- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our… more
- Humana (Madison, WI)
- …and help us put health first** The Claims Research & Resolution Representative 3 manages claims operations that involve customer contact, investigation, and ... and against the organization. The Claims Research & Resolution Representative 3 performs advanced administrative/operational/customer support duties that require… more
- MVP Health Care (Schenectady, NY)
- …for our customers in every interaction **Your key responsibilities:** + The Associate, Medicaid Member Service Representative is responsible for providing ... **Join Us in Shaping the Future of Health Care ** At MVP Health Care , we're...optimum customer service as required to maintain existing member relationships and prevent cancellations. + Addresses member… more
- Elevance Health (New Hyde Park, NY)
- **Position Title:** Customer Care Representative I **Location: Virtual:** This role enables associates to work virtually full-time, with the exception of ... and ensures essential face-to-face onboarding and skill development. The Customer Care Representative is responsible for successfully completing the required… more
- Humana (Oklahoma City, OK)
- …community and help us put health first** The Medical Records Retrieval Representative (Risk Adjustment Representative 2) conducts quality assurance audits of ... diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Representative… more
- Ellis Medicine (Schenectady, NY)
- …Questions? Connect with a recruiter at: ###@ellismedicine.org The Patient Access Representative II is responsible for verification of patient demographic and ... Blue Cross eligibility and benefits through the OMNIPRO system, Medicaid through the EMEVS system on a daily basis...Screens and reviews eligibility criteria and assists with Charity Care program. + Interviews patients at time of pre-admission… more
- Humana (Jefferson City, MO)
- …our caring community and help us put health first** The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis ... codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Representative 2 performs… more
- HCA Healthcare (Jasper, TN)
- …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... recognized. Submit your application for the opportunity below: Precertification Representative Work from Home **Benefits** Parallon offers a total rewards package… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual ... navigating resources available and provide assistance with addressing SDoH barriers and care gaps. This position educates and assists with the enrollment and… more
- CVS Health (Charleston, WV)
- …_-Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday_ As a Member Service Representative , you will be providing telephone assistance to Aetna ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Medicaid members and providers. You will assist with an… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Group Sales Representative works with agents and consultants to sell Ancillary Group insurance products to ... and existing accounts with 100+ eligible employees. The Group Sales Representative is responsible for discovering, developing and maintaining benefits brokerage… more
- Conduent (OH)
- …individuality is noticed and valued every day. **Remote - Call Center Customer Service Representative ** ** Medicaid Member Support - Tier 1** **For The State ... initial point of contact for inquiries from potential and existing Iowa Medicaid Program recipients and affiliates. + Provide one-to-one telephone contact with… more
- Humana (Atlanta, GA)
- …and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in… more
- Humana (Trenton, NJ)
- …team, this could be the job for you. The Insurance Product Management Representative assists in the management of insurance product offerings for each market and ... Schedule will be discussed during interview. The Insurance Product Management Representative 2 monitors insurance product performance and recommends changes, cost… more
- Logan Health (Kalispell, MT)
- …Nestled in the heart of Montana, we are committed to delivering exceptional care to our patients while fostering a supportive and collaborative work environment for ... our team. As a member of Logan Health, you'll be part of a...be proud to call home. Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care… more
- Providence (Fortuna, CA)
- **Description** Linen Representative at Providence Redwood Memorial Hospital in Fortuna, CA. This position is Per Diem and will work 8-hour, Day shifts. Under the ... Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your...a 5-star rating from the Center for Medicare and Medicaid Services (CMS) as well as a Top Performing… more
- BrightSpring Health Services (Bowling Green, KY)
- …Health Plan was formerly Signature Advantage* We are seeking a Sales Account Representative /Executive for our Abilis Health Plan who will work with senior care ... You will actively market our plan to new senior care partners within a plan service area. Regional Travel...and claim payment solutions. + Assisting with resolution to Member and Provider issues. Refer all unresolved issues to… more
- Grifols Shared Services North America, Inc (Minneapolis, MN)
- …110 countries and regions. Overview: Primary responsibility of the Specialty Sales Representative (SSR) is to represent the Grifols plasma portfolio with identified ... *Educate and promote INA product portfolio to customers including Primary Care Physicians, Allergists, Neurologists, Pharmacists, and Nurses. *Key Opinion Leader… more
- Molina Healthcare (OH)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- Grifols Shared Services North America, Inc (New York, NY)
- …+ Educate and promote IG product portfolio to customers including Primary Care Physicians, Allergists, Neurologists, Pharmacists, and Nurses. + Key Opinion Leader ... tactics to the needs of the customer + Remain cognizant of managed care coverage throughout the business territory including major accounts and large players (ie,… more