• Lead Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Lead Customer Solution Center Appeals and Grievances Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances ... more
    LA Care Health Plan (03/19/25)
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  • Customer Solution Center

    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 ... more
    LA Care Health Plan (03/19/25)
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  • Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... more
    LA Care Health Plan (03/04/25)
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  • Appeals & Grievances Regulatory Audit…

    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 ... more
    LA Care Health Plan (02/02/25)
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  • Business Analyst III

    LA Care Health Plan (Los Angeles, CA)
    …Preferred Required Training Physical Requirements Light Additional Information Department Specifics: Customer Solution Center Appeals and ... more
    LA Care Health Plan (02/23/25)
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  • Customer Solution Center

    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 ... more
    LA Care Health Plan (03/13/25)
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  • Customer Service Rep, Casualty

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …physicians, hospitals, and other healthcare providers with member benefits, eligibility, and appeals . The Customer Service Representatives must be able to work ... more
    Brighton Health Plan Solutions, LLC (03/13/25)
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  • Customer Service Representative

    Brighton Health Plan Solutions, LLC (Melville, NY)
    … needs and concerns; demonstrate empathy and offer solutions . * Confirm customer understanding of the solution and provide additional customer education ... more
    Brighton Health Plan Solutions, LLC (01/03/25)
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  • Sr Appeal and Grievance Coordinator - Prefer…

    CVS Health (Springfield, IL)
    …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 ... more
    CVS Health (03/05/25)
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  • Prior Authorization Specialist

    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 ... more
    US Tech Solutions (02/06/25)
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  • Representative I

    US Tech Solutions (May, OK)
    …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 ... more
    US Tech Solutions (01/17/25)
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  • Patient Account Representative - Panama City…

    Surgery Care Affiliates (Panama City, FL)
    …dynamic group of physician-driven, specialty care businesses that allows us to customize solutions , no matter the need or challenge: + We connect patients to ... more
    Surgery Care Affiliates (02/07/25)
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  • Pharmacy Technician Specialty Call Center

    Cleveland Clinic (Beachwood, OH)
    …thorough benefits investigation and processes any necessary prior authorizations and/or appeals for pharmacy claims. + Explains benefit coverage and financial ... more
    Cleveland Clinic (02/04/25)
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  • Associate Director, Southeast Region - Oncology…

    J&J Family of Companies (Tampa, FL)
    Solutions ** Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for an Associate Director, ... more
    J&J Family of Companies (03/12/25)
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  • Patient Account Representative - Billing & Coding,…

    Surgery Care Affiliates (Boise, ID)
    …dynamic group of physician-driven, specialty care businesses that allows us to customize solutions , no matter the need or challenge: + We connect patients to ... more
    Surgery Care Affiliates (03/05/25)
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  • Prior Auth Pharmacy Tech I

    US Tech Solutions (RI)
    …etc. 5% **Experience:** Preferred 0-3 years work experience required in a customer service position with high volume call center experience; preferably ... more
    US Tech Solutions (02/19/25)
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  • Customer Service Representative

    Robert Half Office Team (Minneapolis, MN)
    …data, including appointments, authorizations, claims, invoices, eligibility benefits, and appeals * Provide exceptional customer service, demonstrating care ... more
    Robert Half Office Team (03/06/25)
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  • Supervisor Revenue Integrity and Optimization…

    Trinity Health (Livonia, MI)
    …cause analysis, denials coordination with the Patient Business Service (PBS) center , including complex case denials, denial prevention, audits, and educating and ... more
    Trinity Health (03/20/25)
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  • Customer Service Representative

    CVS Health (Columbus, OH)
    …are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital ... more
    CVS Health (03/13/25)
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  • CDOC Parole Command Post Dispatcher (Technician…

    State of Colorado (Denver, CO)
    …Our professionals strive to support state government and the citizens of Colorado. Customer service is a key component for every position in state government as ... more
    State of Colorado (03/13/25)
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