- AO Smith (Lebanon, TN)
- …of production quality assurance, and sales departments of status and disposition of customer complaints and claims . + Utilize interpersonal skills to communicate ... with regional sales managers to provide localized service support, customer site visits, defusing tense situations, application evaluations, contracted service… more
- Blue KC (KS)
- …manages all member transplants. Acts as an internal and external customer resource for interpretation of transplant benefits and transplant-related claim ... across the seven domains of health and develops and implements individualized care plans with appropriate interventions in a culturally sensitive way. Uses… more
- Corewell Health (Caledonia, MI)
- …Excellent communication, customer service, and problem solving skills. Preferred + Associate 's degree About Corewell Health As a team member at Corewell Health, ... Job Summary Responsible for submitting and following up on claims with health insurance companies in order to receive...will play an essential role in delivering personalized health care to our patients, members, and our communities. We… more
- Beth Israel Lahey Health (Burlington, MA)
- …Charge Review and Claim Edits queues are used to resolve errors prior to claims submission and prevent denials. * Professional & Hospital Billing Denial queues that ... associated with the same patient even if additional charges, claims , or denials are not currently captured on their...for complex billing scenarios that have been escalated by Customer Service after going unresolved. 8. Works with departments… more
- CVS Health (Boston, MA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... serve as a bridge between an Aetna National Accounts client's members, the customer Benefit Service Center, HR colleagues and Total Rewards Team to promote available… more
- US Tech Solutions (Columbia, SC)
- …effectively and have critical thinking skills. + Experience in case management or care coordination and telephonic care experience is preferred. + A typical ... would be managing a case load of members telephonically, coordinating care including discharge planning. + Assisting with triage when needed. **Responsibilities:**… more
- Amgen (IL)
- … customer data & analyticsOR + Bachelor's degree and 4 years of consulting, customer data & analytics OR + Associate 's degree and 8 years of consulting, ... the Director of Commercial Insights. Amgen is seeking a ** Customer Data & Analytics Manager - RDBU Insights &...focused on Patient Services and Market Access** , including claims analysis, hub data tracking, affordability program utilization, and… more
- Iowa Department of Administrative Services (Davenport, IA)
- …appeals related to caseloads. What you bring to us: + Excellent customer service skills, including demonstrated communication skills, written and verbal. + ... deadlines for multiple tasks and reports. + Strong presentation skills to customer groups, to provide information on IowaWORKSprograms and services. + Remain… more
- US Tech Solutions (Columbia, SC)
- …provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, ... monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or… more
- Covenant Health Inc. (Knoxville, TN)
- …Computer experienceand basic math skills required. Knowledge of medical terminology, claims submission, customer service is preferred. Expected to perform ... department's established policies and procedures. Responsibilities include review of billed claims for timely and accurate payment. Employees use phones, internal… more