- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I primary function… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will… more
- LA Care Health Plan (Los Angeles, CA)
- …and to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible ... end on all regulatory functions. Duties Audit readiness: Performs audit procedures for Customer Solution Center departments to ensure readiness; including… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Customer Solution Center Quality Auditor...Outreach, Ansafone, Web Inquiries, MRU (Member Relations Unit), and Appeals and Grievance, performance against key performance indicators and… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals . The Customer Service Representatives must be able to ... and communicate effectively with teams. + Transfer misdirected requests and offer solutions to non-routine issues. + Contribute to customer satisfaction and… more
- State of Colorado (Rifle, CO)
- Uncrewed Systems Project Support Technician ( Center of Excellence) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4913578) Apply Uncrewed ... Systems Project Support Technician ( Center of Excellence) Salary $70,140.00 - $91,188.00 Annually Location...public service focus, and we strive to provide innovative solutions and services to our fellow Coloradans! Careers with… more
- Humana (Atlanta, GA)
- …to provide the best solutions and outcomes working in a best-in-class contact center . As a Contact Center Representative 2, you will provide coverage for ... + Associate or Bachelor's Degree + Previous Inbound and/or Outbound call center or related customer service experience + Prior healthcare experience… more
- Surgery Care Affiliates (Panama City, FL)
- …Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, ... accurate, professional responses and resolution. The PAR will function within the Center 's policies and procedures, support SCA Values, SCA Vision and SCA Mission.… more
- US Tech Solutions (RI)
- …inquiries to the pharmacist team as appropriate. **Experience:** + 0-3 years in a customer service or call center environment managing 75 calls/day. + Six months ... and/or resolve coverage requests. + Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. + Must maintain… more
- TEKsystems (Harrisburg, PA)
- …with computer applications, such as Microsoft Word and PowerPoint. Previous customer service/call center experience is required. Experience Level Intermediate ... to inbound calls and process inquiries from providers and members. - Resolve customer service or billing issues under general supervision, using sound judgment. -… more
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