- CVS Health (Columbus, OH)
- …**Position Summary:** We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our customers. Our customers include members of ... with our customers by helping with their benefits and claims to improve their health and well-being. You will...be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful… more
- Owens & Minor (Columbus, OH)
- …The collections representative follows-up with insurance companies to resolve unpaid claims . The anticipated hourly range for this position is $12.21 - $17.04. ... carriers or customers on delinquent payments. + Reviews unpaid and underpaid claims . Resubmits or appeals as necessary. + Verifies payment information adjustments to… more
- Molina Healthcare (Dayton, 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 ... arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes...2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working… more
- OhioHealth (Mount Gilead, OH)
- …by collecting accurate demographic and financial information to produce a clean claim necessary to receive timely reimbursement. In addition, this position provides ... provides appropriate literature and documentation Scans required documents used for claim submission into patient's medical record Escorts or transports patients in… more
- Philadelphia Insurance Companies (Dublin, OH)
- …Top 50 and rated A++ by AM Best. We are looking for a Marketing Representative to join our team in Dublin, OH! Summary: This position is responsible for qualifying ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Graybar (Cincinnati, OH)
- Are you ready? As a Senior Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling ... policies + Handle customer complaints promptly and effectively, and report potential claims + Keep management informed of local competition and market conditions +… more
- Molina Healthcare (Columbus, OH)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
- Molina Healthcare (Akron, OH)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Paychex (Cincinnati, OH)
- …prescribed guidelines to ensure good customer relations are maintained and customer claims and complaints are resolved fairly, effectively, and in accordance with ... Paychex policies and procedures. Responsibilities + Delivers quality service to Paychex clients via phone, email, chat, and other avenues + Follows up on outstanding items to issue completion in compliance with established Service Level Agreements + Uses… more
- Highmark Health (Columbus, OH)
- …solve complex problems representative of a broad range of service and claim scenarios. + Other duties as assigned. Including, but not limited to additional ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the … more
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