- Elevance Health (Cincinnati, OH)
- **Title: Customer Care Representative I - FEP** **Cincinnati, OH** **Location:** This role enables associates to work virtually full-time, with the exception of ... hours:** **8:30 am-5:00 pm EST** As a Customer Care Representative , you will act as a trusted advisor and...providers with their healthcare needs by explaining benefits, solving claim concerns, helping find a doctor via telephone calls,… more
- Elevance Health (Mason, OH)
- **Customer Care Representative I** **Location:** **Onsite:** This role requires associates to work from the posted locations full-time, enabling consistent ... EST during training and post-graduation.** As a Customer Care Representative , you will act as a trusted advisor and...providers with their healthcare needs by explaining benefits, solving claim concerns, helping find a doctor via telephone calls,… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Financial Underwriting Representative 3 computes rates for both renewing and prospective moderate to complex ... group accounts. The Financial Underwriting Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative… more
- OhioHealth (Van Wert, 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
- Molina Healthcare (Akron, 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
- Molina Healthcare (Dayton, OH)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... years of call center or customer service experience **Preferred Education** Associate degree **Preferred Experience** + 3-5 years; healthcare industry experience… more
- Molina Healthcare (Cleveland, OH)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... in a fast paced, high volume environment **PREFERRED EDUCATION** : Associate 's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE**… more
- Towne Park (Cleveland, OH)
- …and may be subject to a specific plan or program terms. **SUMMARY** The Associate Manager is responsible for ensuring high levels of client, customer and ... associate satisfaction at a designated Towne Park location. Key...15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately… more
- Adecco US, Inc. (Akron, OH)
- **Adecco is assisting a local client recruiting for Customer Service Representative opportunities in Akron OH. This is an excellent opportunity to join a winning ... leadership, team-driven values, and dedication to developing talent. If Customer Service Representative sounds like something you'd be interested in, and you meet… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- ** Associate Director, Small Molecule Analytical Development** + Lead and oversee phase appropriate method development and optimization for drug substance and drug ... wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more