- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative assists local pharmacies with claims adjudication to support ... HC & LTC hospice patients and reconcile historic billing issues. **Location: Remote US** **Shift: Monday-Friday 2 :30pm-11pm EST. Flexibility to work alternating… more
- Concentrix (Raleigh, NC)
- …customer interaction. Other qualifications for our Customer Service Representative - Remote (Seasonal, Healthcare) role include: + 2 + years of call center ... Job Title: Seasonal Customer Service Representative - Remote (Healthcare) Job Description **JOB DESCRIPTION** The Customer Service Representative - Remote … more
- UNC Health Care (Smithfield, NC)
- …position will be onsite. There is not an option to work a hybrid or remote schedule due to this person's job duties. Summary: Responsible for performing a variety of ... and coding guidelines/policies. Facilitate monthly Provider Calls and Managed Care Escalations. 2 . Training & Backup: Supports management in onboarding new hires and… more
- The Cigna Group (Raleigh, NC)
- …have a background in customer service or experience in healthcare, specifically benefits and claims processing, you might be the perfect fit to join our team as a ... Care Navigator Representative . As a Care Navigator, you'll proactively support customers...1) Helping download, register, and log into the app; 2 ) Inform of all app features and highlight navigation… more
- HealthEdge Software Inc (Raleigh, NC)
- …the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting initiatives. The position provides in-depth and comprehensive subject matter ... are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The...+ Mentor and provide oversight for Tier 1 and 2 Service Delivery staff + Take direction from and… more
- HealthEdge Software Inc (Raleigh, NC)
- …Business Continuity Planning (BCP) plans. Supporting compliance efforts such asHiTrustand SOC 2 will also be part of your responsibilities. **The Product:** _With ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- UNC Health Care (Morrisville, NC)
- …senior leaders, staff, and directors on the applicable regulations and its impact. 2 . Collaborates with other staff members, department heads and senior leaders to ... the auditors and negotiates with the auditor, his supervisor as the representative for UNCHCS provider (hospital, skilled nursing facilty, etc.) 3. Coordinates the… more