- Genmab (Berkeley Heights, NJ)
- …a global workplace where individuals' unique contributions are valued and drive innovative solutions to meet the needs of our patients, care partners, families and ... fit? Then we would love to have you join us!Patient Access Specialist, Call Center Operations The Patient Access Specialist will be the dedicated point of contact… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals and Grievances (Temporary) Job Category: Management/Executive Department: CSC Appeals & Grievances ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals...independently. Ability to solve complex issues and identify creative solutions . Computer ease and literacy with Microsoft Office (Word,… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC ... support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist… more
- CenterWell (Raleigh, NC)
- …with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/ customer support duties ... and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by...+ Associate's or Bachelor's Degree + Previous inbound call center or related customer service experience +… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit...minimum of 5 years of experience in regulatory auditing ( Appeals & Grievances, Call Center , Enrollment) in… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Training Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: ... net required to achieve that purpose. Job Summary The Customer Solution Center Training Specialist...CSC staff on identified areas of improvement, such as Appeals and Grievance processes, Claims, etc. Through various delivery… more
- US Tech Solutions (Myrtle Beach, SC)
- …High School Diploma or equivalent. + Required Work Experience: 2 years of customer service experience including 1-year claims or appeals processing OR Bachelor's ... may be required based on business needs). + Call center is open from 8am - 7pm. Shift may...customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work… more
- CTG (Boca Raton, FL)
- **CTG is seeking to fill a Bilingual (English/Spanish) Customer Service/Call Center Representative opening for our client in Boca Raton, FL.** **Location:** Boca ... 8:30a - 5:00p **Duties:** + Provide exceptional bilingual (Spanish/English) customer service, including verbal, nonverbal, and written communication, in line… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals . The Customer Service Representatives must be able to ... and communicate effectively with teams. + Transfer misdirected requests and offer solutions to non-routine issues. + Contribute to customer satisfaction and… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …physicians, hospitals, and other healthcare providers with member benefits, eligibility, and appeals . The Customer Service Representatives must be able to work ... and communicate effectively with teams. + Transfer misdirected requests and offer solutions to non-routine issues. + Contribute to customer satisfaction and… more
- US Tech Solutions (RI)
- …inquiries to the pharmacist team as appropriate. **Experience:** + 0-3 years in a customer service or call center environment managing 75 calls/day. + Six months ... and/or resolve coverage requests. + Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. + Must maintain… more
- CVS Health (IL)
- …every day. **Position Summary** We are currently recruiting top talent for our Center of Excellence Customer Service group. Responsibilities below include, but ... about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our...not limited to: Customer Service Representative is the face of Aetna and… more
- CVS Health (Montgomery, AL)
- …every day. **Position Summary** We are currently recruiting top talent for our Center of Excellence Customer Service group. Responsibilities below include, but ... about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our...not limited to: - Customer Service Representative is the face of Aetna and… more
- CDPHP (Latham, NY)
- …values and invites you to be a part of that experience. The Customer Care Representative shall assume full responsibility and ownership for all aspects regarding ... address and resolve service problems, complaints, and advise the customer of their rights and responsibilities. The Member Service...+ Experience working in a fast-paced high volume call center preferred. + A background in health insurance claims… more
- Clark County, NV (Las Vegas, NV)
- …(ECC) System, a Business Warehouse (BW) Reporting System, Process Integration (PI), Solution Manager, SAP Customer Relationship Management (CRM) System, and ... includes client based financial, accounting, payroll, human resources, and customer relationship management applications. The County SAP Systems Landscape includes… more
- Hawaiian Electric (Honolulu, HI)
- …outside counsel. ESSENTIAL FUNCTIONS: + Provides legal services, advice and practical solutions in relation to a wide range of public utility regulatory, litigation, ... and property damage claims, from case inception to judgment and appeals ; advising officers, managers and employees regarding proposed legislation, newly enacted… more
- US Tech Solutions (May, OK)
- …CAS maintenance, etc. **Experience:** + Minimum (1) year experience required in a customer service position with high volume call center atmosphere; preferably ... internal groups regarding determination status and results (seniors, pharmacists, appeals , etc). + Identify and elevate clinical inquiries to...+ High School diploma or GED **About US Tech Solutions :** US Tech Solutions is a global… more
- US Tech Solutions (May, OK)
- …email boxes, CAS maintenance, etc. **Experience:** + 1-3 years of experience in customer service or call center environment managing high volume calls. + ... internal groups regarding determination status and results (seniors, pharmacists, appeals , etc). + Identify and elevate clinical inquiries to...+ High School diploma or GED **About US Tech Solutions :** US Tech Solutions is a global… more
- US Tech Solutions (RI)
- …etc. 5% **Experience:** Preferred 0-3 years work experience required in a customer service position with high volume call center experience; preferably ... with other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc.). 10% + Identify and elevate clinical inquiries to the… more
- Sharp HealthCare (San Diego, CA)
- …Less Than 1 Year, Minimum of six (6) months experience as a Customer Call Center Representative. **Preferred Qualifications** + Associate's degree business ... procedures, including quotes of approximate rates.Documents member concerns, complaints, and appeals , and forwards to the appropriate Customer Care Lead… more
