- US Tech Solutions, Inc. (Columbia, SC)
- …6 weeks onsite. No option for Remote. . Medical background, office experience, customer service, previous call center experience Candidate would handle provider ... any questions providers may have. . Must have previous customer service and call center experience. We...customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals...independently. Ability to solve complex issues and identify creative solutions . Computer ease and literacy with Microsoft Office (Word,… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... support the safety net required to achieve that purpose. Job Summary The Manager, Customer Solution Center Appeals and Grievances is responsible for the… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II 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 (A&G) Specialist II will… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Customer Service Department: CSC Appeals & ... support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances...net required to achieve that purpose. Job Summary The Customer Solutions Center Appeals ... II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017...success of new and current staff. Conducts training for Customer Solution Center A&G team… more
- Trinity Health (Farmington Hills, MI)
- …Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) center . Serves as part of a team of clinical payment resolution colleagues at ... Responsible for leveraging clinical knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing… more
- CVS Health (Phoenix, AZ)
- …care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just ... transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position… more
- TEKsystems (Plano, TX)
- …Payment posting, Collection, Medical collections, Medical, Payment poster, Data entry, Customer service, Medical billing, Call center , medicaid, Collection ... Required: + 2+ years of Insurance follow-up, denials/ appeals experience (Medical A/R) + Hospital/facility collections experience...and other team leaders to confirm ie provide trending solutions * File complaints when appropriate for delays in… more
- CVS Health (Tallahassee, FL)
- …may require coordination of responses from multiple business units. Ensure timely, customer focused response to complaints/ appeals . Identify trends and emerging ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and… more
- CVS Health (Harrisburg, PA)
- …care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just ... transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeal and...A minimum of 5 years experience in regulatory auditing ( Appeals & Grievances, Call Center , Enrollment) in a ... exemption requests prior to proceeding with the recruitment process. Job Summary The Customer Solution Center Audit Readiness Specialist II is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Member Navigator II- Palmdale (onsite) Job Category: Customer Service Department: Even MORE Outreach & Service Location: Los ... net required to achieve that purpose. Job Summary The Customer Solution Center Member Navigator...of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and… more
- US Tech Solutions (Columbia, SC)
- …6 weeks onsite. No option for Remote. + Medical background, office experience, customer service, previous call center experience Candidate would handle provider ... any questions providers may have. + Must have previous customer service and call center experience. We...customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work… more
- CVS Health (Fresno, CA)
- …and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals . Identify trends and emerging issues ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...and report and recommend solutions . Independently coaches others on appeals ensuring… more
- University of Pennsylvania (Philadelphia, PA)
- …and much more. Posted Job Title One Stop Counselor - Student Services Center , Division of Finance Job Profile Title Coordinator B Job Description Summary Reporting ... to the Associate Director of the Student Services One Stop Center , and under general supervision, the One Stop Counselor is responsible for providing a comprehensive… more
- Humana (Columbus, OH)
- …to provide the best solutions and outcomes working in a best-in-class contact center . As a Bilingual Call Center Representative 2, you will take as many ... + Associate or Bachelor's Degree + Previous Inbound and / or Outbound call center or related customer service experience + Prior healthcare experience **Work at… more
- TEKsystems (Columbia, SC)
- …required by management. Additional Experience: High School or GED (Required) Customer service/call center experience Needed requirements/experience- call ... Description: Responsible for responding to customer inquiries. Inquiries may be non-routine and require...to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals . Determines whether to return, deny or pay claims… more
- Kepro (Harrisburg, PA)
- …The Call Center Support Coordinator will provide telephone and/or e-mail-based customer support to both internal and external customers. *Position is remote, but ... and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the... in the public sector. Acentra seeks a Call Center Support Coordinator (Remote) to join our growing team.… more
