- CDPHP (Albany, NY)
- …provider inquiries as defined within Provider Services Procedures. The Provider Service Representative will also respond to inquiries received via ... you to be a part of that experience. The Provider Services Representative shall assume...web inquiries, contract, pricing and fee schedule determinations. The Provider Service Representative will work… more
- Independent Health (Buffalo, NY)
- …The Provider Relations Representative is responsible for assisting our provider constituents and providing exceptional customer service . The Provider ... questions, billing and payment questions, and EOB explanations. The Provider Relations Representative will focus on first...+ Identify potential system configuration or billing issues and provide education to the provider to correct… more
- Molina Healthcare (Jacksonville, FL)
- …plan and in compliance with all relevant federal, state, and local regulations. Dental Provider Services staff are the primary point of contact between Molina ... **KNOWLEDGE/SKILLS/ABILITIES** + Under general supervision, responsible for various dental provider services functions with an emphasis on...setting. **Required Experience** + 3 - 5 years customer service , provider service , or claims… more
- McLaren Health Care (Flint, MI)
- We are looking for a Provider Service Representative to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of ... leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is...linkage to the Medical Management Department for authorization of services . Being an advocate for the Provider ,… more
- Corewell Health (Grand Rapids, MI)
- …1 queues as assigned-including calls pertaining to eligibility, benefits, authorization, claims, pre- service and post service provider appeals, contracting ... proper application of plan member insurance coverage. Essential Functions + Receive, service , and resolve provider inquiries, questions, and complaints within… more
- Humana (Indianapolis, IN)
- …and resolving issues or complaints. The Provider Education & Outreach Representative will specialize in supporting Long-Term Services and Supports (LTSS) and ... Services (HCBS) providers based in Indiana. The LTSS Provider Education & Outreach Representative serves as...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Molina Healthcare (Gulfport, MS)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 3 - 5 years customer service , provider service , or claims experience in a managed care ... services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...* 3+ years experience in managed healthcare administration and/or Provider Services . * Working familiarity with various… more
- Molina Healthcare (Manhattan, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...* 3+ years experience in managed healthcare administration and/or Provider Services . To all current Molina employees:… more
- CDS Life Transitions (Webster, NY)
- Summary The Provider Relations Representative serves as the primary contact between providers and the organization. The position is responsible for servicing ... assigned providers within a defined geographic market or by service type to educate & provide assistance...and enhance the health of members. + Builds physician, provider and facility satisfaction by conducting service … more
- CVS Health (Harrisburg, PA)
- …additional 12 weeks **Permanent Schedule:** M-F 8.10am-4.40pm The role of the Customer Service Representative is to be a customer-focused by putting people first ... sends a personal message that how we deliver our services is just as important as what we deliver....resulting in enhanced customer satisfaction and retention. The Customer Service Representative position is designed to join… more
- Medical Mutual of Ohio (Toledo, OH)
- …of provider escalated or sensitive situations, offers a positive customer service experience, and ensures provider satisfaction. + Provides support to ... internal customers. (Member Services , Utilization/Case Management, Provider Relations, etc.) regarding claim/member billing issues to ensure member/ provider … more
- Humana (Columbus, OH)
- …Excel, PowerPoint + Previous inbound/outbound call center or related customer service experience + Provider installation experience **Additional information** ... Healthcare, we must utilize resources to ensure that our provider directory is accurate. Come be a part of...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Providence (Torrance, CA)
- …inquiries for identification and trending of education opportunities/programs to improve overall provider service and satisfaction. + Responsible for timely and ... office regarding member/ provider issues. + Manages monthly provider visits and calendar of in- services to...and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon… more
- VNS Health (Manhattan, NY)
- … Provider to ensure the flow of information regarding resolution of member service issues. + Coordinates provider site visits, as needed. + Coordinates and ... OverviewManages all aspects of provider relations within a specified geographic region. Regularly...general supervision. Compensation Range:$30.71 - $38.41 Hourly What We Provide + Referral bonus opportunities + Generous paid time… more
- Molina Healthcare (Milwaukee, WI)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... **PREFERRED EXPERIENCE** : * 3+ years experience in managed healthcare administration and/or Provider Services . To all current Molina employees: If you are… more
- Providence (Torrance, CA)
- …for advancement. **Requsition ID:** 337654 **Company:** Providence Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services **Job ... Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 PROVIDER RELATIONS CA HERITAGE SERVICES **Address:** CA Torrance 3460… more
- Conduent (Helena, MT)
- Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating ... Providers in Montana? Conduent has immediate openings for Call Center Customer Service Representatives. This is a great opportunity to learn Medicaid Provider… more
- Northwell Health (Westbury, NY)
- … provider related denials and rejections, and ensures proper payment for services . + Communicates billing provider numbers and effective dates to the ... Number** 147657 Job Description Guides the processing of faculty practice provider enrollment in accordance with operational policies and procedures. Initiates and… more
- Northwell Health (Lake Success, NY)
- … provider related denials and rejections, and ensures proper payment for services . + Communicates billing provider numbers and effective dates to the ... Number** 146923 Job Description Initiates and processes faculty practice provider enrollments/re-enrollments including, but not limited to preparing, sending and… more
- Kelly Services (Louisville, KY)
- …job that works for you. How about this one? We're seeking a Patient Care Representative to work at a premier healthcare provider in Louisville, Kentucky. With ... call center environment + Demonstrate a proven ability to provide consistently high-quality service + Are empathetic...believe that the more inclusive we are, the better services we can provide . Requests for accommodation… more
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