- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Customer Care Associate - Philadelphia PACE Application Center **Job Description Summary** This position is ... Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities… more
- CVS Health (Boston, MA)
- …personal, convenient and affordable. **Position Summary** The Care Management Associate supports comprehensive coordination of medical services including Care team ... Promotes/supports quality effectiveness of Healthcare Services. The Care Management Associate position duties include (not all encompassing): -Responsible for… more
- CVS Health (Charleston, WV)
- …for career growth. We will support you all the way! The Care Management Associate (CMA) role is a full time remote telework position. Qualified candidates must ... population health members, and carries a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team intake,… more
- Magellan Health Services (Honolulu, HI)
- …information regarding a variety of services including: educating providers on claims , member eligibility, benefits, EAP services, claim status, and authorization ... crisis calls with appropriate resource. + Facilitates routine referrals and triage decisions not requiring clinical judgment. + Comprehensively assembles and enters… more
- Travelers Insurance Company (Overland Park, KS)
- …Under general supervision, this position is responsible for assigning claims to appropriate claim professionals. Coordinating and monitoring claim professional ... and maximization of adjuster resources. **What Will You Do?** + Assigns claims to appropriate claim professionals and independent adjusters as required to maintain… more
- Gentiva (Atlanta, GA)
- …resources to ensure coordinated and efficient program management + Participate in " triage " process to determine whether claims warrant additional investigation, ... claims review meetings and makes recommendations for on-going claims handling **About You** + Associate degree...for on-going claims handling **About You** + Associate degree required, Bachelors a plus + Related work… more
- Humana (Richmond, VA)
- …(ACT, MST, FFT, Homebuilders) + Ensure prompt responsiveness and appropriate triage of provider inquiries, concerns, or problems, including those associated with ... claims payment, prior authorizations, and referrals, as well as...(collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- PulteGroup (Coppell, TX)
- …Coordinator will conduct initial analysis of the customer issue to triage and determine the appropriate course of action.PRIMARY RESPONSIBILITIES:- Coordinate ... customer requests for service - Conduct initial analysis of customer issue to triage and determine appropriate course of action - Coordinate Customer Care Manager… more
- Doosan Bobcat (Chicago, IL)
- …to work with Dealer Accounts service groups with product warranty and service management. Triage warranty claims at the Dealer Accounts level They resolve the ... activities to the general manager * Review all high dollar warranty claims with warranty department * Provide updated technical information to Dealer Accounts… more
- CareFirst (Baltimore, MD)
- …including configuration setup, system and integration testing, production issues triage and resolution, and interface monitoring/ resolution. The position will ... technologies, systems, and business processes supported by the department (eg, claims processing, enrollment and billing, financial, etc.). + Experience in industry… more
- Progress Rail Services Corp. (Albertville, AL)
- …. **Education / Training:** * High School diploma or equivalent is required; * Associate 's degree in IT related field; preferred; * Bachelor's degree in an IT ... as needed; * Global incident routing including validation, processing, triage , routing decision points and assignment; * Prioritize production-critical issues… more
- MyFlorida (West Palm Beach, FL)
- …processing have statutory timelines therefore the ability to organize and triage assignments is mandatory for success. Your Specific Responsibilities: This is ... + Preference will be given to candidates with an associate degree or higher. + Preference will be awarded...also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …mitigations. + Manage end-to-end incident management process, from initial ticket triage to prioritization and resolution. + Develop and update comprehensive ... of monolithic apps. + Understanding of EDI transactions (Eligibility, Claims , enrollment, authorization etc), standards (X12, EDIFACT) and experience troubleshooting… more
- South Middlesex Opportunity Council (Framingham, MA)
- …entire management team. + Monitor caseloads and work with the clinic intake specialist to triage and assign cases from a waitlist. + Work with the front office and ... as required by payors and state agencies. Monitor weekly claims reports and assist in correcting billing issues. +...As part of the responsibilities of this position, the Associate Clinic Director will have direct or incidental contact… more
- Humana (Harrisburg, PA)
- …+ Contacts the hospice to verify or obtain necessary information, can appropriately triage incoming calls and provide excellent and complete documentation. + Able to ... client / prescriber interaction + Assist local pharmacies in adjudication of claims for emergent need medications + Ability to appropriately escalate urgent requests… more
- HUB International (Riverside, CA)
- …provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make ... document retrieval from carrier websites + May perform a triage role on behalf of the team: review incoming...individual queues based on priority and skill level of associate _The expected salary range for this position is_… more