- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I 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 Specialist I primary function… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (ALD) Job Category: Customer Service Department: CSC Appeals & Grievances Location: ... 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)
- …and to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible ... end on all regulatory functions. Duties Audit readiness: Performs audit procedures for Customer Solution Center departments to ensure readiness; including… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Required Training Physical Requirements Light Additional Information Department Specifics: Customer Solution Center Appeals and ... matter expertise in functional area to bridge business requirements and IT solutions ; provide technical direction and ensure compliance with best practice … more
- Surgery Care Affiliates (Panama City, FL)
- …Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, ... accurate, professional responses and resolution. The PAR will function within the Center 's policies and procedures, support SCA Values, SCA Vision and SCA Mission.… more
- US Tech Solutions (RI)
- …inquiries to the pharmacist team as appropriate. **Experience:** + 0-3 years in a customer service or call center environment managing 75 calls/day. + Six months ... and/or resolve coverage requests. + Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. + Must maintain… more
- Whitney Young Health Center (Albany, NY)
- …payers via phone or website, contacting practices, navigating cross-departmentally, writing appeals and facilitating their direction to Athena CBO for submission, ... required by WYH for employment purposes and co-pays when appropriate. + Develops solutions to claim processing and payer adjudication problems. + Learn and keep up… more
- CVS Health (Springfield, IL)
- …every day. **Position Summary** We are currently recruiting top talent for our Center of Excellence Customer Service group. Responsibilities below include, but ... about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our...response to inquiries received. **Required Qualifications** -1 year of Customer service in a call center environment… more
- US Tech Solutions (May, OK)
- …of relevant and changing Med D guidance **Experience:** + 2-3 years in a customer service or call center environment managing 75 calls/day. + Six months ... and/or resolve coverage requests. + Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. + Must always maintain… more
- CVS Health (Franklin, TN)
- …are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital ... the member to the fullest to champion for our members' best health. + Anticipates customer needs. + Provides the customer with related information to answer the… more
- CVS Health (Salem, OR)
- …constituents expectations are met or exceeded. + Identifies trends and any emerging customer service issues and works to develop solutions to address potential ... are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital… more
- CVS Health (Trenton, NJ)
- …constituents expectations are met or exceeded. + Identifies trends and any emerging customer service issues and works to develop solutions to address potential ... about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our...member to ensure you are providing the most complete customer service experience that you can for our members.… more
- Surgery Care Affiliates (Boise, ID)
- …Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, ... accurate, professional responses and resolution. The PAR will function within the Center 's policies and procedures, support SCA Values, SCA Vision and SCA Mission… more
- US Tech Solutions (May, OK)
- …email boxes, CAS maintenance, etc. **Experience:** + 0-2 years of experience in customer service or call center environment managing high volume calls. + ... internal groups regarding determination status and results (seniors, pharmacists, appeals , etc). + Identify and elevate clinical inquiries to...+ High School diploma or GED **About US Tech Solutions :** US Tech Solutions is a global… more
- US Tech Solutions (RI)
- …etc. 5% **Experience:** Preferred 0-3 years work experience required in a customer service position with high volume call center experience; preferably ... with other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc.). 10% + Identify and elevate clinical inquiries to the… more
- Clark County, NV (Las Vegas, NV)
- …for planning, directing, and reviewing the work of staff that have customer and/or system support responsibilities required to maintain and enhance a large, ... processes, creating functional documentation, capturing detailed requirements for blueprinting, solution design, driving continuous improvement initiatives, and directing staff… more
- State of Colorado (Chaffee County, CO)
- …Our professionals strive to support state government and the citizens of Colorado. Customer service is a key component for every position in state government as ... in the Farm neighborhood near shopping, restaurants, a fitness center and work. *CDOC cannot guarantee housing, and does...Research information to resolve problems or concerns when the solution is unclear; + Instructs customers on filling out… more
- Lane County (Lane County, OR)
- …documents, issuing marriage licenses and domestic partnerships, and supporting the Property Value Appeals Board. In this role, you will serve as a face of Lane ... County and the Clerk's Office, overseeing the delivery of exceptional customer service across phone, online, in-person, and mail interactions. You and your team will… more
- Clark County, NV (Las Vegas, NV)
- …and support components of Employee Launch Pad/ Web Portal. Also, design solutions to support Clark County's business processes, help optimize work processes by ... government, the Las Vegas Metropolitan Police Department (LVMPD), the University Medical Center (UMC) and the Regional Flood Control District (RFCD). The ERP Office… more
- J&J Family of Companies (Fort Lauderdale, FL)
- …it might be found. Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager ... for the best chance at treatment success. The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey… more