Jobs
>
Columbus

    Provider Service Specialist - Columbus, United States - Trinity Health

    Trinity Health
    Trinity Health Columbus, United States

    3 weeks ago

    Trinity Health background
    Description
    Employment Type:
    Full timeShift:

    Description:
    At Mount Carmel, we work to continuously inspire one another. Here, all are welcome. It is this culture of humility and compassion that sets Mount Carmel apart. We see the big picture and do the right thing. That means a dedication to the well-being our both our colleagues and the patients they serve.

    MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries in Ohio. We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.
    The Provider Service Specialist responds in a timely and accurate manner to provider inquiries made by phone, in person and in writing regarding Plan benefits, services and payment determinations.

    Responsibilities
    • Receive, interpret and accurately respond to provider inquiries, both verbally and in writing in accordance with department standards, policies and procedures.
    • Consistently document and accurately code all inquiries within designated software applications, within required Plan timeframes and according to Plan documentation policies
    • Review, investigate and advise providers regarding claims status and payment determinations
    • Maintain a comprehensive knowledge of plan benefits, services and stay abreast of changes from year to year
    • Document and track actions requested from other departments addressing provider or member inquiries and informal complaints to insure prompt resolutions
    • Interact professionally, efficiently and effectively with providers, management and other departments in a caring and honoring manner.
    • Assist other internal departments as needed and assigned in support of Plan operations
    • Responsible for both incoming and outgoing provider phone initiatives.
    • All other duties as assigned.
    Requirements
    • Education: High School diploma or equivalent required
    • Experience: 2-3 years of prior customer service experience required
    • Managed Care Industry knowledge or experience preferred
    • Knowledge of and/or the ability to do data entry, various claim form formats, medical terminology, CPT and ICD9 coding
    • Ability to function well in high pressure situations with attention to detail and accuracy
    Discovering opportunities, support and excellence - all while making a real difference in patients' lives - begins at Mount Carmel. Find a new beginning and advance your career with us.

    Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, sexual orientation or physical ability.

    Our Commitment to Diversity and Inclusion

    Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
  • PSSI

    Pest Services Service Specialist

    1 week ago

    PSSI Ohio, United States Full time

    WHO YOU ARE: · Are you looking for a satisfying career with tremendous growth opportunity? Do you enjoy working in a customer service role where you're servicing routine customers and building strong · relationships? We are looking for a Pest Service Specialist to join our team ...

  • O'Reilly Auto Parts

    Installer Service Specialist

    2 weeks ago

    O'Reilly Auto Parts Columbus, United States Full time

    The Installer Service Specialist is an experienced and technical parts specialist who services the needs of professional customers through the store's installer counter. This position will oversee and direct the daily activity of the delivery specialist to ensure customers receiv ...

  • Ohio Department of Developmental Disabilities

    Office Services Specialist

    3 weeks ago

    Ohio Department of Developmental Disabilities Columbus, United States

    Primary Location · :United States of America-OHIO-Franklin County-Columbus Organization · :Attorney GeneralClassified Indicator:ClassifiedBargaining Unit / Exempt:Bargaining Unit Schedule · :Full-timeWork Hours:Mon-Fri; 8:00am-5:00pmCompensation:$21.66 per hour - $25.66 pe ...

  • Ohio Department of Developmental Disabilities

    Social Services Licensing Specialist

    2 days ago

    Ohio Department of Developmental Disabilities Columbus, United States

    Primary Location · :United States of America-OHIO-Franklin County-Columbus Work Locations · :Health Department Building246 North High Street1st FloorColumbus43215 Organization · :HealthClassified Indicator:ClassifiedBargaining Unit / Exempt:Bargaining Unit Schedule · :F ...

  • Pet Palace Resorts

    Customer Service Specialist

    3 weeks ago

    Pet Palace Resorts Columbus, United States

    Full & Part Time Positions Available · Job Summary · The Customer Care Specialist is responsible for creating a successful customer experience for clients and their loved ones. Customer Care Specialists are responsible for answering all customer questions and/or concerns regardin ...

  • Columbus Region

    Customer Service Specialist

    12 hours ago

    Columbus Region Columbus, United States

    ** Customer Service Specialist** · Answer incoming customer service calls · Generated from inbound customer service calls · Resolving customer complaints regarding product sales to customer service problems · Assisting customers with customer service related issues · Provide ...

  • Ameresco

    Remote Service Specialist

    4 weeks ago

    Ameresco Worthington, United States

    Ameresco, Inc. (NYSE:AMRC) is a leading cleantech integrator and renewable energy asset developer, owner and operator. Our comprehensive portfolio includes energy efficiency, infrastructure upgrades, asset sustainability and renewable energy solutions delivered to clients through ...

