- CVS Health (Raleigh, NC)
- …benefit plan details, provider self- service tools, etc. + Use customer service threshold framework to make financial decisions to resolve provider ... rework to appropriate staff. + Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid … more
- TEKsystems (Morrisville, NC)
- …including sales representatives. + Escalate complex cases per program guidelines. + Provide exceptional customer service while representing the brand ... Management and Clients to share insights on patient status, provider feedback, and program effectiveness. + Educate and advocate...+ Medical Terminology & Claims Processing + Medicare & Medicaid Knowledge + Healthcare Customer Service… more
- TEKsystems (Morrisville, NC)
- …verification, Medical terminology, Bilingual, Medicaid , Medical claim, Member service , healthcare customer service , pharmacy benefit, Insurance, ... registration, Claim, Case management, Patient access Top Skills Details Customer service ,Call center,Prior authorization,Medical,Medicare,Insurance verification,Medical terminology,Bilingual, Medicaid… more
- Novant Health (Huntersville, NC)
- …competency testing. Ability to work with management team and physicians; demonstrated customer service skills, interpersonal skills and communication skills. Job ... join a remarkable team where quality care meets quality service , in every dimension, every time ? Novant Health...Group is looking for a compassionate, caring Advanced Practice Provider to provide primary health care and… more
- Novant Health (Winston Salem, NC)
- …the facility. Ability to work with management team and physicians; demonstrated customer service skills, interpersonal skills and communication skills. Job ... join a remarkable team where quality care meets quality service , in every dimension, every time ? Novant Health...looking for a compassionate, caring Behavioral Health Advanced Practice Provider to provide primary health care and… more
- Novant Health (Shallotte, NC)
- …competency testing. Ability to work with management team and physicians; demonstrated customer service skills, interpersonal skills and communication skills. Job ... Health Medical Group is looking for a compassionate, caring Endocrinology Advanced Practice Provider to provide primary health care and perform selective medical… more
- Novant Health (Concord, NC)
- …competency testing. Ability to work with management team and physicians; demonstrated customer service skills, interpersonal skills and communication skills. Job ... is looking for a compassionate, caring Pediatric Advanced Practice Provider (NP or PA) to join our pediatric after...than 1,900 physicians and over 36,000 team members that provide care at more than 800 locations, including 16… more
- Staffing Solutions Organization (Charlotte, NC)
- …responsibility for this position is to ensure North Carolina Provider Medicaid providers are providing a legitimate service , operating within the required ... information. + Meet work standards (eg productivity, quality, and customer - service standards). + Work as a solo...process improvements. + Ensure compliance with the North Carolina Provider Department of Medicaid by analyzing … more
- Humana (Raleigh, NC)
- …integrate, analyze, and present data for enhanced benefits and In Lieu of Service (ILOS) utilization across all Medicaid programs. This role involves identifying ... **Culture and Approach** + Champions a self-starter mindset and customer centric way of working across the Medicaid...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Highmark Health (Raleigh, NC)
- … DE) and Enterprise Quality, Safety, and Values (Health Outcomes Measures). Provide actionable opportunities in provider transformation aimed at high-quality, ... is responsible for key strategic initiatives for the Markets and Provider Transformation Organization supporting the matrixed teams that engage providers enrolled… more