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Velocity Solutions Franklin, United StatesAt exocad, we develop advanced 3D software for healthcare applications. With our innovative software solutions for CAD/CAM and implant planning, we offer products that improve people's quality of life on a daily basis. We collaborate with leading manufacturers in the dental CAD/C ...
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Client Services Specialist
1 day ago
Colliers Columbus, United StatesCreates 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 ...
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Remote Service Specialist
1 week ago
Ameresco Worthington, United StatesAmeresco, 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 ...
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Specialist - Student Services
5 days ago
Columbus State Community College Columbus, United StatesCompensation 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 ...
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Customer Service Specialist
1 week ago
Pet Palace Resorts Columbus, United StatesFull & 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 ...
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Customer Service Specialist
1 week ago
Rollins Columbus, United States** Customer Service Specialist** · **Job Category****:** Customer Service **Requisition Number****:** ORKIN19357 Showing 1 location **Job Details** · **Description** · **$16.50 PER HOUR** · **At Orkin, our purpose is to help protect the world where we live, work, and play.** ...
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Customer Service Specialist
1 week ago
BlueWater Federal Solutions Columbus, United StatesOverview: · BlueWater Federal is looking for a Customer Service Specialist to support DISA operations in the Columbus, Ohio area. As a Customer Service Specialist, you will be responsible for initial customer interactions and follow through of service orders. · Responsibilities ...
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Customer Service Specialist
1 week 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 ...
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Office Services Specialist
1 day ago
State of Ohio Columbus, United StatesThis 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 ...
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Risk Services Specialist
6 days ago
Central Ohio Transit Authority Columbus, United States$48,375 - $56,327 | Closes 23-May-2024 (EST) | 1600 McKinley Ave, Columbus, OH, United States | Legal Affairs | Full Time · Join the organization that received Outstanding Public Transportation System Achievement Award from the American Public Transit Association in 2018 & 2020 ...
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Customer service specialist
1 week ago
Randstad Columbus, United StatesSeeking professional Customer Service Specialists for a temp-to-perm opportunity with one of Columbus's Top Employers, a leader in the Insurance and Financial Services industry. · Details: Competitive hourly pay rate starting at $19.00 per hour (weekly) · Conveniently located a ...
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Client Service Specialist
1 week ago
Bank OZK Columbus, United StatesClient Service Specialist (Teller) · Job ID: 13943 · Functional Area: Retail/Community Banking · Position Type: Full-Time Regular · Experience Required: 1 - 3 Years · Location: Columbus, GA · Department: Community Banking · Education Required: High School Diploma or Equivalent · ...
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Risk Services Specialist
1 week ago
Central Ohio Transit Authority Columbus, United StatesJoin the organization that received Outstanding Public Transportation System Achievement Award from the American Public Transit Association in 2018 & 2020Central Ohio Transit Authority (COTA) is central Ohio's public transportation provider, providing nearly 19 million passenger ...
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Client Service Specialist
2 days ago
TransPerfect Columbus, United StatesDo you want to work for the global leader in the language services and technology industry? Are you interested in helping international brands/organizations find and implement solutions that allow them to communicate, operate and sell their products and services efficiently and e ...
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customer service specialist
2 weeks ago
Randstad Columbus, United Statescustomer service specialist. · + columbus , ohio · + posted 5 days ago · **job details** · summary · + $ $19 per hour · + temp to perm · + associate degree · + category business and financial operations occupations · + referenceAB_4523924 · job details · Seeking professional Cust ...
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customer service specialist
3 weeks ago
Randstad Columbus, United Statescustomer service specialist. · + columbus , ohio · + posted 3 days ago · **job details** · summary · + $ $19 per hour · + temp to perm · + associate degree · + category business and financial operations occupations · + referenceAB_4523924 · job details · Seeking professional Cust ...
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Provider Service Specialist
6 days ago
Trinity Health Columbus, United StatesEmployment 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 dedic ...
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Shelter Service Specialist
6 days ago
SOUTHEAST HEALTHCARE LLC Columbus, United StatesAbout the Organization · Southeast, Inc. is a comprehensive provider of mental health, chemical dependency, healthcare, and homeless services assisting diverse populations regardless of their economic status. With the belief that all people have the capacity to grow and change, w ...
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customer service specialist
2 weeks ago
Randstad Columbus, United Statescustomer service specialist. · + columbus , ohio · + posted 4 days ago · **job details** · summary · + $ $19 per hour · + temp to perm · + associate degree · + category business and financial operations occupations · + referenceAB_4523924 · job details · Seeking professional Cust ...
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Distribution Services Specialist
2 weeks ago
Ultimus Fund Solutions, LLC Columbus, United StatesSUMMARY · The Distribution Services Specialist will support the functions of the Transfer Agency Department. Additionally, this role will maintain relationships between Ultimus mutual fund clients and the financial intermediaries trading our partner funds. · KEY ACCOUNTABILITIE ...
Provider Service Specialist - Columbus, United States - Trinity Health
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.
ResponsibilitiesReceive, 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 policiesReview, investigate and advise providers regarding claims status and payment determinationsMaintain a comprehensive knowledge of plan benefits, services and stay abreast of changes from year to yearDocument and track actions requested from other departments addressing provider or member inquiries and informal complaints to insure prompt resolutionsInteract 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 operationsResponsible for both incoming and outgoing provider phone initiatives.
All other duties as assigned.RequirementsEducation:
High School diploma or equivalent requiredExperience: 2-3 years of prior customer service experience requiredManaged Care Industry knowledge or experience preferredKnowledge of and/or the ability to do data entry, various claim form formats, medical terminology, CPT and ICD9 codingAbility to function well in high pressure situations with attention to detail and accuracyDiscovering 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 InclusionTrinity 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.
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