16 to 30 of 166
Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plan
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Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description Customer Service Advocate II Nicole Thompson 60% Ensures effective customer relations by responding accurately, timely, and courteously to telephone,
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Coordinates the overall proposal management process and provides guidance into the proposal related policies, processes, and procedures. Facilitates all phases of the proposal life cycle to ensure complete, compliant, responsive, and customer centric proposals are delivered on time for various solicitations (RFPs, RFIs, RFQs, task orders, etc.) ranging from minimum size and complexity to very larg
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Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquires may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description 60% Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk in inquiries. Handles si
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Provides prompt, accurate, thorough and courteous responses to all telephone inquiries. Performs research as needed to resolve inquiries. Description 65% Ensures effective customer relations by responding accurately, timely and courteously to telephone inquiries. Accurately documents inquiries. 15% Initiates minor /clerical adjustments based on provider request or processes adjustments or perfor
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Provides prompt, accurate, thorough and courteous responses to all complex inquiries from Medicare Advantage members and providers. Inquiries are typically non routine and require deviation from standard screens, scripts, government websites and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates complex or specialty Medicare claims and/or non medical appeals. Det
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Responsible for responding to customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description We participate in E Verify
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Defines customer needs in technical and business contexts. Ensure the proposed technical and business solutions meet the customer's objectives for the work effort. Provide guidance with planning and prioritization of business support related activities. Description CGS Administrators, LLC (CGS) is part of BCBSSC's Celerian Group of companies and provides a variety of services for Medicare benef
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Under general supervision, performs a variety of routine to complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging items in accordance with standard procedures in one or more of the following areas; general accounting, accounts payable, accounts receivable or re
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BlueCross BlueShield of South Carolina
- Boise, ID / Atlanta, GA / Burlington, VT / 47 more...
Why you might like this position? This role is brand new and is part of our team growing and expanding. If you like to be cutting edge and would enjoy the challenge of starting up an entirely new team, than we would love to consider you for this role. It will take creativity, energy, and a self driven and independently minded team member to be successful in this role. If you have been complimented
Posted Today
Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plan
Posted Today
Responsible for responding to customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description 45% Ensures effective custome
Posted Today
Responsible for responding to customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description 45% Ensures effective custome
Posted Today
Responsible for responding to customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description 45% Ensures effective custome
Posted Today
Provides blended learning solutions and the use of innovative technology and tools to meet business goals. Responsible for training, developing and coaching activities in various areas. This includes the analysis, design, delivery, evaluation and maintenance required to manage the on going execution of training programs and expected outcomes. Description Facilitates varying levels of technical a
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