team Lead, you will be responsible for leading a team of utility locators to secure work and negotiate contracts with clients. Your key responsibilities will include accurately marking the location of underground utilities, tanks, and other infrastructure using advanced equipment such as RF, EM,...
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Production Technician I
1 month ago
Latham, New York, United States PCB Piezotronics, Inc. Full timeAbout UsAccumetrics is a global leader in rotor telemetry technology, designing, assembling, and supporting digital telemetry systems that utilize wireless techniques.Job SummaryWe are seeking a highly skilled Production Technician I to join our team. The successful candidate will be responsible for performing all necessary tasks efficiently and accurately...
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Client Services Representative
1 month ago
Latham, New York, United States Cetera Financial Group Full timeJob SummaryThis role supports Financial Advisors (Registered Representatives) in running their day-to-day Investment practice, enhancing customer service levels, and experiences. The ideal candidate will work directly with Registered Representatives to prepare and process client paperwork, perform client financial transactions, maintain client relationships,...
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Outside Parts
4 weeks ago
Latham, New York, United States Stewart & Stevenson Power Products LLC Full timeJob SummaryWe are seeking a highly motivated and results-driven Outside Parts & Service Sales Representative to join our team at Stewart & Stevenson Power Products LLC. As a key member of our sales team, you will be responsible for growing our parts and service business by identifying and developing new business opportunities through existing accounts and...
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Nurse Case Manager I
1 month ago
Latham, New York, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Nurse Case Manager to join our team at Elevance Health. As a key member of our healthcare team, you will be responsible for providing high-quality care management services to our members with complex and chronic care needs.Key ResponsibilitiesAssess and develop individualized care plans to optimize member health...
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Energy Management Specialist
1 month ago
Latham, New York, United States Ladgov Corporation Full timeJob SummaryLadgov Corporation seeks a skilled Energy Management Specialist to join our team. The successful candidate will be responsible for analyzing and managing utility bills, identifying areas for energy savings, and implementing cost-effective solutions.Key Responsibilities:Retrieve and review utility bills from the FileNet program to ensure accuracy...
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Energy Management Specialist
1 month ago
Latham, New York, United States Ladgov Corporation Full timeJob DescriptionJob Title: Energy Management SpecialistLocation: Latham, NYDuties:The Energy Management Specialist will be responsible for ensuring accurate and timely utility bill receipt and processing.They will perform audits to verify bill charges and usage, and pursue reimbursement for incorrect bills.The specialist will identify trends and peak billing...
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Energy Management Specialist
1 month ago
Latham, New York, United States Ladgov Corporation Full timeJob OverviewLadgov Corporation seeks a skilled Energy Management Specialist to join our team. The successful candidate will be responsible for ensuring accurate and timely utility bill processing, analyzing energy usage patterns, and identifying opportunities for energy savings.Key Responsibilities:Retrieve and verify utility bills from the FileNet...
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Tax Senior Manager
4 weeks ago
Latham, New York, United States BST & Co. CPAs, LLP Full timeAbout the Senior Tax Manager RoleAs a key member of our management team, the Senior Tax Manager will oversee a range of tax compliance and consulting services for our diverse client base.The Senior Tax Manager will be responsible for directing multiple tax services engagements, including scheduling, budgeting, review, staff supervision, and technical...
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Energy Management Specialist
4 weeks ago
Latham, New York, United States Ladgov Corporation Full timeJob DescriptionJob Title: Energy Management SpecialistLocation: Latham, NYDuties:Retrieve utility bills from the FileNet program and ensure accurate billing for each facility.Perform audits to verify bill charges and usage, and pursue reimbursement for incorrect bills.Identify trends and peak billing cycles, and create reports to inform the Energy...
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Sales and Service Representative
4 weeks ago
Latham, New York, United States Heritage-Crystal Clean, LLC Full timeJob SummaryWe are seeking a highly motivated and results-driven Sales and Service Representative to join our team at Heritage-Crystal Clean, LLC. As a key member of our sales team, you will be responsible for promoting safe work behaviors, providing exceptional customer service, and developing new business opportunities in a designated geographic area.Key...
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Crumbl Customer Service Representative
4 weeks ago
Latham, New York, United States Crumbl - Albany Full timeJob Title: Crumbl Customer Service MemberWe are seeking a skilled and enthusiastic individual to join our Crumbl Albany team as a customer service representative. As a key member of our team, you will be responsible for providing exceptional customer service, ensuring a positive experience for our customers, and contributing to the success of our store.Key...
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Account Manager
1 month ago
Latham, New York, United States MARYANN FAZZONE Full timeAccount Manager Role Description:As an Account Manager at Maryann Fazzone, you will play a vital role in our daily business operations and customers' success. Your primary responsibility will be to grow our agency through meaningful client relationships and acting as a liaison between customer needs and agency departments. You will improve the lives of our...
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Service Manager/Dispatcher
4 weeks ago
Latham, New York, United States Unilux Mfg.Stants Cap. Combustion Full timeJob DescriptionUnilux Mfg./Stants Cap. Combustion is seeking a highly organized and experienced Service Manager/Dispatcher to join our team. As a key member of our commercial HVAC mechanical contracting team, you will be responsible for managing our service operations, ensuring timely and efficient delivery of services to our...