: 1-year of experience including 1-year claims/appeals processing, customer service, or other related support area... Strong Customer Service Skills Good Spelling, Punctuation and Grammar Skills. Basic Business Math Proficiency. Ability to Manage...
or equivalent Required Work Experience: 1 year of experience in a claims/appeals processing, customer service, or other related... verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic...
criteria to service requests or provides health management program interventions. Utilizes clinical proficiency, claims... knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information...
sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated... clinical expertise, administrative policies, and established clinical criteria to service requests or provides health...
, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational... management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services...
of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers... effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation...
of all service providers and apply appropriately. Assist with claims information, discussion, and/or resolution and refer..., and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills...