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... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... 1 - 3 years of customer service experience Must have experience in ... the healthcare industry or..
... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... warranted. Perform advanced administrative and/or..
Description The Contact Center Journey Product Owner enhances the associate experience by architecting experiences and building capabilities that will positively impact our associates. The Contact Center Journey Product Owner works on ..
... Responsibilities Develops and maintains positive customer relations and coordinates with various ... within the company to ensure customer (member or provider) requests and ... Qualifications 1 year of demonstrated..
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 ..
... may leverage voice of the customer, NPSt, root cause, telling the ... Qualifications Minimum 5 years of customer service experience Minimum 2 years of ... or while working in..
Description Responsibilities Role Description Summary The Director of the National Call Center/evendor channel is responsible and accountable for building, leading and having oversight of the go to market business strategy at ..
... Medicaid Members and provide excellent service and support. These roles will ... moderately complex administrative, operational, and customer support assignments; inputting detailed data ... success! Minimum 1 year of..
... Inbound Contacts Representative 1 addresses customer needs, which may include complex ... Responsibilities Escalates unresolved and pending customer grievances. Decisions are limited to ... combined member facing and telephonic..
Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Ridgeland Mississippi Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Representative 2 addresses LI NET customer needs, which may include complex ... action. Escalates unresolved and pending..
Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Tracking volume ..
