- CVS Health (Olympia, WA)
- …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
- Guidehouse (Lewisville, TX)
- …Account Review + Appeals & Denials + Medicare/ Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500 + Complete all business-related ... GED. + 0-2+ year's experience in office, business, operations, customer service or healthcare field. **What Would...or via email at ###@guidehouse.com . All information you provide will be kept confidential and will be used… more
- General Dynamics Information Technology (Menands, NY)
- …ensure today is safe and tomorrow is smarter. Our work depends on Customer Service Specialist II joining our team to provide support via the telephone and/or ... knowledge to be learned to understand and help the providers with their Medicaid claims. **HOW A CUSTOMER SERVICE SPECIALIST II WILL MAKE AN IMPACT** + Takes… more
- Staffing Solutions Organization (Columbus, OH)
- …area)** The overarching responsibility for this position is to ensure Ohio Medicaid providers are providing a legitimate service , operating within the ... information. + Meet work standards (eg productivity, quality, and customer - service standards). + Work as a solo...improvements. + Ensure compliance with the Ohio Department of Medicaid by analyzing provider practices and protocols… more
- Commonwealth Care Alliance (Boston, MA)
- …to communicate and work effectively at multiple levels within the company + Customer service orientation; positive outlook, self-motivated and able to motivate ... applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for...Utilize data to examine large claims data sets to provide analysis and reports on existing provider … more
- Conduent (Topeka, KS)
- …III $16.25/hr. **Job Description:** As part of the KanCare Clearinghouse Program, the Customer Service Representative (CSR) will provide quality customer ... calls courteously, accurately, and concisely + Provides a high-quality customer service and focuses on the accuracy...Minimum of six (6) months' experience in Family Medical Medicaid eligibility + Knowledge of Medicaid and… more
- Louisiana Department of State Civil Service (Alexandria, LA)
- …a call-center setting. The work requires computer proficiency, attention to detail, strong customer service skills, and the ability to manage high call volumes ... MEDICAID ANALYST 1-3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5064232) Apply ...in your community while building a career in public service ! As aMedicaid Analyst, you will gain in-depth knowledge… more
- Conduent (Honolulu, HI)
- …**Conduent offers Fiscal Agent (FA) services, which include claims payment processing, provider relations, and call center support for fee-for- service claims. ... MQD for over 20 years.** We are seeking a ** Medicaid ** ** Service Delivery Manager** with a strong...of services to clients or customers, ensuring compliance with service level agreements (SLAs) and meeting customer … more
- Louisiana Department of State Civil Service (Lafayette, LA)
- …candidate is an individual who works independently, is detail-oriented, has excellent customer service skills, can perform routine activities, is attentive to ... MEDICAID ANALYST 1-3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5064536) Apply ...procedures of the organization, as well as State Civil Service rules, and all applicable federal and state laws.… more
- TEKsystems (Morrisville, NC)
- …including sales representatives. + Escalate complex cases per program guidelines. + Provide exceptional customer service while representing the brand ... Management and Clients to share insights on patient status, provider feedback, and program effectiveness. + Educate and advocate...+ Medical Terminology & Claims Processing + Medicare & Medicaid Knowledge + Healthcare Customer Service… more
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