- CVS Health (IA)
- …Fluency in English and Spanish is required.** **Position Summary** Customer Service Representative is the face of Aetna and impacts members' service experience by ... rights and responsibilities in accordance with contract. + Processes claim referrals, new claim handoffs, nurse reviews,...to inquiries received. + As a call center inbound representative you will be responsible for taking inbound Brokerage… more
- Primary Health Care (Des Moines, IA)
- …currently have locations in Ames, Des Moines, & Marshalltown. As a Billing Representative III, you will be is responsible for timely and accurate submission, payment ... posting and follow up of medical and/or dental claims on behalf of PHC. Provides work direction and...at end of 1st year) plus paid holidays + License/ certification fee reimbursement + Paid time off for continuing… more
- Molina Healthcare (IA)
- …for a wide variety of inquiries and assistance involving their benefits, claims , premiums, and other areas including very complex issues. Conducts initial research ... needs for a wide variety of inquiries and assistance involving claims , authorizations, appeals, contracting, credentialing and other areas including the most… more
- Mass Markets (IA)
- …experience in customer service or Tier II, technical support + CompTIA IT certification COMPENSATION DETAILS WANT AN EMPLOYER THAT VALUES YOUR CONTRIBUTION? At MCI, ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Access Dubuque (Dubuque, IA)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Iowa Department of Administrative Services (Marshalltown, IA)
- …public contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit ... public contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit… more
- Highmark Health (Des Moines, IA)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
- Towne Park (Des Moines, IA)
- …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the...school diploma or general education degree (GED) **Required Licensure, Certification , etc.:** + Must hold a valid driver's license… more
- Boehringer Ingelheim (Ames, IA)
- …and key Opinion Leaders). The Senior Scientist, Clinical acts as the Clinical Representative as assigned for all stages of product development. This role resents ... implementation of the clinical strategy. The Clinical Leader serves as the representative on the Core Team. **Duties & Responsibilities** + Independently initiates… more
- Medtronic (IA)
- …Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through ... Ability to meet vendor credentialing requirements + **IBHRE** **/RCES** ** certification (** **preferred** **at Sr and Prin levels)** +...within the responsibilities section of this job description are representative of those that must be met by an… more
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