  • Columbus State Community College

    Specialist - Student Services

    3 weeks ago

    Columbus State Community College Columbus, United States

    Compensation Type: Hourly · Compensation: $18.50 · Job Summary · The Student Services Specialist in New Student Assessment serves as a primary facilitator of placement assessment administration. This role is a member of Admissions, Welcome, and Entry and will collaborate close ...

  • Colliers

    Client Services Specialist

    2 weeks ago

    Colliers Columbus, United States

    Creates professional-looking, template marketing flyers, email announcements, and other marketing items. Create and ensure routines/systems that are followed by the team to drive internal functionality and profitability. Drive change to continuously Client Service, Specialist, Mi ...

  • Mr. Rooter Plumbing of Columbus, Cleveland and Toledo

    Customer Service Specialist

    2 weeks ago

    Mr. Rooter Plumbing of Columbus, Cleveland and Toledo Columbus, United States

    Job Description · Job DescriptionThis position can pay anywhere from $16.00 to $20.00 per hour depending on scheduling availability on applicants part, and experience in call center environments. · Benefits provided: · 401 K · Paid vacation time · Weekly pay with weekly bonus · A ...

  • Valnet Freelance

    Customer Service Specialist

    2 weeks ago

    Valnet Freelance Columbus, United States

    Job Description · Job DescriptionWe are seeking a highly motivated and customer-oriented individual to join our team as a Customer Service Specialist. As a Customer Service Specialist, you will be responsible for providing exceptional service to our customers and assisting them w ...

  • Mifflin Township

    Service Specialist II

    2 weeks ago

    Mifflin Township Columbus, United States

    Job Description · Job DescriptionMifflin Township has an opportunity for a Service Specialist II position. · Location: 155 Olde Ridenour Road · Job Type: Full-time Non-Exempt · Pay Range: $24.47/per hour - $28.36/per hour · Essential Functions include but not limited to: · Perfo ...

  • TEKsystems

    Credit Service Specialist

    3 days ago

    TEKsystems Columbus, United States

    TEKsystems is looking to hire a Collections Specialist to work with one of the largest, rapidly growing banks in the Midwest. If you have 2-3 years of Collections experience and are looking to continue your career at an excellent company - apply today Pay: $18.00-$20.00/hour Shif ...

  • State of Ohio

    Office Services Specialist

    2 weeks ago

    State of Ohio Columbus, United States

    This position is a repost. Individuals who applied to the original posting, 240003BQ/ , do not need to reapply in order to be considered. · About Us: · The Ohio Attorney General's Office has played a vital role in shaping Ohio's past and present and the work it does today helps c ...

  • Transplace

    Customer Service Specialist

    12 hours ago

    Transplace Columbus, United States

    ** Customer Service Specialist** · **Job Category****:** Customer Support & Service **Requisition Number****:** CUSTO005697 Showing 1 location **Job Details** · **Description** · **PRIMARY JOB ACCOUNTABILITIES** · Freight Covered Every Day (Exceed customer on-time pick-up and ...

  • Apex Systems Inc Defunct

    Consumer Loan Servicing Specialist

    2 weeks ago

    Apex Systems Inc Defunct Columbus, United States

    Job: Consumer Loan Servicing SpecialistLocation: Columbus, OHContract Length: 6 MonthsPay: /hrUnder the supervision and guidance of the Mortgage Investor Reporting Manager, the Accountant I will be responsible for reporting and remitting principal and interest collections to inve ...

  • Vanderbilt University Medical Center

    Associate Patient Service Specialist

    2 weeks ago

    Vanderbilt University Medical Center Franklin, United States Full time

    Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a p ...

  • Columbus Metropolitan Library

    Youth Services Specialist

    1 day ago

    Columbus Metropolitan Library Columbus, United States

    SCHEDULE · Afternoons Monday-Friday. Sundays 1-5p (as assigned). · PURPOSE OF JOB · This position serves youth within the location, ensuring a positive customer experience by engaging in conversation and reading with youth, connecting them with books and promoting programs and ...

  • Colliers

    Client Services Specialist

    5 days ago

    Colliers Columbus, United States

    Job Type Full-timeDescription Creates professional-looking, template marketing flyers, email announcements, and other marketing items. Create and ensure routines/systems that are followed by the team to drive internal functionality and profitability.Drive change to continuously i ...

  • Emerson

    Field Service Specialist

    2 weeks ago

    Emerson Columbus, United States

    You will be responsible for the installation and support of FLEXIM Flow and Analytical products with an assigned territory of California and the Mountain region, working out of our · San Ramon, CA · office. You will provide training and application support to end users and tech ...