- Chestnut Health Systems (Carlock, IL)
- …you work for a mission-driven organization. This full-time Revenue Cycle Representative (Billing) position is based in Normal, IL. Responsibilities Support agency ... management in billing and collections of accounts receivable. Review...report; follow up on unpaid claim balances. Communicate with Utilization Review Coordinator regarding authorizations and appeals, documenting all… more
- Banner Health (AZ)
- …you're looking to leverage your abilities - you belong at Banner Health. The utilization Management Representative will process clinicals to send to payers ... care. POSITION SUMMARY This position assists in the administration of Utilization Management functions to include organization of workflow, communications… more
- Robert Half Office Team (Pearland, TX)
- Description We are offering a contract employment opportunity for a Utilization Management Representative in Pearland, Texas. The Utilization ... role is primarily focused on providing office support within the Utilization Management and Population Health Department, with a strong emphasis… more
- Elevance Health (Tampa, FL)
- ** Utilization Management Representative II** **Location:** Must live within 50 miles of a Florida PulsePoint. The ** Utilization Management ... benefits and/or eligibility information. + May act as liaison between Medical Management and internal departments. Responds to telephone and written inquiries from… more
- Elevance Health (Wallingford, CT)
- ** Utilization Management Representative I** **Location** : Candidates must reside in the state of **Connecticut** to be considered. The ** Utilization ... Management Representative I** is responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact :** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit… more
- TEKsystems (Baltimore, MD)
- Description: PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to ... pre-service utilization review care coordination and quality of care. ESSENTIAL...support which may include benefit verification authorization creation and management claims inquiries and case documentation. 35 Reviews authorization… more
- UNC Health Care (Hendersonville, NC)
- …management referrals. Initiates appropriate social work referrals. * Performs utilization management assessments and interventions, using collaboration with ... health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case ... management and social work department to facilitate efficient utilization of resources and discharge planning including referrals management , communication… more
- R1 RCM (Birmingham, AL)
- …and explain coverage details to case managers and will work closely with utilization management and insurance companies. Success in this role is measured ... team-oriented, and comfortable making outbound calls to insurance carriers. The representative will need outstanding time management skills and the… more
- Ryder System (Joplin, MO)
- …**$18.00-$20.00 per hour depending on experience.** **Summary** The Senior Rental Sales Representative is responsible for acting as the front line sales agent for ... commercial rental customers and consumer household needs. The Sr. Rental Sales Representative will be assist large rental volume locations. This requires the Rental… more
- Ryder System (Swedesboro, NJ)
- …advantage is our people. _CULTURE- INTEGRITY- FAMILY_ . As a Rental Sales Representative , you'll be part of a dynamic team, equipped to succeed and empowered ... Friday 1st Shift!** **Hourly Pay - Paid Weekly!** **Summary** The Rental Sales Representative is responsible for acting as the front-line sales agent for the rental… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …is a mandatory COVID-19 and flu vaccine organization Customer Service Representative - Posting #26890 Position Summary: Full-Time Customer Service Representative ... for our Managed Care Department in Tacoma, WA. The Customer Service Representative is responsible for screening all non-insured patients and ensuring that customers… more
- Ryder System (Tukwila, WA)
- …Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)_ **Summary** The Rental Sales Representative is responsible for acting as the front line ... rental customers and consumer household needs. This requires the Rental Representative to work cross functionally across Sales, Marketing, Operations and Asset… more
- Arrow Electronics (Centennial, CO)
- **Position:** Channel Development Representative - IBM Software **Job Description:** Operating as part of our Sales team, our **Channel Development Representative ... technology, and information affecting their territory. The Channel Development Representative will negotiate skillfully in challenging situations with internal and… more
- Leidos (Reston, VA)
- …The National Security Sector has an opening for a Deployable TARP Representative for Edinburgh, Australia. The Deployable TARP Representative will support ... the areas of PHS&T techniques, resource support, facilities layout, and utilization , packaging materials and equipment, handling including container utilization ,… more
- MSC Industrial Supply Co. (Fernley, NV)
- …conversion, upselling & productivity measurements. * Conducts extensive follow-up through the utilization of a ticket management system to ensure accuracy and ... United States : Illinois : Hanover Park BRIEF POSITION SUMMARY: The Representative , Customer Care - Regional Omnichannel is responsible for handling customer voice… more
- CDS Life Transitions (Webster, NY)
- …welcome calls to new members and document the contacts + Assist the Utilization Management Team by placing outbound calls for Service Approval notification ... benefits, please apply to find out more! Summary: A Member Services Representative is responsible for providing iCircle members with exceptional customer service. A… more
- Veterans Benefits Administration (Philadelphia, PA)
- …by VA and other agencies. Responsibilities The Supervisory Veterans Service Representative (Assistant Pension Management Center Manager) shares in the ... Summary The Supervisory Veterans Service Representative (AVSCM) position is located in the VBA...VBA Philadelphia Regional Office, Philadelphia, PA. The Assistant Pension Management Center Manager is responsible for the administration and… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Member Service, Provider Service, Benefits Administration, Network Administration, Utilization Review Nursing Staff, Medical Directors, Medical Necessity Appeals, ... targets for staff and unit performance as required by company and management standards to ensure achievement of departmental productivity goals + Receives member… more
- Casella Waste Systems Inc. (Peabody, MA)
- ## Position Summary The Commercial Service Representative provides one\-stop service and solutions to new and existing customers by determining service requests, ... Creates and maintains customer and sales information in CRM and Case Management systems to troubleshoot customer issues, gather customer information, track sales… more
