- LA Care Health Plan (Los Angeles, CA)
 - …Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA) ... position reviews pre-service authorizations, concurrent and post-service (retroactive review) medical necessity; benefit coverage appeals and reconsiderations, and complex… more
 
- HCA Healthcare (Austin, TX)
 - …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
 
- Mass Markets (Killeen, TX)
 - …you are sure to grow. We offer many advancement opportunities, including Supervisor , Trainer, Talent Acquisition, and Operations Management. To be considered for ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Lead fact-finding discussions to determine the best… more
 
- Mass Markets (Killeen, TX)
 - …and offers clear paths for career advancement into roles such as Supervisor , Trainer, Talent Acquisition, and Operations Management. To be considered for this ... other departments as needed + Accurately document customer interactions and process claims + Conduct needs-based conversations to identify the best solutions for… more
 
- Mass Markets (Dallas, TX)
 - …sure to grow. We offer many advancement opportunities including Supervisor , Trainer, Talent Acquisition, and Operations Management. POSITION RESPONSIBILITIES WHAT ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
 
- Mass Markets (Killeen, TX)
 - …collaborate with other departments as needed + Accurately document customer interactions and claims + Use training and knowledge base tools to answer questions while ... + Escalate complex issues to the appropriate team or supervisor + Stay current with program updates by attending...cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
 
- Mass Markets (Wichita, KS)
 - …us. Our industry-leading training program and clear advancement paths such as Supervisor , Trainer and Operations Management ensure your growth and success. To be ... information across systems to support customer needs + Accurately document and process claims and inquiries + Guide customers through options to find the best… more
 
- HCA Healthcare (Sarasota, FL)
 - …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
 
- Mass Markets (Las Cruces, NM)
 - …provide accurate solutions + Use internal systems to manage accounts, process claims , and update records + Identify sales opportunities and apply upselling ... unresolved or sensitive issues to the appropriate team or supervisor + Stay current on program updates by attending...cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
 
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
 - …of its parts. The Patient Support Specialist, under the direction of the Supervisor , is responsible for providing patient health care services enabling access to ... will Do: + Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians,...+ Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus) + Will be trained to… more