Job Description: Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: Researching and colla...
and updates for the Quality Management SharePoint site. Coordinate, facilitate and conduct ad hoc medical record requests... communication reviews. Support service portal requests as needed to ensure appropriate access in support of programs...
taking Corporate Operator calls to meet service level expectations. Develop and maintain plan for Corporate Operator trained... with equipment needed to service. Performs all other miscellaneous responsibilities and duties as assigned or directed...
for non-covered or nonparticipating provider services in addition to soliciting claims and other related medical information... to resolve them upon initial inquiry to best service the member as well as minimize the number of cases escalated to senior...
's position and concerns to management and decision makers. Triages cases to resolve them upon initial inquiry to best service...
Job Description: Assessment Provide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs. Communication Communicates with HMSA members, physicians, case...
and promote HMSA's brand message and commitment to service excellence. Build enduring relationships with HMSA's customers/members... service experience for anyone with questions regarding health care, health insurance (benefits, claims, premiums, payments...
Job Description: Design Solutions: Serve as a technical leader on our most demanding, cross-functional projects. Balance technical leadership with strong business judgment to make the right decisions about technology choices. Decom...
Certifications Required - Basic Life Support (BLS) from the American Heart Association Preferred – Medical Assistant... today! This job provides individualized, medical care of assigned patients in person, electronically and via telephone under the supervision...
today! This job provides individualized, medical care of assigned patients in person, electronically and via telephone under the supervision... medical information. To perform this job successfully, an individual must be able to perform each essential duty...