activities on appropriate reports; turns all logs and reports in to Claims Customer Service Supervisor. Meets established... screen claims, and participate in provider meetings and projects. To accurately research and process paper and electronic...
as assigned. Performs claims customer service functions as assigned. Assists in training claims staff as needed. Monitors...Overview: To support the Claims Department in maintaining pended claims and claim adjustments within established...
Overview: Train examiner and customer service level I staff on all related claim types for all Partnership lines... of business using AMISYS Advance system and Claims Operating Instruction Memorandums. Responsibilities: Train all levels of staff...
Overview: To supervise the Medi-Cal Claims Specialists and Examiners. Ensures delivery of highest level of customer... service to the community and its medical providers. Responsibilities: Supervises the Medi-Cal claims specialists...
cross-functional meetings to align telecom capabilities with business workflows and customer service goals. * Develops... solutions. Responsibilities: Collaborates with department leaders (Member Services, Health Services, Claims, PR, Admin...
, Claims, Customer Service, UM/CM, Sales, Marketing, Quality, Finance) to ensure readiness and adherence to CMS standards... and customer service skills. Strong networking/relationship building skills, able to positively influence and create buy...