- A-Line Staffing Solutions (Woodland Hills, CA)
- Full time Grievance and Appeals Coordinator openings in Los Angeles CA 91367 area with a major healthcare company! Starting ASAP!! Apply now with Luke H. at A-line!! ... meet deadlines. Job Requirements: Previous experience with either Grievance & Appeals , Medical management, Utilization management, and/or running a doctor's office… more
- US Tech Solutions, Inc. (Columbia, SC)
- …6 weeks onsite. No option for Remote. . Medical background, office experience, customer service, previous call center experience Candidate would handle provider ... any questions providers may have. . Must have previous customer service and call center experience. We...customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... 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)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Customer Service 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
- 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)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Customer Service Department: CSC Appeals & ... support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances...net required to achieve that purpose. Job Summary The Customer Solutions Center Appeals ... II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017...success of new and current staff. Conducts training for Customer Solution Center A&G team… more
- CVS Health (Carson City, NV)
- …Track Appeal requests. Identify trends and emerging issues and report and recommend solutions . Research incoming Medicare Fast Track appeals to identify if ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and… more
- Trinity Health (Farmington Hills, MI)
- …Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) center . Serves as part of a team of clinical payment resolution colleagues at ... Responsible for leveraging clinical knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing… more
- CVS Health (Tallahassee, FL)
- …may require coordination of responses from multiple business units. Ensure timely, customer focused response to complaints/ appeals . Identify trends and emerging ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and… more
- CVS Health (Harrisburg, PA)
- …care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just ... transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position… more
- CVS Health (Harrisburg, PA)
- …care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just ... transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeal and...A minimum of 5 years experience in regulatory auditing ( Appeals & Grievances, Call Center , Enrollment) in a ... exemption requests prior to proceeding with the recruitment process. Job Summary The Customer Solution Center Audit Readiness Specialist II is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Member Navigator II- Palmdale (onsite) Job Category: Customer Service Department: Even MORE Outreach & Service Location: Los ... net required to achieve that purpose. Job Summary The Customer Solution Center Member Navigator...of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and… more
- CVS Health (Fresno, CA)
- …and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals . Identify trends and emerging issues ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...and report and recommend solutions . Independently coaches others on appeals ensuring… more
- Kepro (Harrisburg, PA)
- …The Call Center Support Coordinator will provide telephone and/or e-mail-based customer support to both internal and external customers. *Position is remote, but ... and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the... in the public sector. Acentra seeks a Call Center Support Coordinator (Remote) to join our growing team.… more
- Children's Evaluation & Therapy Center (Lanham, MD)
- …insurance companies and clients. They provide outstanding professional and interpersonal customer service by means of email, phone calls and in-person conversations. ... any denials or rejections within timely filing. . Initiate appeals , corrects claim submissions, and submit medical records in...clients remain informed of any outstanding debts and provides solutions to any of the client's relative problems. .… more
- PSEG (Melville, NY)
- …Responsibilities** * Directly responsible for supervising, directing, and supporting staff of Customer Service Representatives in the Call Center . * Monitor and ... informed on processes, procedures and regulations, and monitor for compliance. * Handle customer issues and appeals related to customer satisfaction, meter… more
- Transdev (San Francisco, CA)
- …have at least three (3) years of experience conducting assessments of client/ customer eligibility for ADA paratransit services. Key Duties: This position's primary ... in-person interview to arrive at a determination. Analysts also participate in any appeals hearing related to a contested determination. The person in this position… more
- LA Care Health Plan (Los Angeles, CA)
- …Management, Utilization Management, Risk Adjustment, Products, Customer Solution Center (CSC), reporting and Analytics, Appeals and Grievances and the ... when appropriate. Must demonstrate ability to work collaboratively and seek solutions proactively applying critical thinking skills in evaluating priorities and … more
