- CenCal Health (Santa Barbara, CA)
- …needed and intake of grievances/ appeals . Hours of operation for the CareConnect Call Center include 8:00am-8:00pm, 7 days a week and must be able to work a ... the population utilizing medical services (eg, medical receptionist, regional center coordinator, patient advocacy, customer service representative, or… more
- AbbVie (North Chicago, IL)
- …Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges ... commercial pharmacy, major medical, and government insurance plans, prior authorizations, appeals , and alternate coverage referrals. The supervisor ensures that all… more
- UC Davis Health (Sacramento, CA)
- …required action Ability to maintain composure, efficiency and a positive, customer -service oriented manner during periods of peak workload, with frequent ... the resources available to help solve the problem, create and implement viable solutions , and follow through to ensure the problem is resolved to the satisfaction… more
- The Hanover Insurance Group, Inc. (Boston, MA)
- …Apply advanced technical, sales and analytical skills to provide insurance solutions that help Hanover's customers manage risk. Demonstrates a thorough understanding ... branding). Prepares or analyzes information on adverse underwriting decisions, rate appeals , underwriting requirements, status and declinations in order to drive… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Coordinator I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Coordinator I supports the … 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)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los ... support the safety net required to achieve that purpose. Job Summary The Manager, Customer Solution Center Appeals and Grievances is responsible for the… more
- R1 RCM (Boise, ID)
- …the revenue cycle management process while identifying work flow issues and providing solutions . With sharp attention to detail one would discern client problems and ... meet performance standards. Desired Qualifications: Revenue cycle experience. Call Center experience. Associates degree. Medical terminology. Physical Requirements: See,… 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 Development Specialist III Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & ... net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Training...technical or complex content into accessible and engaging learning solutions . Work with the quality team on quality and… more
