- TEKsystems (Minneapolis, MN)
- …company's business, products, members and operations to accurately and effectively fulfill member service requests and inquiries. Ensure adherence to policies ... and procedures and meet service level expectations by following established guidelines and standards. Achieve fluency in at least one core product or service … more
- TEKsystems (Minneapolis, MN)
- …Medicaid, Customer service , Call center, Health care, Data entry, Insurance, Member service , Health plan, medicare Additional Skills & Qualifications: ... resolve and communicate effectively with internal and external customers regarding member /provider concerns or issues. Educate members and external customers on… more
- TEKsystems (Minneapolis, MN)
- …Css, Cms, Customer service , Call center, Health care, Data entry, Insurance, Member service , Health plan, medicare Additional Skills & Qualifications: + ... and regulations. + Utilize appropriate resources to respond to member inquiries. Pay: $23-$24/hr Skills: Customer service ...and Asia. As an industry leader in Full-Stack Technology Services , Talent Services , and real-world application, we… more
- CVS Health (St. Paul, MN)
- …We are currently recruiting top talent for our next class of Bilingual Customer Service Representatives (CSR) in our Medicare Customer Service group. Aetna ... Customer Service delivers innovative, proactive and compassionate service that exceeds our member 's expectations. We...key to our success is our people. * Customer Service Representatives answer inquiries from our Medicare … more
- Conviva (St. Paul, MN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** The Inbound Contacts Representative represents the company by addressing incoming telephone, digital, or written… more
- Highmark Health (St. Paul, MN)
- …Committee (URAC), Pennsylvania Department of Health, Department of Labor, the Center for Medicare and Medicaid Services (CMS) and state specific regulations. * ... for medical management decisions. Cases requiring physician review are provider and member requests, received from Medical Management & Policy (MM&P) and Member… more
- HealthEdge Software Inc (St. Paul, MN)
- **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting ... Source products (from basic to advanced features/functionality), payment methodologies/policies ( Medicare , Medicaid, and commercial), payment integrity, and healthcare plan… more
- HealthEdge Software Inc (St. Paul, MN)
- …govern them: NCQA (National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services ), URAC (Utilization Review Accreditation Commission) ... engineers, and healthcare industry experts ensure our patented technology works in service of the person-to-person connections that make healthcare work best. The… more
- HealthEdge Software Inc (St. Paul, MN)
- …digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your Impact** **: ** + Develop the product roadmap ... activities with key stakeholders including Customers, Account Executives, Sales, Professional Services , Support and Cloud Operations to create and deliver a great… more
- HealthEdge Software Inc (St. Paul, MN)
- …payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration ... digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + **Product Strategy and Vision:** Support… more
- HealthEdge Software Inc (St. Paul, MN)
- …payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration ... digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your** **I** **mpact** **:** + Product Strategy and Vision:… more