- Highmark Health (Dover, DE)
- …provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ... appropriately maintain a level of high efficiency/productivity. + Ensure adherence to call center turn around time requirements associated with DPW/CMS… more
- TEKsystems (Winchester, VA)
- …opportunities for positive member interaction. Experience Success profile: Call center , administrative, secretary/receptionist, baking/mortgage, professional ... Skills customer service, data entry, inbound and outbound calls, call center Top Skills Details customer service,...status of debit or credit card dispute or fraud claims Hours 5 days a week, 40 hours, Multiple… more
- Adecco US, Inc. (Cary, NC)
- …High School Diploma or GED required; Associate degree preferred. * 1+ year of call center experience (healthcare or pharmacy preferred). * Strong computer and ... * Demonstrate empathy and professionalism in every patient interaction. * Run medical claims , document call notes, and update patient profiles. * Respond to… more
- Access Dubuque (Dubuque, IA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Care Team Representative, Weekend **Care Team Weekend Schedules** Weekend Shifts - ... OF THE ROLE:** To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting… more
- Evolent (Nashville, TN)
- …capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet ... as well as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care, and identify… more
- AmeriHealth Caritas (Philadelphia, PA)
- …needed to ensure proper handling of the appeal eg UM team, medical directors, claims , contact center , vendors as needed (eg PerformRX) + Creates decision letter ... tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; + Research… more
- Centene Corporation (Tallahassee, FL)
- …QRS, or other quality measures preferred; Quality auditing or analysis of call center performance preferred; Experience with data mining, population health, ... intelligence and visualization tools. **Provider:** Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data… more
- South Jersey Industries (Atlantic City, NJ)
- …schedules with start times determined at the discretion of the company. Please note our call center hours of operations are 7am- 8pm Monday through Friday. The ... ensuring that good customer relations are maintained, and customer claims and complaints are resolved fairly and effectively, in...Applicants must pass basic skills test Preferred Background: + Call center experience + Prior job experience… more
- HCA Healthcare (Manchester, NH)
- …your career as a Director Medical Staff Services today with Catholic Medical Center . **Benefits** Catholic Medical Center , offers a total rewards package that ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Select Medical (Camp Hill, PA)
- …in windows based technologies + Claims processing experience + Phone or call center experience. + This job requires access to confidential and sensitive ... Representatives** Professionally and courteously provide a **variety of patient and insurance services** **through mail, telephone, e-mail** and personal contact in… more