- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I 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 Specialist I primary function… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (ALD) Job Category: Customer Service Department: CSC Appeals & Grievances Location: ... 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)
- …and to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible ... end on all regulatory functions. Duties Audit readiness: Performs audit procedures for Customer Solution Center departments to ensure readiness; including… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Required Training Physical Requirements Light Additional Information Department Specifics: Customer Solution Center Appeals and ... matter expertise in functional area to bridge business requirements and IT solutions ; provide technical direction and ensure compliance with best practice … more
- Surgery Care Affiliates (Panama City, FL)
- …Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, ... accurate, professional responses and resolution. The PAR will function within the Center 's policies and procedures, support SCA Values, SCA Vision and SCA Mission.… 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
- Whitney Young Health Center (Albany, NY)
- …payers via phone or website, contacting practices, navigating cross-departmentally, writing appeals and facilitating their direction to Athena CBO for submission, ... required by WYH for employment purposes and co-pays when appropriate. + Develops solutions to claim processing and payer adjudication problems. + Learn and keep up… more
- CVS Health (Springfield, IL)
- …every day. **Position Summary** We are currently recruiting top talent for our Center of Excellence Customer Service group. Responsibilities below include, but ... about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our...response to inquiries received. **Required Qualifications** -1 year of Customer service in a call center environment… more
- US Tech Solutions (May, OK)
- …of relevant and changing Med D guidance **Experience:** + 2-3 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 always maintain… more
- CVS Health (Franklin, TN)
- …are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital ... the member to the fullest to champion for our members' best health. + Anticipates customer needs. + Provides the customer with related information to answer the… more