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... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... as a member advocate, addressing customer needs, which may include acting ... Work Environment: This is a..
... and Resolution Representative 2 address customer needs which may include complex ... it. Escalates unresolved and pending customer inquiries How we Value You ... Research and Resolution Supervisor, CCM..
... Medicaid Members and provide excellent service and support. These roles will ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending customer grievances. Decisions are typically focused ... Qualifications Minimum 2 years of..
Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..
... Medicaid Members and provide excellent service and support. These roles will ... Qualifications Minimum 2 years of customer service experience Must be available to ... Demonstrated experience with providing..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
... & Appeal Representative 3 Reviewing customer complaints Outreach to providers and ... Outreach to providers and members Customer conflict resolution Conflict prevention Required ... of experience in a telephonic..
... Bilingual / Call Center / Customer Service Rep / Remote / Work ... / Bilingual / Call Center Customer Service Representative who is interested in ... team that focuses..
Description The Consumer Service Operations Representative 3 is responsible ... the daily activities across multiple service functions area, including but not ... the various markets. The Consumer Service Operations Representative..
... on by providing local proactive customer service as it relates to member's ... Medicaid/Medicare experience 2 years of customer service experience, preferably in a role ... in a role..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Qualifications Minimum 2 years of customer service experience Bilingual in English and ... Demonstrated experience with providing..
... Medicare Members and provide excellent service and support. Currently these roles ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Albany New York Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic ..
... Medicaid Members and provide excellent service and support. These roles will ... Information) Minimum 2 years of customer service experience Must be available to ... Demonstrated experience with providing..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Inbound Contacts Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
... our members and provide excellent service and support. These fully Work ... Inbound Contact Representative 2 addresses customer needs that may include complex ... Qualifications 2 years or more..
... Medicaid Members and provide excellent service and support. These roles will ... mindset every day. These simple customer service principles are foundational in everything ... moderately complex administrative, operational,..
... Medicare Members and provide excellent service and support. These roles will ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
