Account Representative, Medicare - Arizona

We are looking for a Manager to oversee end-to-end claims services for provider segments. · Streamline shared processing to reduce management by exception · Set operational processes to align with market trends and customer demand · Manage accounting and financial reporting funct ...

++Provides support for claims activities including reviewing and resolving member and provider complaints. · Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members--> · Researches claims appeals and grievances usi ...

JOB DESCRIPTION Job Summary · Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established b ...

We are currently looking for a Manager to oversee end-to-end claims services for provider segments in the Medicare environment. · Streamline shared processing to reduce management by exception. · Set operational processes to align with market trends and customer demand. · ...

Provides lead level support for claims activities including reviewing and resolving member and provider complaints, · and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare an ...

We are seeking a motivated and experienced leader to drive sales performance and growth in Medicare Supplement, Dental, Life, and Specified Disease products. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

Overview: · Resolv Healthcare is seeking a Patient Account Representative to join our dynamic team. As a Patient Account Representative, you will monitor assigned patient accounts for accurate and timely payment of claims by managing work queue, aging lists, and claims correspond ...

Overview: · Resolv Healthcare is seeking a Patient Account Representative to join our dynamic team. As a Patient Account Representative, you will monitor assigned patient accounts for accurate and timely payment of claims by managing work queue, aging lists, and claims correspond ...

JOB DESCRIPTION Job Summary · Leads and supervises team of pharmacy call center and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related healt ...

This position performs the department's credentialing work as outlined in the policies and procedures. Obtains all primary source information necessary for all organizational facilities and entities. · The incumbent maintains records and the integrity of highly confidential infor ...

You could be the one who changes everything for our 28 million members. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

Leads and supervises team responsible for enterprise network management and operations activities including network development, network adequacy, and provider training and education. Serves as primary point of contact between the business and contracted providers within the Moli ...

Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection projects ...

We are seeking a personable and relationship-focused Community and Member Outreach Assistant to join our forward-thinking team. · In this role, you will be the face of BPN for our Medicaid members, · helping them navigate the complexities of applications and eligibility. · Member ...

This Medical Billing Representative will provide revenue cycle process including charge capture, claim submission, payment posting, claim follow up and appeals to ensure efficient timely and accurate payment of accounts for Physical Therapy Practices. · ...

The Consumer Engagement Representative oversees the enrollment, education, engagement and activation duties for client groups regardless of segment. · Perform basic administrative/clerical/operational/customer support/computational tasks. · ...

The Care Transformation Program Manager will support network performance by organizing structuring and analyzing performance data to identify operational opportunities trending data and developing reports that will be used in a variety of meetings. · Must possess a strong knowled ...

>Become a part of our caring community and help us put health first · The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performan ...