The Executive Resolution Specialist is a key position within our offices. As an Executive Response Specialist, you'll... multiple priorities and investigate claims while also managing the competing priorities of good customer service and research...
, J-1, OPT, or CPT. Position Purpose: The Pharmacy Resolution Specialist receives and responds to calls from members... to provide resolution to claims (i.e.: additional information requests and medication determination updates) Actively...
, or CPT. Position Purpose: The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles... standards Answers and conducts inbound and outbound calls with members and provider offices to provide resolution to claims...
Credit Resolutions Support Specialist Full Time (40 Hours) Monday - Friday (8am - 5pm) & Rotating Saturdays... goals. SUMMARY: The Credit Resolutions Support Specialist supports all functions within the Credit Resolutions...
types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: The Senior Pharmacy Resolution Specialist will act... offices to provide resolution to claims (i.e.: additional information requests and medication determination updates...
types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: The Pharmacy Resolution Specialist receives... with members and provider offices to provide resolution to claims (i.e.: additional information requests and medication...
Specialist reports directly to the CSO Claims Manager and is responsible for upholding the purpose of Regulation E regarding its... calls from Branches and Customer Support to assist in beginning the claims process for EFT Error Resolution. Interviews...
-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: The Pharmacy Resolution Specialist... inbound and outbound calls with members and provider offices to provide resolution to claims (i.e.: additional information...
The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up.... They are responsible of ensuring all claims billed are in compliance with all federal and state requirements and also meeting the...
experience, the Account Resolution Specialist serves as a subject matter expert and liaison. This role is responsible... collection process on behalf of the patient. The specialist evaluates and analyzes data to identify trends and opportunities...
experience to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent... injury, sexual misconduct, environmental claims and/or excess claims that present significant financial exposures...
Resolution Group Claim team as a Technical Specialist handling complex toxic tort, latent injury, sexual misconduct... and/or environmental claims that may present significant financial exposures. With general supervision, you will manage moderate to large...
to join our Strategic Resolution Group Claim team as a Sr. Technical Specialist handling complex toxic tort, latent injury, sexual... misconduct, environmental claims and/or excess claims that present significant financial exposures. With general supervision...
Resolution Specialist, where your critical thinking and problem-solving skills will drive meaningful change for our clients... and members. Why This Role Matters: As an Issue Resolution Specialist, you are the linchpin in ensuring our clients...
Reporting to the Program Manager, Patient Safety & Resolution, the Patient Safety, Risk & Resolution Specialist... within the Office of Integrated Risk Management. The Specialist is responsible for the day-to-day management and administration...
Resolution Specialist, where your critical thinking and problem-solving skills will drive meaningful change for our clients... and members. Why This Role Matters: As an Issue Resolution Specialist, you are the linchpin in ensuring our clients...
Resolution Specialist III will be responsible for highly complex tasks to support Online Banking and Dispute functions... and nCino requests. Processes Reg E and NACHA claims within Quavo. Assists and works with front-line associates to research...
decisions and bring claims to resolution. Work in partnership with our clients to deliver innovative solutions and enhance the... deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving...
cycle of all assigned claims files, from intake to resolution. Determines coverage applicability and defense obligations... to make informed decisions and bring claims to resolution. Work in partnership with our clients to deliver innovative...
and analysis of inpatient medical claims utilizing NYCHSRO/MedReview and payer specific systems, adjudication platforms, policies... institutional claims Proficient knowledge of Medicare and Medicaid billing & payment and coverage guidelines Strong experience...