- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …responsible for answering customer questions pertaining to product information, benefits, claims resolution and eligibility in a call center environment. This ... management services to members. Your Responsibilities * Serves as a customer advocate by identifying underlying customer needs and guiding them to appropriate… more
- State of Michigan (Lansing, MI)
- …include daily and weekly balancing of the systems for bets, wins, claims and payments, vendor settlements, promotions and adjustment transactions, as well as ... special digital gaming related projects and analysis, assisting with gaming systems claims and payments process, providing daily phone support for the department, as… more
- Family Dollar (Chesapeake, VA)
- …and Religious accommodations. + Investigate Department of Labor Wage and Hour claims , analyze data from various internal systems, provide the Company's formal ... response to claims , represent the Company at DOL Hearings, negotiate settlements...levels of management. + Ability to influence outcomes and advocate persuasively for fair, compliant decisions. + Experience with… more
- The Clorox Company (Pleasanton, CA)
- …role, you will provide chemical expertise to support product innovation, claims validation, and manufacturing excellence across Clorox's portfolio of consumer goods. ... + **Innovation and Capability Building:** Ability to identify and advocate for emerging analytical technologies to enhance or complement industry-standard… more
- Pacific Medical Centers (Seattle, WA)
- …resolution of balance. + Ensure accurate review and processing of complex medical claims within time service standards. + Ensure requests for reconsideration of ... claims are processed within time service standards. + Monitor...so you can focus on delivering our mission to advocate , educate and provide extraordinary care. **About Providence** At… more
- Kimpton Hotels & Restaurants (Atlanta, GA)
- …with the hotel & restaurant operations teams serving as an employee advocate , cultural ambassador, subject matter expert, innovator and consultant. + Assists the ... Compensation and Unemployment administration including effective case management of claims to minimize liability and expense exposure. Guarantee adherence to… more
- Trinity Health (Clive, IA)
- …and revenue integrity resources to facilitate seamless workflows associated with claims processing, payment posting, refunds and financial reporting. + Develops and ... education regarding medical necessity criteria and diagnosis codes to optimize claims payment on first submission. + Responsible for updating patient registrations… more
- Independent Health (Buffalo, NY)
- …satisfaction rate, the pharmacy help desk representative will function as a pharmacy advocate . This position will also assist with the entry of prior authorizations ... basis. Assist in interpreting database information as it relates to pharmacy claims processing. + Assist with PBM implementation by identifying potential issues and… more
- Corewell Health (Grand Rapids, MI)
- …plan benefits with accessing services, facilitating and resolving problems, understanding claims , billing and coding, along with other questions. Consistently create ... member information to other departments as needed. + Facilitates claims resolution through follow-up on member calls and correspondence...health of our organization. As a health system, we advocate for equity as we care for our patients,… more
- Prime Healthcare (Redding, CA)
- …Health and holds an 'A' Grade from Leapfrog Group, the nation's premier advocate of transparency in health care. The hospital is Joint Commission Certified for ... in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events.… more