- Mass Markets (Killeen, TX)
- …information; collaborate with other teams as needed + Accuratelydocument and process claims , inquiries, and updatesin company systems + Followscripts, policies, ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (Killeen, TX)
- …call through effective problem-solving. + Research and retrieve information across systems to support customer needs. + Accurately document interactions and process ... claims . + Guide customers through options to find the...(Word, Excel, Outlook, PowerPoint) + Familiarity with Windows operating systems + Reliable and punctual + Skilled in troubleshooting… more
- Mass Markets (TX)
- …and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date ... including encrypted ones, are not allowed for accessing the clients Work at Home systems . + You must provide your own headset. Specific models will be recommended… more
- Mass Markets (TX)
- …will apply the latest customer service techniques and learn our account management systems while helping improve the customer experience during a difficult time. Key ... + Improve the customer's experience + Utilize our service techniques and systems + Escalate customer dissatisfaction to proper channels In addition to becoming… more
- Molina Healthcare (Dallas, TX)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... and appeals. * Records calls accurately within the pharmacy call tracking system . * Maintains established pharmacy call quality and quantity standards. * Interacts… more
- Mass Markets (Killeen, TX)
- …actively to customer concerns and resolve issues effectively + Use internal systems to manage accounts and complete service tasks + Identify sales opportunities ... Microsoft Office (Excel, PowerPoint, Word, Outlook) + Familiarity with Windows operating systems + Reliable and punctual with strong time management + Strong… more
- Mass Markets (Killeen, TX)
- …to maximize value + Research and resolve customer issues using internal systems and team collaboration + Accurately document customer interactions and manage account ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Generac Power Systems (Richardson, TX)
- …Construction Manager with a strong technical background in mechanical systems , specifically focused on chillers and liquid-to-the-chip cooling technologies. This ... QA/QC inspections, identifying issues, and recommending corrective actions to maintain system integrity and performance. In addition to managing field activities,… more
- Highmark Health (Austin, TX)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... + Enter all authorizations into the Argus IPNS information system to allow claim adjudication. + Complete...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- ATI (Dallas, TX)
- …initiatives across the Law Department. Key Responsibilities: Litigation Support & Insurance Claims Management + Assign matters to outside counsel and serve as the ... primary point of contact for outside counsel regarding billing, corporate representative depositions, and case strategy coordination. + Receive and process service… more