admin The Insurance Verification Specialist, under the direction of the PAU Manager or Supervisor, verifies benefit coverage, medical necessity, authorization, and referral requirements. This position supports our Shared Services Center and client hospitals around the country for a wide variety of payors and patient types by providing top-notch support to the entire revenue cycle. Essential Duties … Read more
About the position The Eligibility Specialist at the Pennsylvania Health Insurance Exchange Authority (PHIEA) plays a crucial role in managing the day-to-day operations related to program eligibility. This position involves evaluating eligibility, conducting quality assurance checks, and addressing customer escalations and appeals. The specialist will work to resolve complex issues affecting health insurance access for … Read more
Description: Cover Genius is a Series E insurtech that protects the global customers of the worlds largest digital companies including Booking Holdings, Intuit, Uber, and more. As a Logistics Claims Adjuster on our Customer Team, you will own the assessment and settlement of claims within your own settlement authority. Regular collaboration with … Read more
Job Responsibilities Interact with customers by answering phone calls promptly, responding to emails within a timely manner Log detailed notes into company software as they are completed Make daily inbound and outbound calls Provide customers with updates when needed Update and maintain electronic customer records including contact details, issues, and … Read more
Established primary care practice seeking a part-time or full-time Medical Biller & Coder for an immediate start. This position is virtual! ++ Experience in Primary Care a must ++ Experience using eClinical Works is highly recommended but not required ++ In order to be considered for this position, you must have completed Medical Billing and … Read more
About the position The Proposal Development Director at Elevance Health is a key management role responsible for overseeing the negotiation process for proposals. This position involves ensuring compliance with departmental policies, monitoring proposal performance, and coordinating data collection efforts to enhance proposal effectiveness. The role is hybrid, requiring in-office work 1-2 days per week, and … Read more
Develop, apply, maintain, and improve quality methods, procedures, and standards for company products. As a member of the technical/process QA division, analyze user requirements and develop and execute software test plans. Analyze and write test standards and procedures. Analyze test results, interpret trends, and recommend corrective actions. Maintain documentation of test results. Design systems for … Read more
About the position TEKsystems is seeking Fraud Member Service Representatives to join a Fortune 100 Financial Institution. This remote position requires one week of onsite training and involves responding to member inquiries in a high-volume contact center environment. The role focuses on providing exceptional customer service, performing transactions, and advising members on products and services. … Read more
About the position The FHA Repairs Coordinator is responsible for managing property preservation and repair services for FHA properties. This role involves handling pre and post-sale services, ensuring compliance with HUD standards, and maintaining communication with vendors and clients. The position requires flexibility to assist with various duties across departments as needed. Responsibilities Handle … Read more
State Farm is the #1 auto and home insurer, and our platform includes but is not limited to, life, commercial insurance, health, disability, bank, mortgage and financial services. We are seeking professionals interested in becoming a State Farm agent. With diverse backgrounds and experiences, State Farm agents serve customers across the United States. From intangible … Read more