- Elevance Health (Grand Prairie, TX)
- **Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... is granted as required by law._ " The **Utilization Management Representative II** is responsible for managing incoming calls, including triage, opening… more
- Elevance Health (Grand Prairie, TX)
- **Utilization Management Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in person training ... **Hours:** Monday - Friday, 8am - 5pm PST The **Utilization Management Representative I** is responsible for coordinating cases for precertification and prior… more
- Texas Veterans Commission (Odessa, TX)
- …is strongly preferred. . Experience in processing, developing, or adjudicating VA claims for benefits preferred. . Experience with Microsoft Office Suite strongly ... any reasonable accommodation for the interview process, please inform the hiring representative who calls to schedule your interview.* *This position has been… more
- Molina Healthcare (TX)
- …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
- Elevance Health (Houston, TX)
- **Title: Customer Care Representative II** **Houston, TX** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... 8am and 8pm EST, possible weekend OT as needed As a **Customer Care Representative II** you will be responsible for responding to customer questions via telephone… more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW FINANCIAL SERVICES REPRESENTATIVE (FULL-TIME) We are hiring customer service representative to support inbound and outbound customer service ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (Killeen, TX)
- …as a trusted partner in the industry. We are hiring customer service representative to support inbound and outbound customer service projects for Finacial Services ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (Killeen, TX)
- …drive to exceed targets? We're looking for a goal-oriented Contact Center Sales Representative to join our fast-paced BPO contact center. In this role, you'll ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- CVS Health (Austin, TX)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... multiple platforms to assist providers with payment questions. + Educate provider with related information to answer the unasked questions, eg, additional plan details, benefit plan details, provider self-service tools, etc. + Use customer service threshold… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Patient Services Representative is responsible for performing patient check in/check out functions and appointment scheduling to facilitate ... the patient visit experience. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. Other… more