- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I primary function… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will… more
- LA Care Health Plan (Los Angeles, CA)
- …and to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible ... end on all regulatory functions. Duties Audit readiness: Performs audit procedures for Customer Solution Center departments to ensure readiness; including… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Required Training Physical Requirements Light Additional Information Department Specifics: Customer Solution Center Appeals and ... matter expertise in functional area to bridge business requirements and IT solutions ; provide technical direction and ensure compliance with best practice … more
- Intermountain Health (Columbus, OH)
- **Job Description:** The Manager, RN Revenue Integrity Audit, Recovery and Appeals organizes and manages the daily operations of the Audit and Recovery teams in the ... Revenue Service Center (RSC) reporting directly to the Sr. Director, Revenue...payer audit and recovery programs, solicits feedback, and implements solutions . + Proactively identifies potential adverse audit outcomes, revenue… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Customer Solution Center Quality Auditor...Outreach, Ansafone, Web Inquiries, MRU (Member Relations Unit), and Appeals and Grievance, performance against key performance indicators and… 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
- State of Colorado (Rifle, CO)
- Uncrewed Systems Project Support Technician ( Center of Excellence) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4913578) Apply Uncrewed ... Systems Project Support Technician ( Center of Excellence) Salary $70,140.00 - $91,188.00 Annually Location...public service focus, and we strive to provide innovative solutions and services to our fellow Coloradans! Careers with… more
- Humana (Columbus, OH)
- …to provide the best solutions and outcomes working in a best-in-class contact center . As a Contact Center Representative 2, you will provide coverage for ... + Associate or Bachelor's Degree + Previous Inbound and/or Outbound call center or related customer service experience + Prior healthcare experience… more
- Surgery Care Affiliates (Panama City, FL)
- …Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, ... accurate, professional responses and resolution. The PAR will function within the Center 's policies and procedures, support SCA Values, SCA Vision and SCA Mission.… more
- US Tech Solutions (May, OK)
- …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 (Columbus, OH)
- …every day. **Position Summary** We are currently recruiting top talent for our Center of Excellence Customer Service group. - Customer Service Representative ... inquiries received. **Required Qualifications** 1+ years of healthcare within a call center . Customer Service experience in a transaction based environment such… more
- CVS Health (Raleigh, NC)
- …are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital ... Must be available to work between M-F 8-530pm EST** **Position Summary** + Customer Service Representative is the face of Aetna and impacts members' service… more
- CVS Health (Columbus, OH)
- …constituents expectations are met or exceeded. + Identifies trends and any emerging customer service issues and works to develop solutions to address potential ... about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our...member to ensure you are providing the most complete customer service experience that you can for our members.… more
- CVS Health (Salem, OR)
- …constituents expectations are met or exceeded. + Identifies trends and any emerging customer service issues and works to develop solutions to address potential ... are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital… more
- Surgery Care Affiliates (Boise, ID)
- …Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, ... accurate, professional responses and resolution. The PAR will function within the Center 's policies and procedures, support SCA Values, SCA Vision and SCA Mission… more
- US Tech Solutions (May, OK)
- …email boxes, CAS maintenance, etc. **Experience:** + 0-2 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
- Robert Half Office Team (Minneapolis, MN)
- …data, including appointments, authorizations, claims, invoices, eligibility benefits, and appeals * Provide exceptional customer service, demonstrating care ... We are offering a long term contract employment opportunity for a Customer Service Representative. This role is remote and primarily functions within Pacific… more
- State of Colorado (Chaffee County, CO)
- …Our professionals strive to support state government and the citizens of Colorado. Customer service is a key component for every position in state government as ... in the Farm neighborhood near shopping, restaurants, a fitness center and work. *CDOC cannot guarantee housing, and does...Research information to resolve problems or concerns when the solution is unclear; + Instructs customers on filling out… more