- Providence Health & Services (Portland, OR)
- … Pharmacy Technician License OR Oregon Certified Pharmacy Technician. 2 years experience with insurance verification, medical claims processing, insurance ... Job Description We are seeking a Pharmacy Technician Access Services Representative to...customer service. 2 years experience as a pharmacy technician in a specialty setting (eg Long Term… more
- Regal Medical Group, Inc. (Northridge, CA)
- Position Summary: We are looking for a bilingual Customer Service Representative to join our Member Services team in Northridge. Under general supervision, respond ... to provide information and clarification relating to RMG services such as claims , referrals, and eligibility in resolving inquiries and more: Essential Duties and… more
- Corvel (Cincinnati, OH)
- …customers. Primary source of quality assurance and information for MCO's Claims team. Supports management by handling quality assurance and escalated issues, ... & RESPONSIBILITIES: Conduct quality reviews/audits to ensure appropriate management of the claims and office, score the office performance, and make suggestions and… more
- Publix Super Markets, Inc. (Lakeland, FL)
- …Publix operates, and Associate of Risk Management designation or Certified Claims Representative Designation. Benefits Information Employee stock ownership plan ... diverse range of legal matters, including general liability, product, fleet, and pharmacy lawsuits, across the eight states where Publix operates. The General… more
- Elevance Health (Miami, FL)
- …new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Customer Care Representative I** is responsible for ... **Bilingual Customer Care Representative I** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training… more
- Mayo Clinic (Rochester, MN)
- … or durable medical equipment billing and collection activities, or certified pharmacy tech with 2 years of experience.Qualified candidate must possess ... expert for one or more of the following business lines: outpatient pharmacy , durable medical equipment, skilled nursing facility, home health agency or continuing… more
- Humana (Miramar, FL)
- …and problem-solving skills are essential. The Consumer Service Operations Representative 2 may perform installation, implementation, client support, ... community and help us put health first** The Consumer Service Operations Representative is responsible for managing daily referral and prior authorization processes… more
- Primary Health Care (Des Moines, IA)
- …services including family practice, behavioral health, HIV care and services, and pharmacy . PHC's Homeless Support Services is the entry point for serving people ... in Ames, Des Moines, & Marshalltown. As a Billing Representative II you will be responsible for timely and...payment posting and follow up of medical and/or dental claims on behalf of PHC. Provides work direction and… more
- Molina Healthcare (Los Angeles, CA)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, and ... 8040 Carlson Road, Harrisburg, PA 17112, at least two ( 2 ) days per week on Tuesdays and Wednesdays. **Responsibilities:**...to ensure accurate provider setup in systems and proper claims payment. + Adhere to all organizational policies, including… more
- TEKsystems (Tempe, AZ)
- …years of high-touch, patient facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.) * Strong written and ... with One Medical* Overview This is an inbound healthcare contact center representative role working for a nationwide primary care practice. Description + Managing… more
- Publix (Lakeland, FL)
- …operates, and + Associate of Risk Management designation or Certified Claims Representative Designation. **Zip Code:** 33811-3311 **Benefits Information:** + ... diverse range of legal matters, including general liability, product, fleet, and pharmacy lawsuits, across the eight states where Publix operates. The General… more
- Omnicell (Fort Worth, TX)
- …forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner ... the design of necessary accounting protocols for submission of payment and claims posting activities. . Quickly and accurately answer customer questions; route… more
- BrightSpring Health Services (Vancouver, WA)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of ... Services Policies and Procedures. Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our… more
- The Cigna Group (Tampa, FL)
- …on Workers Compensation PBM, the market environment, and the interactions with claims payers. The Account Executive works closely with Marketing, Clinical Team, ... 6+ years of relevant experience + Both to include 2 + years of medical sales experience with proven track... years with proven track record as a Sales Rep MS Office, + Computer proficiency Knowledge of managed… more
- LA Care Health Plan (Los Angeles, CA)
- …etc. Collaborates with internal departments (Member Services, Provider Network Operations, Claims , Utilization Management, Pharmacy , and Quality Management) to ... ( Claims , Provider Network Operations, Utilization Management, Quality Management, Pharmacy ) to appropriately address and resolve member grievances. Serve as the… more
- BrightSpring Health Services (Vancouver, WA)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of ... caring clinicians dedicated to enhancing patient care across settings like Pharmacy , Home Health, Hospice, Residential, and Private Duty. Qualifications: + A… more
- BD (Becton, Dickinson and Company) (Covington, GA)
- …, licensing, and regulatory submissions is a plus. + Experience as a designated representative with state boards of pharmacy is a plus. Knowledge and Skills ... all products, safeguarding their integrity throughout the distribution chain. Customer Quality Claims Resolution + Investigate and resolve any claims regarding… more
- State of Colorado (Denver, CO)
- …a customer service role related to health insurance, health care operations, insurance claims and billing, collections, or a field related to the work assignment ... that demonstrates problem-solving, analytical skills, and decision-making. OR Option 2 : Education and Experience: Bachelor's degree from an accredited institution in… more
- Avera (Sioux Falls, SD)
- **Location:** Avera Long Term Care Pharmacy **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this ... the preparation, completion and filing of third party payor insurance reimbursement claims , both electronic and paper formats. + Processes explanation of Medicare… more
