CGS Administrators Jobs in United States

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 in ...

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 ...

· 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 managemen ...

This is an onsite full-time position located at Nashville TN. Join a mission-driven organization making a national impact in healthcare. · ...

Part A/HHH Appeals Specialist · We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider this opportunity. · About CGS Administrators · CGS Administrators provides a variety of services, under contracts with the Centers for Medicare a ...

Summary Ensures the accuracy and quality of data that had been systematically or manually entered into an indexing system.Description Logistics: CGS ) - one of BlueCross BlueShield's South Carolina subsidiary companies. · Location: This position is full-time (40-hours/week) Monda ...

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

Summary · Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical c ...

Records Clerk I · Summary Ensures the accuracy and quality of data that had been systematically or manually entered into an indexing system. · DescriptionLogistics:CGS(cgsadmin.com) - one of BlueCross BlueShield's South Carolina subsidiary companies. · Location:This position is f ...

+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 ...

· 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 ma ...

Job Title: Provider Enrollment Analyst- CGS · The provider enrollment analyst will be responsible for reviewing, researching, analyzing and processing provider enrollment applications. This role ensures that providers are in compliance with established standards and guidelines. · ...

Accounting Technician II Role · This is a full-time position requiring a variety of routine to moderately complex clerical/accounting functions. · Key Responsibilities: · <ul style= ...

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical cla ...

Medical Reviewer II · Job Description · We are seeking a Medical Reviewer II to join our team at CGS, one of BlueCross BlueShield of South Carolina's subsidiary companies. · This role involves performing medical claim reviews for various services, including claims for medically c ...

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 ...

Records Clerk I Job Description · Ensures the accuracy and quality of data entered into an indexing system. · The role is located on-site in a typical office environment, Monday through Friday from 8am to 5pm. · Verify the accuracy and quality of the data. Make necessary correcti ...

body{font-family:Arial}Job Title: IT Process Assurance Auditor · We are seeking a passionate, collaborative, and experienced IT Process Assurance Auditor to join our Enterprise Project Management Office team. · About Our Culture · CGS culture is steeped in how we impact lives wit ...