Senior Resolution Representative
2 weeks ago
POSITION SUMMARY RESPONSIBILITIES
Responsible for assuring complaints, website inquiries, nurse advice administrative call reports and correspondence are responded to timely. Any databases utilized in this unit should be maintained, updated promptly and precisely as changes occur, to ensure compliance of CFHP policies and procedures. Provides for efficient operation of the member complaint process and the after hours activities process, and serves as the liaison between members and other departments in the health plan, including the Member Services telephone unit, Health Services Management, Network Management and Quality Management. Ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA) related policies in regards to all aspects of operations within Member Services.
EDUCATION/EXPERIENCE
High school diploma or its equivalent is required. College or completion of commercial school courses in business functions is preferred. Must be computer literate, with a minimum of two years experience in Microsoft Word and Microsoft Excel or similar programs. Two years experience in office administration and Microsoft Access is preferred. Bilingual recommended (English/Spanish).
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Senior Resolution Representative
1 week ago
San Antonio, United States University Health System Full timeFull Time 12238 Silicon Drive Clerical Day Shift POSITION SUMMARY RESPONSIBILITIES Responsible for assuring complaints, website inquiries, nurse advice administrative call reports and correspondence are responded to timely. Any databases utilized in this unit should be maintained, updated promptly and precisely as changes occur, to ensure compliance of...
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Senior Resolution Representative
4 weeks ago
San Antonio, United States University Health System- San Antonio Full timePOSITION SUMMARY RESPONSIBILITIES Responsible for assuring complaints, website inquiries, nurse advice administrative call reports and correspondence are responded to timely. Any databases utilized in this unit should be maintained, updated promptly and precisely as changes occur, to ensure compliance of CFHP policies and procedures. Provides for efficient...
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Senior Member Service Representative
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San Antonio, United States Christus Health Full timeJob DescriptionSummary:The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this position is to ensure account resolution and reconciliation of outstanding balances...
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Bilingual Call Center Representative
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Sales Representative
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San Antonio, United States Christus Health Full timeDescriptionSummary:The associate is responsible for the duties and servicesthat are of a support nature to the Revenue Cycle division ofCHRISTUS Health. The associate ensures that all processes areperformed in a timely and efficient manner. The primary purpose ofthis position is to ensure account resolution and reconciliation ofoutstanding balances for...
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Senior Provider Relations Representative
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San Antonio, United States University Health System- San Antonio Full timePOSITION SUMMARY/RESPONSIBILITIESWorking with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary services providers for health plan services. Acts as a liaison to...
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San Antonio, United States CHRISTUS Health Full timeDescriptionSummary: The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this position is to ensure account resolution and reconciliation of outstanding balances...
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Senior Provider Relations Representative
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San Antonio, United States University Health System Full timeFull Time 12238 Silicon Drive Professional Non-Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Working with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary...
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Senior Provider Relations Representative
2 days ago
San Antonio, United States University Health System Full timeFull Time12238 Silicon DriveProfessional Non-NursingDay ShiftPOSITION SUMMARY/RESPONSIBILITIESWorking with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary services...