- 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
- AmeriHealth Caritas (Newark, DE)
- …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
- Actalent (Dallas, TX)
- …Education: High School Diploma or equivalent + Experience: Minimum 2 years in managed care ( call center , appeals, or claims ) + Experience in health claims ... complaints. + Use internal systems to determine outcomes of claims appeals and grievances. + Review medical records and...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… 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
- Avera (Sioux Falls, SD)
- **Location:** Integrated Services Center **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this ... to resolve denials, inappropriate payment and non payment of claims . The Specialist will identify, review and interpret third...available day 1 for eligible hires. + Free health insurance options, for full-time single coverage on Avera High… 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
- Ardon (Portland, OR)
- …to alternate department. Supports creation and revision of team process documents. Supports call center when business needs arise. Interacts with all areas of ... interpret claims adjudication issues with Pharmacy Benefit Management organizations, insurance plans, and Patient Assistance Programs. Must be able to accurately… more
- Novant Health (Charlotte, NC)
- …of professionalism, accuracy, and responsiveness in all patient account interactions.Monitor call center performance metrics (eg, hold times, first- call ... revenue cycle functions across the health system. This includes billing, claims management, cash posting, insurance follow-up, denials resolution, customer… more