- Commonwealth Care Alliance (Boston, MA)
- …and all those involved in CCA members' care. The Member Service Representative (MSR) is responsible to provide a best-in-class service experience to ... authorization intake process. * Assist in resolving member billing discrepancies. Provide members with any requested documents including provider listings in… more
- WellSense (Worcester, MA)
- Member & Provider Service Representatives - Work from Home WellSense Health Plan is a nonprofit health insurance company serving members across ... years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members,...through our Career Progression program . Annual Commitment to Service bonus for Customer Care representatives , program… more
- Fallon Health (Worcester, MA)
- …includes, sending the appropriate acknowledgement of the grievance/appeal, educating the member and/or member representative about the grievance/appeal, ... care and is continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences,… more
- Fallon Health (Worcester, MA)
- …program provides material and framework for success. + Ownership for customer satisfaction. Member Service Representatives are the primary liaison for our ... Member Services Representative is accountable for successfully addressing member and provider inquiries received through Fallon Health's 1-800 numbers,… more
- Fallon Health (Worcester, MA)
- …multiple ACD lines for the UM department addressing and/or referring customer ( provider / member ) calls/inquiries, provide direction regarding Plan policies, ... continually rated among the nation's top health plans for member experience, service , and clinical quality. We...+ Strictly observes the FCHP policy regarding confidentiality of member and provider information. + Handle other… more
- Fallon Health (Lowell, MA)
- …when working with member , family, caregivers, and/or authorized representatives o With member /authorized representative (s) collaboration develops ... provide education to members and providers; performing a member advocacy and education role including but not limited... service actions and takes responsibility to ensure member and provider requests and needs are… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …including clinical utilization managers, account representatives , member service associates, dietitians, and physicians, to provide members with a ... policies to conduct reviews that promote efficient and medically appropriate use of the member 's benefit to provide the best quality care. The TeamThe Clinical… more
- Fallon Health (Worcester, MA)
- …information. + Communicate effectively with MassHealth staff, hearing officers, and member representatives . + Coordinate pre-hearing resolution efforts when ... continually rated among the nation's top health plans for member experience, service , and clinical quality. We...policies. **Representation at Hearings** + Serve as the official representative of Fallon during Fair Hearings. + Provide… more
- Museum of Fine Arts Boston (Boston, MA)
- …to Admission Managers in the Member and Visitor Services department (MVS), the Member & Visitor Services Representative is a vital member of the ... on the phone providing a warm welcome to all. + Answers questions and provide information about the Museum's programs and exhibitions. Works to develop expertise in… more
- Camping World (Uxbridge, MA)
- …religion, national origin, age (40 and over), disability, veteran or uniformed service - member status, genetic information, or any other basis protected by ... As a Sales Development Representative you will be a key contributor to...prospective customers to understand their needs, answer inquiries, and provide information about our RV products and services. +… more
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