- CVS Health (Harrisburg, PA)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... unasked questions, eg, additional plan details, benefit plan details, provider self- service tools, etc. + Use customer...a direct connection to the router (NOT Wi-Fi). We provide a 6 1/2 foot long ethernet cord, if… more
- UPMC (Pittsburgh, PA)
- The Provider Service Representative serves as an advocate for Health Plan customers - including providers, vendors, and facilities - by offering clear guidance ... with care and accuracy. While maintaining call quality and service standards, you'll play a key role in supporting...clear career path for growth and advancement. We also provide a comprehensive on-the-job training program to set you… more
- Cisco (Philadelphia, PA)
- Client Executive - Service Provider , Philadelphia - Comcast Apply (https://jobs.cisco.com/jobs/Login?projectId=1448627) + Location:Offsite, Philadelphia, ... partnerships and delivering transformational solutions for one of Cisco's largest Service Provider customers: Comcast. Our team thrives on collaboration,… more
- CVS Health (Harrisburg, PA)
- …appropriate action from the provider perspective. + Key contributor to enhanced provider service solution like provider portal and other digital ... in support of an international network, medical cost management and overall claim/customer service strategies. This role will provide concierge level of … more
- The Cigna Group (Erie, PA)
- …through matrix partners. + Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external ... matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- Penn Medicine (Bala Cynwyd, PA)
- …Departmental Needs - Full Time - Monday - Friday Hybrid Summary: + The Provider Services Coordinator will provide support of all credentialing / re-credentialing ... for a timely and optimal start into the organization. + Additionally, the Provider Services Coordinator will provide administrative support to the physician… more
- Highmark Health (Harrisburg, PA)
- …providers with various payers for professional services reimbursement. Reviews provider credentialing and/or recredentialing data for accuracy based on licensing ... used in the enrollment processes. **ESSENTIAL RESPONSIBILITIES:** + Completes provider payer enrollment/credentialing and recredentialing with all identified payers… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, and ... applications. This role ensures the timely and accurate processing of provider agreements and supplemental packets, maintains detailed records, and supports… more
- Evolent (Harrisburg, PA)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer ... and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business… more