- 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