Responsible for the accurate and timely processing of claims. Description Logistics PGBA one of BlueCross BlueShield's South Carolina subsidiary companies Location This position is full time (40 hours/week) Monday Friday from 8am 5pm in a typical office environment. This role is located on site at 17 Technology Cir., Columbia, SC, 29203. Government Clearance This position

Responsible for the accurate and timely processing of claims. Description Location This position is full time (40 hours/week) Monday Friday from 8am 5pm in a typical office environment. This role is located on site at 17 Technology Cir., Columbia, SC, 29203. Government Clearance This position requires the ability to obtain a security clearance, which requires applicants t

Provides direction and guidance to customer service, claims processing, and/or appeals staff for multiple operational areas. Acts as a claims and customer service Subject Matter Expert when interfacing with external customers to provide responses to requests for information. Strongly preferred, 2 years claims or customer service experience. Description Location This posit

Supervise all claim activity on designated accounts to ensure quality, timeliness, and compliance. Directly handle complex and litigated claims as needed. Review, assign, and mentor claims staff while providing ongoing technical support and development. Monitor and authorize claim payments and reserve accuracy within designated authority levels. Collaborate with vendors i

Description A person in this role is going to be taking calls and outreach from health care professionals at doctor's offices or hospitals, as well as communicating directly with health insurance plans regarding benefits coverage. There may be cases where specific pieces of information may be missing, and a person in this role will need to call the facility where the proc

Mechanical Claims Specialist Location Remote (Initial training required on site) Employment Type Full Time | Intermediate Level Shift Gears in Your Career From the Shop Floor to a Professional Office Setting Are you an experienced automotive technician ready to transition from the physical demands of the shop to a more stable, office based role? We're seeking a Mechanical

Description The Insurance Sales Representative will be responsible for, but not limited to Maintaining sales goals and industry leading service standards Timely outreach to all inbound leads to include website applications and answering inbound calls Availability and dependability to multitask Highly focused on a total team environment Skills Call center, Customer support

Job Title Denials Specialist Job Type Open Ended Contract Location 100% Remote (Excluding AK, AR, DE, HI, ME, MS, NM, OK, PR, SD, VT, WI) About the Role We're seeking a Denials Specialist to join a fast growing, mission driven healthcare company focused on reversing type 2 diabetes through innovative telehealth solutions. This is not your typical denials role you'll need

Location Remote (must be located in WI) Description As a Claims Processor, you will be tasked with the following Examine and process paper claims and/or electronic claims. The person in this role determines whether to return, pend, deny or pay claims within established policies and procedures. Determines steps necessary for adjudication. Follows established departmental p

Description Are you a skilled mechanic looking to shift gears in your career? Our client is seeking a Mechanical Claims Specialist to join our expanding customer contact team. In this role, you'll transition from the physical demands of the shop floor to a comfortable office environment where you will leverage your automotive expertise and in depth knowledge of vehicle me

Description A person in this role is going to be taking calls and outreach from health care professionals at doctor's offices or hospitals, as well as communicating directly with health insurance plans regarding benefits coverage. There may be cases where specific pieces of information may be missing, and a person in this role will need to call the facility where the proc

Description A person in this role is going to be taking calls and outreach from health care professionals at doctors' offices or hospitals, as well as communicating directly with health insurance plans regarding benefits coverage. There may be cases where specific pieces of information may be missing, and a person in this role will need to call the facility where the proc

Benefit Verification Specialist Provider experience needed! Copay, deductible and prior auth exp A MUST. Remote $23hrly Description A person in this role is going to be taking calls and outreach from health care professionals at doctor's offices or hospitals, as well as communicating directly with health insurance plans regarding benefits coverage. There may be cases where

Description A person in this role is going to be taking calls and outreach from health care professionals at doctor's offices or hospitals, as well as communicating directly with health insurance plans regarding benefits coverage. There may be cases where specific pieces of information may be missing, and a person in this role will need to call the facility where the proc

Licensed Client Services Representative Service Role (No Sales) Location San Antonio, TX Job Type Full Time About Us Our client, a prominent player in the insurance industry, is seeking a customer focused and detail oriented Client Services Representative to join their remote team in the USA. This role offers an exciting opportunity to contribute to the efficient operatio