BILINGUAL Claims Research
2 weeks ago
Employer Industry: Healthcare Insurance Services Why consider this job opportunity: Salary up to $52,300 per year Opportunity for career advancement and growth within the organization Work remotely with flexible scheduling options Comprehensive benefits package including medical, dental, vision, and 401(k) retirement plan Supportive and engaging work environment focused on associate well-being Extensive training and professional development opportunities available What to Expect (Job Responsibilities): Manage inbound calls to address customer inquiries and resolve claims-related issues Document interactions and take appropriate actions based on customer needs Escalate unresolved inquiries to the appropriate department for further assistance Interpret and apply departmental policies to guide decision-making Work independently with minimal supervision while prioritizing tasks effectively What is Required (Qualifications): Bilingual (Spanish/English) At least 1 year of call center or telephonic customer service experience within the past 5 years Previous healthcare-related experience or education Basic proficiency in Microsoft Office (Word, Excel, Outlook, and Teams) Strong technical skills to navigate multiple software systems How to Stand Out (Preferred Qualifications): Bachelor's Degree Prior claims processing experience Experience with financial recovery and overpayments Familiarity with Mentor software and CRM systems Knowledge of PrePay or Post Pay processes #J-18808-Ljbffr
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Remote Claims Research
2 weeks ago
Myrtle Point, United States Humana Full timeA leading healthcare company in Myrtle Point is seeking a Customer Service Representative to manage customer inquiries and resolve claims-related issues. The role offers remote work with flexible scheduling options, along with a comprehensive benefits package. Candidates should be bilingual (Spanish/English) and have at least 1 year of relevant experience....
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Myrtle Point, United States Rightway Inc Full timeOverview Were looking for a Bilingual Pharmacy Customer Service Representative English/Spanish who is motivated by our mission to unlock transformational healthcare outcomes. To simplify the healthcare experience for employers and members, we have created a single digital platform across medical, pharmacy benefits & virtual care. Our pharmacy benefit...
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Myrtle Point, United States Rightway Inc Full timeOverview Were looking for a Bilingual Pharmacy Customer Service Representative English/Spanish who is motivated by our mission to unlock transformational healthcare outcomes. To simplify the healthcare experience for employers and members, we have created a single digital platform across medical, pharmacy benefits & virtual care. Our pharmacy benefit...
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Processor, Claims I
2 weeks ago
Myrtle Beach, United States Staffing Full timeClaims Processing SpecialistDuties: Responsible for the accurate and timely processing of claims. 75% researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. 20% resolves system edits, audits and claims errors through research and use of approved...
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Myrtle Point, United States BerryDunn Full timeOverview BerryDunn’s Medicaid Practice Group, with headquarters in Portland, Maine, focuses nationally on serving the organizational, program, information technology, and management needs of State Medicaid agencies. We have worked with hundreds of government agencies throughout the United States. BerryDunn is seeking an individual with subject matter...
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Claims Processor I
1 week ago
Myrtle Beach, United States US Tech Solutions Full timeDuration: + Months Possible Contract (Possible Conversion) Job Description: Responsible for the accurate and timely processing of claims. Research and processes claims according to business regulation, internal standards and processing guidelines. Responsibilities: Verifies the coding of procedure and diagnosis codes. Resolves system edits, audits and...
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Medical Claims Processor I
2 weeks ago
Myrtle Beach, United States Professional Management Enterprises Full timeHealthcare Claims Processor Ito be responsible for the accurate and timely processing of claims. Support the overall quality effectiveness to ensure that all claims are processed accurately and complete to ensure appropriate adjustment code usage, and payment rate. Schedule: Monday-Friday, 8:00 AM-5:00 PM during Training Location:8733 Highway 17...
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Medical Claims Processor I
2 weeks ago
Myrtle Beach, United States Professional Management Enterprises Full timeHealthcare Claims Processor Ito be responsible for the accurate and timely processing of claims. Support the overall quality effectiveness to ensure that all claims are processed accurately and complete to ensure appropriate adjustment code usage, and payment rate. Schedule: Monday-Friday, 8:00 AM-5:00 PM during Training Location:8733 Highway 17...
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Medical Claims Processor I
1 week ago
Myrtle Beach, SC, United States Professional Management Enterprises Full timeHealthcare Claims Processor Ito be responsible for the accurate and timely processing of claims. Support the overall quality effectiveness to ensure that all claims are processed accurately and complete to ensure appropriate adjustment code usage, and payment rate. Schedule: Monday-Friday, 8:00 AM-5:00 PM during Training Location:8733 Highway 17...
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Medical Claims Processor I
1 week ago
Myrtle Beach, SC, United States Professional Management Enterprises Full timeHealthcare Claims Processor Ito be responsible for the accurate and timely processing of claims. Support the overall quality effectiveness to ensure that all claims are processed accurately and complete to ensure appropriate adjustment code usage, and payment rate. Schedule: Monday-Friday, 8:00 AM-5:00 PM during Training Location:8733 Highway 17...
