Building new referrals from network providers Reviewing to ensure all necessary documents and information has been provided Sending back documents for additional information Canceling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable Accepting referrals and determining if me

EXCELLENT LOCAL OPPORTUNITY!

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Specialist, you will provide expertise in insur

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage None Job Shift Daytime Job Category Professional / Experienced Description On site Smithfield, RI The Claims Research Specialist is responsible for the day to day handling of claim issues. This role acts as the single point of contact for claim relat

The Contract Implementation Specialist supports Sales, Legal, Finance, Customer Support, and other internal stakeholders and external stakeholders. The position is responsible for timely and accurate creation of customer, contract, and pricing data spanning multiple ERP systems. This position is part of the Agiliti team responsible for the collection and management of cus

This position is considered entry level. The goal of a Benefits Navigator I, under guidance of experienced Benefits Navigators, is to assist disabled adults and children in applying for and obtaining Supplemental Security Income (SSI) and/or Social Security Disability Insurance (SSDI) utilizing the SOAR (SSI/SSDI Outreach Access and Recovery) model. Applying all SOAR meth

1. Respond to fraud related inquiries and referrals to SIU from Claim Specialists and Examiners and from automated initial screening system; search restricted, subscription based and public databases, making maximum use of web based resources; identify circumstances potentially requiring retention of investigators and/or referral to regulatory or law enforcement authoriti

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.AZ Blue offersa variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. This

OPENTEXT OpenText is a global leader in information management, where innovation, creativity, and collaboration are the key components of our corporate culture. As a member of our team, you will have the opportunity to partner with the most highly regarded companies in the world, tackle complex issues, and contribute to projects that shape the future of digital transforma

Old Republic Surety Company (ORSC) is currently seeking a Customer Service Representative Agency Support to join its Agency Services Team in Brookfield, WI . ORSC ranks among the nation's top underwriters of contractors' performance and payment bonds, miscellaneous surety, and commercial fidelity, offering thousands of types of bonds. We are growing across the cou

The Enrollment Navigator is responsible for the education, support and enrollment of potential members into partnered clubhouse programs. They are available to provide information and support to applicants and referral sources inquiring about what clubhouses have to offer as well as to navigate the process and paperwork needed for enrollment. The role includes developing

Genesis10 is seeking an Insurance Specialist for a 7 month contract position with a leading client in Cleveland, OH. This role pays $ 20 /hour W2 based on experience. This position will work 100% remotely. Job Duties Under the direction of the department manager, the person in this position is responsible for acting in the most timely, efficient and responsible manner to

This position is NOT considered entry level. The goal of a Housing Navigator II is to act as a single point of contact for clients enrolled in transitional housing programs to ensure continuity of care and consistency. Housing Navigator II will perform intakes and enrollment into HMIS, completing a VI SPDAT, working with One Home, assisting with housing search, applicatio

1. Respond to fraud related inquiries and referrals to SIU from Claim Specialists and Examiners and from automated initial screening system; search restricted, subscription based and public databases, making maximum use of web based resources; identify circumstances potentially requiring retention of investigators and/or referral to regulatory or law enforcement authoriti

At STERIS SPM, Client Services Account Managers serve as the primary partner with our Customers to ensure our software is meeting their needs and enhancing the operation of their sterile processing departments. As part of that partnership, our goal each year is for every Customer to receive an upgrade and use the latest features in a successful manner. Client Services Acc