Performs work that is varied and generally administrative or project-oriented for departmental operations. Independently plans, organizes and completes daily work under limited supervision in a manner supportive of a team environment. Requirements Associate’s degree or equivalent
Customer Service Representative The Customer Service Representative is responsible for answering phone calls in a prompt and courteous manner to achieve contractual obligations. Responsible for answering Members and Providers questions with a quick and accurate response.
Field Office Administrator Sr. At Williams, were powering a cleaner, more connected future, and that starts with you. Here, your work fuels communities, drives innovation, and helps deliver reliable energy the world depends on. Join a
Credentialing Specialist Under the direct supervision of the Manager of Credentialing, responsible for credentialing of providers and associated activities in support of the credentialing process in accordance with established Health Plan credentialing policies following NCQA, Medicare,
Employer Service Representative The Employer Service Representative (ESR) serves within the Customer Service Department handling complex and escalated phone and written inquiries from internal and external customers. The ESR builds and maintains rapport with members, providers,
Store Manager ToysRUs is a beloved brand known all around the worldand we know how to have fun! For over 70 years weve been the toy authority and ambassadors of all things play. Our new vision
Certified Nurse Assistant (CNA) Its fun to work in a company where people truly BELIEVE in what theyre doing! Our intention is to have employees who are passionate about making their personal mission statement come to
Insurance Authorization Specialist This position is responsible for assuring all appointments and procedures are authorized. Insurance carriers are contacted to verify coverage and benefit limitations, tests and procedures are pre-authorized and scheduled, deductibles, co-payments, account balances,
Medicare Enrollment Representative The Medicare Enrollment Representative is responsible for timely processing of enrollment and disenrollment requests using CMS guidelines and policies. They are also responsible for timely completion of all correspondence and reporting functions associated
Claims Reviewer Under the direction of the Manager of Claims, the reviewer performs initial review of claims, including HCFA 1500 and UB 04 claims. Reviewer must meet or exceed production and quality standards and follow documented
Pharmacist Position This is not a remote position - required to work in Wheeling - hybrid. Responsible for comprehensive knowledge of current pharmacotherapeutic principles, disease state and population management to help ensure the delivery of safe,
Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support