- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals and Grievances (Temporary) Job Category: Management/Executive Department: CSC Appeals & Grievances ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals...independently. Ability to solve complex issues and identify creative solutions . Computer ease and literacy with Microsoft Office (Word,… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC ... support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist… more
- CenterWell (Raleigh, NC)
- …with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/ customer support duties ... and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by...+ Associate's or Bachelor's Degree + Previous inbound call center or related customer service experience +… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit...minimum of 5 years of experience in regulatory auditing ( Appeals & Grievances, Call Center , Enrollment) in… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Training Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: ... net required to achieve that purpose. Job Summary The Customer Solution Center Training Specialist...CSC staff on identified areas of improvement, such as Appeals and Grievance processes, Claims, etc. Through various delivery… more
- US Tech Solutions (Myrtle Beach, SC)
- …High School Diploma or equivalent. + Required Work Experience: 2 years of customer service experience including 1-year claims or appeals processing OR Bachelor's ... may be required based on business needs). + Call center is open from 8am - 7pm. Shift may...customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work… more
- CTG (Boca Raton, FL)
- **CTG is seeking to fill a Bilingual (English/Spanish) Customer Service/Call Center Representative opening for our client in Boca Raton, FL.** **Location:** Boca ... 8:30a - 5:00p **Duties:** + Provide exceptional bilingual (Spanish/English) customer service, including verbal, nonverbal, and written communication, in line… 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
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …physicians, hospitals, and other healthcare providers with member benefits, eligibility, and appeals . The Customer Service Representatives must be able to work ... and communicate effectively with teams. + Transfer misdirected requests and offer solutions to non-routine issues. + Contribute to customer satisfaction and… 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
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