- Premier Auto Credit (Glendale, CA)
- Insurance Verification Specialist Our Collections team is currently seeking an insurance verification specialist to help service our large, and growing ... and motivate the most talented people - those who care about a collaborative team environment and are eager...operation: Monday- Friday, 8am-5pm. Job Summary: The insurance verification specialist will verify insurance in a timely manner on… more
- PharmaCord (Jeffersonville, IN)
- …A typical day in the life of a Medical Billing and Coding Specialist will include the following: The responsibilities include, but are not limited to ... and regional payer coverage policies, issues, coding changes, and appropriate claims submission processes Educate offices about the medical necessity requirements… more
- Medical Mutual of Ohio (OH)
- …+ Performs other duties as assigned. **Qualifications** + 2 years of experience as a Claims / Customer Care Specialist or equivalent customer service ... workplace and perform pre-employment substance abuse and nicotine testing._ **Title:** _Claims/ Customer Care Specialist (Temporary)_ **Location:** _Ohio_… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....have):** + Knowledge and experience of claim operations, health care reimbursement, public health care programs and… more
- Rising Medical Solutions (Tampa, FL)
- The Claims Specialist will assist in reviewing, processing, and coordinating claims accurately in accordance with the program requirements while ensuring ... + Maintain ongoing knowledge of program requirements + Analyze and process claims for accuracy, eligibility, and benefits coverage + Retain and strengthen… more
- Mass Markets (Killeen, TX)
- …1-3 years of experience in one or more of the following: call center, claims adjudication, insurance adjusting, or technical customer service (preferably in a ... Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), … more
- AssistRx (Phoenix, AZ)
- …of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals, ... The Copay Support/ Claims Processing Specialist is a critical...and mail (emails, USMail) from pharmacies, patients, Sites of Care , Health Care Providers, copay vendors (PDMI,… more
- Pacific Medical Centers (Seattle, WA)
- …for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service ... Health Care Business Administration. + 2 years in Managed Care operations. + 1 year of Claims processing experience, in a TPA, MSO, HMO, PHO or large group… more
- Modernizing Medicine (Tampa, FL)
- …on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where ... Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public ... service who can work in our San Diego, CA Stage 1 Child Care Payment Services operation. The clerks will be responsible for accurately distributing child care … more
- AIG (Atlanta, GA)
- …Accurate and consistent policy interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics + Policy language skills ... Make your mark in Claims Our Claims teams are the...internal and external stakeholders. Provide a high standard of customer service and adherence to legal and regulatory requirements.… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills...additional service needs according to specific program guidelines. Uses claims processing and care management software to… more
- Needham Bank (Needham, MA)
- …Bank customers and communities via the Customer Care Center channel. A Customer Care Center Specialist will advise, advocate and deliver on the ... resolve problems and provide information on products and services. Customer Care Center Specialist should...inquiries, loan inquiries, transfers, and card lost stolen and claims intake. + Resolve complex customer service… 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: Los ... $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...net required to achieve that purpose. Job Summary The Customer Solution Center Training Specialist II is… more
- Amazon (Tempe, AZ)
- Description As we continue to expand and transform the primary care experience, we're looking for energetic and passionate people to help manage our patient ... inquiries, using CI CARE framework that makes One Medical unique. As an...that makes One Medical unique. As an Operations Support Specialist , you'll be responsible for meeting One Medical patient… more
- Dentsply Sirona (Braselton, GA)
- …and www.dentsplysirona.com for more information. **Job Summary:** **Under general supervision, the Customer Care Specialist is responsible for processing ... requests (eg, mail, email, fax, or EDI), as well as handling and resolving customer complaints, following up on leads, and servicing requests or inquiries in a… more
- The Cigna Group (Bloomfield, CT)
- … customer service experience + Prior experience in Evernorth Behavioral Care Specialist /Advocacy role preferred + Experience handling behavioral health ... The Claims & PR Advocate is a **phone queue-based...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase… more
- Health Care Service Corporation (Richardson, TX)
- …findings for analysis and rebuttal with internal business partners that support claims and customer service to contribute to ensuring department, divisional ... principles and develop and maintain rapport with internal business partners that support Claims and Customer Service. This role will also need to: + Comply… more
- AON (Alpharetta, GA)
- Aon Is Looking For A Customer Service Specialist As part of an industry-leading team, you will help empower results for our clients by delivering innovative and ... handling complaints for Debt Cancellation programs + Initiate benefits ( claims ) and process benefit related transactions as well as...and policies. #LI-AM4 2564393 Aon Is Looking For A Customer Service Specialist As part of an… more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The Benefits Specialist is responsible for assisting with the administration of all benefits and ... amounts. + Assists with the open enrollment process. + Process life claims and assist beneficiaries. + Assist with administration of voluntary benefits. **Other… more
