CGS Administrators Jobs in United States

Job Description: · This role involves performing advanced, varied clerical duties according to standard procedures. This includes tasks such as photocopying, compiling records, filing tabulating posting information distributing mail applying knowledge department policies procedur ...

This position offers a hybrid schedule after training is completed and work hours starting between 6:00 AM and 7:30 AM Central Time You will work an 8-hour shift schedule. · ...

+Job summary · We are looking for a Customer Service Advocate to join our team. As a Customer Service Advocate, you will be responsible for providing prompt and accurate responses to customer inquiries. · +Responsibilities:Ensures effective customer relations by responding accura ...

++The Records Clerk I position ensures the accuracy and quality of data entered into an indexing system. · + ...

Medical Review Supervisor · This role will lead a team of medical reviewers and be responsible for supervising and maintaining the daily functions of utilization review, case management, and/or medical review staff. · Manage day-to-day activities for assigned staff · Identify tra ...

We are currently hiring for a Claims Customer Service Advocate II to join CGS/BlueCross BlueShield of South Carolina. · You will be responsible for responding to customer inquiries and performing research as needed to resolve inquiries. · The role is full time (40 hours/week) Mon ...

Job Description · The Medical Review Director directs and oversees operations in the medical review, clinical pricing, and re-determination areas ensuring performance expectations, compliance standards, and budgetary limits are maintained. · Oversees operations of assigned areas. ...

Medical Review Director · A Medical Review Director oversees operations in medical review, clinical pricing, and re-determination areas at CGS Administrators LLC. · The director supervises employees in assigned areas. · They ensure accurate area review decisions by training assoc ...

Summary · Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging items ...

This position is responsible for reviewing provider enrollment applications and ensuring compliance with established standards. · ...

CGS Administrators provides medical services to Medicare beneficiaries in 33 states. · About the role:Perform non-medical reviews and process redetermination letters. · Analyze workload data using software tools. · ...

This role will lead two primary functions: general production support for CGS's proprietary applications and oversight of the Mainframe Development and Production Support team. · Ensuring the health and stability of production systems during standard business hours. · ...

Job Description · The Medical Review Director directs and oversees operations in the medical review, clinical pricing, and re-determination areas ensuring performance expectations, compliance standards, and budgetary limits are maintained. · Oversees operations of assigned areas. ...

Job Description · Carefully evaluate this medical review supervisor role at BlueCross BlueShield of South Carolina's subsidiary CGS Administrators leading a team providing compliant high-quality healthcare services ensuring determinations are in accordance with corporate policies ...

Performs non-medical reviews and processes redetermination letters. · High School Diploma or equivalent · Two years job related field (insurance claims, medical office, or similar). · ...

Job Description: · This Business Systems Analyst will assist the team with developing business project system requirements create documentation including process flows test plans test matrices test reporting etc. · The Key Responsibilities of This Position Include: · Elicit and d ...

Provides prompt, accurate, thorough and courteous responses to all customer inquiries. · We are looking for a Customer Service Advocate I who will ensure effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk-in inquiries ...

This position acts as Team Lead helping to ensure appropriate levels of healthcare services are provided. The Senior Medical Reviewer is responsible for conducting second-level medical reviews of appeals and preparing comprehensive ALJ (Administrative Law Judge) position papers f ...

Summary · We have an opening for the position of Senior Corporate Communications Writer at CGS Administrators, LLC, a subsidiary of BlueCross BlueShield of South Carolina. In this role, you will be responsible for developing a variety of internal and external communications mater ...

Summary · Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. ...