- Fallon Health (Worcester, MA)
- … billing policies and procedures + Ongoing interaction and coordination with FH Enrollment and Billing Operations , Medicaid Coordination and SE Clinical ... + Acts as back up to Senior Director, PACE Operations as SE representative on Government Programs...to resolve payment discrepancies + Meets regularly with FH Enrollment & Billing Operations to… more
- LogixHealth (Bedford, MA)
- …+ Update /Maintain Provider Enrollment Credentialing System + Collaborate with Billing Operations staff and Account Managers to resolve provider denials + ... to multitask We want to meet YOU! Purpose Perform all provider enrollment related procedures for physicians/mid/level providers to ensure groups can submit claims… more
- InnovaCare (San Juan, PR)
- … Operations Department - Call Center POSITION: Customer Service Representative REPORTS TO: Customer Service Supervisor CLASSIFICATION: Non Exempt POSITION ... to our members, providers or office staff. Assures coverage of Service Operations Department call center during normal operating hours. Documents calls and issues… more
- UCLA Health (Los Angeles, CA)
- …of the Medicare Advantage Operations team, the Senior Medicare Advantage Enrollment Representative plays a pivotal role in processing all enrollment ... sustain quality member care + Understand all aspects of enrollment operations , Medicare membership enrollment ,...and Reconciliation + Robust knowledge of Medicare and CMS enrollment and billing regulatory requirements + Initiative,… more
- UCLA Health (Los Angeles, CA)
- …As a member of the Medicare Advantage Operations team, the Medicare Advantage Enrollment Representative plays a crucial role in the enrollment process by ... + Experience in a Medicare or Managed Care environment, Member Enrollment and Billing experience preferred + Ability to analyze and organize complex federal… more
- University of Colorado (Aurora, CO)
- Bilingual Patient Billing Representative - 30866 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department: College of ... Nursing** **Job Title: Bilingual Patient Billing Representative ** **Position #: 00693072 - Requisition...have not applied yet will coordinate with Outreach and Enrollment for application appointments. + Assist patients with insurance… more
- LogixHealth (Bedford, MA)
- …+ Communicate provider enrollment status to providers, Client Services and Billing Operations as needed + Attend regularly scheduled meetings Qualifications: ... Onsite This Role: Supervise the day to day responsibilities for the Provider Enrollment Department workflow to ensure efficiency and accuracy of work. Supervise and… more
- Insight Global (San Diego, CA)
- …west coast and in Kearny Mesa/San Diego area is looking for a Service Center Representative to join their Medicare and Special Projects team. This is a complex role ... the ability to make autonomous decisions. The Service Center Rep will perform heavy data entry (80%) and outbound...entry (80%) and outbound calls (20%) supporting health plan enrollment . The overall objective of this position is to… more
- Insight Global (San Marcos, CA)
- …west coast and in Kearny Mesa/San Diego area is looking for a Service Center Representative to join their Medicare and Special Projects team. This is a complex role ... the ability to make autonomous decisions. The Service Center Rep will perform heavy data entry (80%) and outbound...entry (80%) and outbound calls (20%) supporting health plan enrollment . The overall objective of this position is to… more
- Elevance Health (Mason, OH)
- …days in office per week at our **Mason, OH** location. The **Sales Account Representative (SAR) II** owns all service issues within their dedicated book of business. ... : Primary duties may include, but are not limited to: + Conducts open enrollment (virtual) meetings with members about their group benefits. + Educate members on… more
- NRG Energy, Inc. (TX)
- …that require various skills currently exhibited in organizations such as Enrollment Transaction Management, Billing , Credit, Disputed Bills, Issue Resolution ... future! **Summary:** The Customer Support and Market Relations Complex Transactions Representative is the point of referral for all transaction-based customer issues… more
- CDPHP (Albany, NY)
- …problems related to benefits, claims processing, claims and benefit appeals/complaints, enrollment and premium billing issues required. Demonstrated ability to ... invites you to be a part of that experience. The Member Service Representative shall assume full responsibility and ownership for all aspects regarding education of… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …applications to respond to administrative issues related to health plan operations including claims resolution, premium billing , medical benefit interpretation, ... and coverage determinations, referral inquiries, Prescription Drug inquiries and enrollment /disenrollment activities. Member Service Representatives II-KSPA handles member and… more
- UNUM (New York, NY)
- …profitable growth and retention. The CM drives, designs, and executes integrated enrollment , service and growth strategies for each customer in their block. The ... position will provide enrollment customer relationship and growth support for Unum's portfolio...customer support - coordinates communication with Home Office (ie billing , claims, Broker Comp Services, etc.) + Effectively navigate… more
- Highmark Health (Harrisburg, PA)
- …support the contracts. Responsibilities include managing daily operational activities for enrollment and billing , claims, including foreign claims, and customer ... compliance. + Provides management oversight of the day-to-day activities related to enrollment and monthly premium billing issuance and reconciliations with the… more
- Actalent (Oklahoma City, OK)
- …and Pharmacy Enrollment Agreement. + Verify and prioritize work based on operations and billing department deadlines. + Process and accurately work facility ... to complete the following tasks: + Process all admission demographic and billing information and ensure completion before sending to other departments for medication… more
- Marriott (Seattle, WA)
- …$24.68/hour **Job Number** 24085095 **Job Category** Rooms & Guest Services Operations **Location** The Westin Seattle, 1900 5th Ave, Seattle, Washington, United ... room reservations, requests, changes, and cancellations. Secure payment; verify and adjust billing . Activate and file room keys. Process all guest requests and relay… more
- Michigan Technological University (Houghton, MI)
- …of Housing Operations and Independent Living Apply now ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Fedcap (TN)
- Position Summary: The Operations Administrator for the program will support the contract with various administrative duties as well as community work when program ... to conduct a screening for program eligibility and create excitement over enrollment in the voluntary program. + In collaboration with Care Coordinators, help… more
- Fresenius Medical Center (Chicago, IL)
- …and personnel as required. + Develops strong working relationships with Directors of Operations , Regional Vice Presidents, MSW Leads and Billing Management. May ... and customer service levels with regard to patient insurance education and enrollment . Contributes to and ensures problem resolution by addressing and investigating… more