- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist 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 Specialist I primary function… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (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 (A&G) Specialist II will… more
- Ochsner Health (New Orleans, LA)
- …an accommodation to complete the application process, please contact our HR Employee Solution Center at ### (select option 1) or_** **_###@ochsner.org_** **_. ... recommendations to leadership. * Creates, generates, maintains, and monitors customer service surveys, employee morale surveys, performance management statistical… 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 Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Customer Solution Center Quality Auditor...Outreach, Ansafone, Web Inquiries, MRU (Member Relations Unit), and Appeals and Grievance, performance against key performance indicators and… 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
- 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
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions is seeking an experienced Customer Service Supervisor to manage the company's service operations for members and ... center . The Supervisor directly manages the daily performance activity of the Customer and/or Provider Service call center representatives to ensure … 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
- Wolters Kluwer (Minneapolis, MN)
- **Consultant (LBA QA) - Hybrid (MN) R0052448 |** **LR | ELM Solutions /WK ELM Solutions , Inc.** The **Consultant (LBA QA)** , for Wolters Kluwer will be ... for performing the quality assurance review for the Legal Bill Analysis Center of Excellence (LBACOE). The Legal Bill Analysis ("LBA") process involves the… more
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