- LA Care Health Plan (Los Angeles, CA)
- Lead Customer Solution Center Appeals and Grievances Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances ... to achieve that purpose. Job Summary The Lead of Customer Solution Center Appeals...solutions to handle irate members, and provide optimal customer service for internal and external customers. Must be… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will… more
- LA Care Health Plan (Los Angeles, CA)
- …and to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible ... end on all regulatory functions. Duties Audit readiness: Performs audit procedures for Customer Solution Center departments to ensure readiness; including… more
- Trinity Health (Farmington Hills, MI)
- …Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) center . Serves as part of a team of clinical payment resolution colleagues at ... Responsible for leveraging clinical knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing… more
- CVS Health (Annapolis, MD)
- …care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just ... culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and...review request. The primary role of the Complaint and Appeals Sr. Coordinator is to manage to resolution 3rd… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Required Training Physical Requirements Light Additional Information Department Specifics: Customer Solution Center Appeals and ... matter expertise in functional area to bridge business requirements and IT solutions ; provide technical direction and ensure compliance with best practice … more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Training Specialist II Job Category: Customer Service Department: CSC Training & Performance Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Customer Solution Center Training Specialist...CSC staff on identified areas of improvement, such as Appeals and Grievance processes, Claims, etc. Through various delivery… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Member Navigator II (Location- Metro Los Angeles) Job Category: Customer Service Department: Even MORE Outreach & Service ... net required to achieve that purpose. Job Summary The Customer Solution Center Member Navigator...of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals . The Customer Service Representatives must be able to ... and communicate effectively with teams. + Transfer misdirected requests and offer solutions to non-routine issues. + Contribute to customer satisfaction and… more
- Brighton Health Plan Solutions, LLC (Melville, NY)
- … needs and concerns; demonstrate empathy and offer solutions . * Confirm customer understanding of the solution and provide additional customer education ... with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals . This job description is not designed to cover...on ways to resolve problems to better serve the customer and/or improve productivity. * Offer solutions … more