• Representative , Customer Experience…

    Molina Healthcare (Akron, 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
    Molina Healthcare (10/01/25)
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  • IRT Appeals Representative

    Humana (Columbus, OH)
    …time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** This is a remote role and will ... of our caring community and help us put health first** The Appeals Representative 4 - IRT (Internal Review Team) Investigates and resolves member and practitioner… more
    Humana (10/10/25)
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  • Provider Relations Representative…

    Molina Healthcare (Columbus, OH)
    **_ Remote and must live in Central Ohio _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... 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… more
    Molina Healthcare (08/31/25)
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  • Client Manager Associate , Premier Market…

    Guardian Life (Columbus, OH)
    The **Client Manager Associate , Premier Market** will assume overall responsibility for managing a client book of business in the 2-99 life space. They will be ... internal partners. These partners include Underwriting, Sales Support, Service and Claims . This position will also directly work with Sales Representatives to… more
    Guardian Life (10/03/25)
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  • Grievances and Appeals 3

    CenterWell (Columbus, OH)
    …caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic ... clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
    CenterWell (10/08/25)
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