- 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
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Membership Billing Representative - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, ... groups and brokers regarding routine to moderately complex eligibility and billing inquiries. **Responsibilities** **Membership Billing Representative I… 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
- 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)
- …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
- 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
- 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
- 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
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …SUPERVISOR, CUSTOMER SERVICE + Necessary Contacts: Enrollment & Billing , Claims, Provider Relations, Benefit Operations , Network Administration, ... + None Required **ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS** + Reviews and researches billing and healthcare claim inquiries from members and providers, to ensure… more
- Stanford Health Care (Pleasanton, CA)
- …Processes necessary admission/registration paperwork and obtains necessary documents for billing and compliance requirements. The PAR II position is intended ... through on-the-job and/or formal training to advance to the Patient Access Representative level III. **Locations** Stanford Health Care **What you will do** +… more
- UNUM (Columbia, MD)
- …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
- 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
- Marriott (Seattle, WA)
- …**Job Number** 24075678 **Job Category** Rooms & Guest Services Operations **Location** Courtyard Seattle Downtown/Pioneer Square, 612 2nd Avenue, Seattle, ... check-outs and adapt for any changes + Secure payment, verifying and adjusting billing as needed + Provide guests with room and hotel information, directions,… more
- TEKsystems (St. Louis, MO)
- …Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment , Chain, and Ownership System) and "How-To" documents + Develop and ... compliance training and other educational programs as required. + Assist operations with on-call responsibilities as needed during non-business hours in accordance… more
- CVS Health (Harrisburg, PA)
- …Position Summary Harrisburg PA based position supporting multiple health plans. The Enrollment Representative under general supervision, verifies enrollment ... status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns. Maintains enrollment databases and coordinates… 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
- Medical Mutual of Ohio (Brooklyn, OH)
- …and vendors to resolve elevated issues related to claims, eligibility, plan design, billing , enrollment , etc. on behalf of customers. Demonstrates diligence in ... to open items. Has a clear understanding of internal operations and leverages this knowledge to close-out open issues...resolve elevated issues related to claims, eligibility, plan design, billing , enrollment , etc. on behalf of customers.… 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