- CVS Health (Oklahoma City, OK)
- …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
- Intermountain Health (Oklahoma City, OK)
- …Organizational Skills + Attention to Detail + Accountability/ability to work independently + Customer Service + Knowledge of medical billing and collections + ... of provider enrollment with commercial and government (Medicare and Medicaid ) professional fee payer contracts for an entire market. Ensures enrollment is… more
- Humana (Oklahoma City, OK)
- …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 (Oklahoma City, OK)
- … 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
- Humana (Oklahoma City, OK)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... and advancing the care experience of our members and provider partners through quality solutions. HQS is committed to...quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system… more
- Humana (Oklahoma City, OK)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Representative 2… more
- United Therapeutics (Oklahoma City, OK)
- …and support customers as an extension of patient support as appropriate, and provide in-person customer visits + Participate in cross-matrix meetings as ... Participate in regularly scheduled team meetings and calls. Input call activity into customer relationship management tool (CRM). + Provide office education and… more
- Humana (Oklahoma City, OK)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... and advancing the care experience of our members and provider partners through quality solutions. HQS is committed to...quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system… more
- Cardinal Health (Oklahoma City, OK)
- …Help patients understand their insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed + Resolve patient's ... long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning… more
- Humana (Oklahoma City, OK)
- …or a related field + 7+ years of experience with program delivery, customer experience strategy, service design and/or business improvement experience + ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. … more
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