- BroadPath Healthcare Solutions (Tucson, AZ)
- …BroadPath is currently hiring ** Medicare Provider Service Representatives.** The Medicare Provider Service Representative is responsible for taking call and ... and HIPAA regulations **Qualifications** + Minimum 6 months of Medicare experience (within the last 4 years) + At...recent experience as a health plan Provider and Member Customer Service Representative + Minimum 1 year… more
- Tidelands Health (Murrells Inlet, SC)
- …and help people live better lives through better health!** **Patient Services Representative I** Are you passionate about quality and committed to excellence? ... to create a welcoming and positive patient experience. Consistently displays good customer service behaviors to all patients and visitor to promote positive patient… more
- Tidelands Health (Murrells Inlet, SC)
- …and help people live better lives through better health!** **Patient Services Representative II** Are you passionate about quality and committed to excellence? ... to create a welcoming and positive patient experience. Consistently displays good customer service behaviors to all patients and visitors to promote positive patient… more
- PharmaCord (Jeffersonville, IN)
- …offices about the medical necessity requirements for coverage and provide education support for the office to submit pre-determinations, appeals and/or peer to peer ... assistance or coverage related questions Serve as a patient advocate and enhance the customer experience for all callers by acting as a single point of contact and… more
- Tidelands Health (Murrells Inlet, SC)
- …to create a welcoming and positive patient experience. Consistently displays good customer service behaviors to all patients and visitors to promote positive patient ... and forms completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy… more
- Commonwealth Care Alliance (Springfield, MA)
- …The CHW uses evidence-based resources, knowledge of community-based care and support , trauma/recovery skills, and health coaching/education to influence the outcomes ... to CCA's most complex patients, providing care management and care coordination support , and collaborating with external providers with the goal of delivering… more
- Commonwealth Care Alliance (Boston, MA)
- …across the organization and with external partners. **This role will support Eastern or Central Massachusetts.** **Supervision Exercised:** + Yes **Essential Duties ... policies, and workflows + Conducts chart reviews, technical, logistical and clinical support + Holds team accountable to meet Key Performance Indicators and… more
- Centers for Independence (Milwaukee, WI)
- …Services **Description** **Job Purpose** : The Participant Liaison Field Representative ensures optimal service is provided to participants, participant-hired ... disabilities to perform these essential functions.) + Directs exemplary customer service to participants, participant-hired workers, co-workers, vendors, and… more
- Tidelands Health (Murrells Inlet, SC)
- …do** + Performs order entry and medical necessity screening for Medicare patients. + Performs specimen collection, including venipuncture, capillary draws, urine ... working in the clinical setting Preferred **Skills and Abilities** + Strong customer service skills + Familiarity with electronic medical records (EMR) +… more
- Kelly Services (Englewood, FL)
- ** Customer Support Representative ,** Medicare **Location:** Englewood FL 34223 Monday - Friday 8:00AM - 7:00PM Max 40hrs Has potential to go remote Pay ... **Position Summary:** We are seeking an energetic and detail-oriented Customer Support Representative I to...our team. In this role, you will provide exceptional support to Medicare patients, ensuring their needs… more
- Wider Circle (Newark, NJ)
- …in people's lives while growing your career in a thriving, impactful organization. Medicare Sales Representative At Ask Claire, a subsidiary of Wider Circle, ... communities through our "LOVE, LEARN, GROW" approach. As a Medicare Sales Representative , you'll play a vital...market. Requirements * Minimum two (2) years of successful Medicare telesales, telemarketing, or customer service experience… more
- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Medicare Field Sales Representative ** to join #TeamMVP. This is the ... for frequent travel. + 2-3 years of sales or customer relations experience. + Demonstrated mastery of the consultative...and accurate manner. + Conduct member orientations and provide support on plan benefits. + Complete annual Medicare… more
- Humana (San Juan, PR)
- …representative performs varied activities and moderately complex administrative/operational/ customer support assignments. Performs computations. Typically ... RESUME TO YOUR APPLICATION The Provider Group Medicare Inbound Contact Representative 2 addresses customer needs which may include answering complex benefit… more
- BrightSpring Health Services (Lexington, KY)
- …at all levels of organization and work well within a team environment in support of company objectives. + Customer service oriented with the ability to ... Advantage is becoming Abilis Health Plan!* We are seeking a Sales Account Representative /Executive for our Signature Advantage Plan who will work with senior care… more
- Highmark Health (Charleston, WV)
- …Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS ... are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with other… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and Blue Shield of Minnesota Position Title: Behavioral Health Case Manager - Medicare Advantage Location: Remote Career Area: Health Services About Blue Cross and ... case management services to members. The position exists to support member needs across the continuum of care by...* Collaborates and communicates with member, family, or designated representative on a plan of care that produces positive… more
- Corewell Health (Grand Rapids, MI)
- …a possibility of transitioning to a permanent role after March 31, 2026. Hours of Operation: Medicare Support : + Open Enrollment (Oct 1 - Mar 31): + 7 days/week: ... We are seeking a dedicated and detail-oriented Pharmacy Customer Service Representative for a temporary...a temporary assignment starting November 3, 2025, supporting both Medicare and Non- Medicare pharmacy customer … more
- Idaho Division of Human Resources (Pocatello, ID)
- Temporary Customer Service Representative 1 - SHIBA Posting Begin Date: 2025/10/02 Posting End Date: 2025/10/16 Category: Administration Sub Category: ... like to make a difference in the lives of Medicare -eligible Idahoans? Are you passionate about helping others? Are...like to talk to you about our open temporary Customer Service Representative 1 positions (CSR1) inPocatello!… more
- US Tech Solutions (Lee's Summit, MO)
- …complete for insurance approval. **Skills:** + Prior Authorization + Inbound and outbound call + Customer support + Knowledge of Medicare and Medicaid + PBM ... with the provider and member regarding their prior authorization/ PBM/ Medicare . + Review and process prior authorization requests by collecting necessary… more
- TEKsystems (Orlando, FL)
- …reside in PA, MD, VA, FL, or DC Preferred Skills: + Experience in healthcare customer support + Familiarity with operations coordination or systems support + ... Job Title: Customer Service Representative Location: 100% Remote...$18.00 - $22.00/hour USD Position Summary: We are seeking Customer Service Representatives to join a remote support… more
