- Northeast Georgia Health System, Inc (Oakwood, GA)
- …the highest-level customer service to patients and other CBO or center staff by following through on phone calls, site questions/concerns and account inquiries. ... of unpaid or denied claims/charges. Rep is also responsible for providing outstanding customer service to both patients and staff members. Rep must be able to… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... 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)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... support the safety net required to achieve that purpose. Job Summary The Manager, Customer Solution Center Appeals and Grievances is responsible for the… 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)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances...net required to achieve that purpose. Job Summary The Customer Solutions Center Appeals ... II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017...success of new and current staff. Conducts training for Customer Solution Center A&G team… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Clinical Appeals Nurse Manager? At Parallon, you come first. HCA Healthcare has committed up to $300 ... a difference. We are looking for a dedicated Clinical Appeals Nurse Manager like you to be a part...unresolved or have been escalated under the Shared Service Center (SSC) operations pre-established protocols. Identifying trends and providing… more
- CVS Health (Phoenix, AZ)
- …care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just ... transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position… more
- CVS Health (Tallahassee, FL)
- …may require coordination of responses from multiple business units. Ensure timely, customer focused response to complaints/ appeals . Identify trends and emerging ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeal and...A minimum of 5 years experience in regulatory auditing ( Appeals & Grievances, Call Center , Enrollment) in a ... exemption requests prior to proceeding with the recruitment process. Job Summary The Customer Solution Center Audit Readiness Specialist II is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Member Navigator II Job Category: Customer Service Department: Even MORE Outreach & Service Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Customer Solution Center Member Navigator...of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and… more
- TEKsystems (Tempe, AZ)
- … service, call center Top Skills Details: customer service,call center Additional Skills & Qualifications: appeals experience is a plus but not ... business relationship of the assigned book of business. Ensures customer satisfaction and resolves client appeals in...partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of… more
- CVS Health (Fresno, CA)
- …and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals . Identify trends and emerging issues ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...and report and recommend solutions . Independently coaches others on appeals ensuring… more
- Humana (Columbus, OH)
- …to provide the best solutions and outcomes working in a best-in-class contact center . As a Bilingual Call Center Representative 2, you will take as many ... + Associate or Bachelor's Degree + Previous Inbound and / or Outbound call center or related customer service experience + Prior healthcare experience **Work at… more
- Surgery Care Affiliates (Mokena, IL)
- …dynamic group of physician-driven, specialty care businesses that allows us to customize solutions , no matter the need or challenge: + We connect patients to ... part of Optum and with our new Specialty Management Solutions business. + We have pioneered a physician-led, multi-site...responses and resolution. The PAR will function within the Center 's policies and procedures, support SCA Values, SCA Vision… more
- TEKsystems (Columbia, SC)
- …required by management. Additional Experience: High School or GED (Required) Customer service/call center experience Needed requirements/experience- call ... Description: Responsible for responding to customer inquiries. Inquiries may be non-routine and require...to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals . Determines whether to return, deny or pay claims… more
- Kepro (Harrisburg, PA)
- …The Call Center Support Coordinator will provide telephone and/or e-mail-based customer support to both internal and external customers. *Position is remote, but ... and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the... in the public sector. Acentra seeks a Call Center Support Coordinator (Remote) to join our growing team.… more
- Children's Evaluation & Therapy Center (Lanham, MD)
- …insurance companies and clients. They provide outstanding professional and interpersonal customer service by means of email, phone calls and in-person conversations. ... any denials or rejections within timely filing. . Initiate appeals , corrects claim submissions, and submit medical records in...clients remain informed of any outstanding debts and provides solutions to any of the client's relative problems. .… more
- Zions Bancorporation (Midvale, UT)
- …is an investment in our customers and our business. Your Purpose + Help every customer feel valued by your words and actions + Inspire our customers to tell someone ... about their positive experience + Deliver meaningful solutions for our customers through inbound phone interactions + Seek to add value to each customers' experience… more
- Transdev (San Francisco, CA)
- …have at least three (3) years of experience conducting assessments of client/ customer eligibility for ADA paratransit services. Key Duties: This position's primary ... in-person interview to arrive at a determination. Analysts also participate in any appeals hearing related to a contested determination. The person in this position… more
