Customer Service Representative II Adjudication Specialist
6 days ago
The Customer Service Representative II Adjudication ensures compliance with client program specifications and SaviLinx policies and procedures. This position is responsible for accurate review, input, and adjudication of claims.
Key Responsibilities- Supports day-to-day processing of claims for a contract.
- Acknowledges establishment of new claims assigned daily.
- Adjudicates claims within guidelines ensuring benefit eligibility is correctly determined.
- Researches and resolves escalated and complex claim issues in a timely manner.
- Reviews supporting documentation for accuracy.
- Connects with applicants to guide them through the claim process.
- Maintains and follows-up on pending files, as required by guidelines.
- Practices all policies and procedures to PHI and HIPAA.
- Documents all claimant information, communications in CRM system.
- Ensures privacy, confidentiality, and precision with all work.
- Maintains a working knowledge of our clients' requirements.
- Regular and consistent attendance is an essential function of the job.
- 2+ years of contact center experience preferred.
- High school diploma or equivalent required.
- Time management skills and the ability to work independently are essential for this role.
- Must have experience with maneuvering electronic data between various environments.
- Analytical thinking, communication and writing skills, and computer competencies.
- Prior experience with PHI or HIPAA preferred.
- 2+ years of college preferred.
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Lawrence, Massachusetts, United States Clarendon Early Education Services Inc Full timeAbout the RoleClarendon Early Education Services, Inc. is seeking a highly motivated and reliable Home Visiting Support Specialist to join our team.Job SummaryThe ideal candidate will have exceptional people skills, be fluent in Spanish and English, and possess a strong understanding of Family Child Care regulations. As a Home Visiting Support Specialist,...
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Customer Service Ambassador
1 week ago
Lawrence, Massachusetts, United States PrideStaff - South Mercer County Full timeJob OverviewWe are seeking a skilled Customer Service Ambassador to join our team at PrideStaff - South Mercer County. This role is perfect for individuals who excel in customer-facing interactions and are passionate about delivering exceptional service.About the Role:Respond to inbound calls from customers, utilizing active listening skills to understand...
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Product Display Specialist
5 days ago
Lawrence, Massachusetts, United States Frito-Lay North America Full timeAbout the RoleWe are seeking a Product Display Specialist to join our team at Frito-Lay North America. This role is responsible for merchandising our complete line of products in stores including supermarkets and large grocery stores.As a Product Display Specialist, you will drive your personal vehicle (with gas mileage reimbursement) to a variety of store...
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Customer Service Support Professional
1 week ago
Lawrence, Massachusetts, United States beBee Professionals Full time $30,000 - $45,000Job OverviewWe are seeking a dedicated and customer-focused individual to join our team as a Customer Service Support Professional in Lawrence, United States.
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Customer Service Ambassador
6 days ago
Lawrence, Massachusetts, United States KMO Burger, LLC Full timeAbout UsKMO Burger, LLC is a fast-paced and dynamic company that values its employees as the face of the brand. We strive to provide exceptional customer experiences in our restaurants, and we're looking for team members who share this passion.Our commitment to equality and diversity ensures that every employee has equal opportunities to grow and develop...
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Forensic Peer Specialist
1 week ago
Lawrence, Massachusetts, United States Northeast Independent Living Program Inc Full time**Job Title:** Forensic Peer Specialist**Company Overview:** The Northeast Recovery Learning Community (NERLC) is a leading provider of recovery services in the Massachusetts area. Our team is dedicated to supporting individuals with mental health challenges and addiction issues.**Job Summary:** We are seeking a highly motivated and experienced Forensic Peer...
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Mobile Imaging Specialist
4 days ago
Lawrence, Massachusetts, United States Voca Full timeVoca is seeking a highly skilled Mobile Imaging Specialist to fill a travel position in Massachusetts. This exciting opportunity offers the chance to gain new clinical skills, explore different locations, and work with top healthcare professionals.The successful candidate will possess excellent technical skills, a strong focus on patient care, and the...
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Maternity Care Specialist
1 week ago
Lawrence, Massachusetts, United States CareStaff Partners Full timeCareStaff Partners is a renowned healthcare staffing agency dedicated to providing exceptional medical professionals with rewarding contract opportunities.**Job Summary**: We are seeking a skilled Maternity Care Specialist to join our team on a 13-week contract in Lawrence, MA. This role involves working in the Labor & Delivery Room of a local hospital,...
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Nurse Specialist for Telemetry Services
7 days ago
Lawrence, Massachusetts, United States Focus Staff Full timeAbout the RoleWe are seeking a skilled Nurse Specialist for our Telemetry services. This position offers an excellent opportunity to work in a dynamic environment, delivering high-quality patient care.Job OverviewThis contract role is ideal for experienced nurses looking to challenge themselves and grow their career. As a Travel Telemetry Registered Nurse...
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Pest Control Specialist
2 weeks ago
Lawrence, Massachusetts, United States Terminix Full timeJoin Our Team as a Pest Control SpecialistWe are seeking highly skilled and dedicated professionals to join our team as Pest Control Specialists. In this role, you will be responsible for protecting your community from pests, ensuring the well-being of residents, and upholding our company's reputation for excellence.About UsAt Terminix, we have been...
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Sales and Leadership Development Specialist
1 week ago
Lawrence, Massachusetts, United States Rogers Agency Full timeJob SummaryWe are seeking a motivated Sales Representative to join our team at the Rogers Agency. As a Sales Representative, you will be responsible for developing and implementing sales strategies to drive business growth and revenue.About UsThe Rogers Agency is a dynamic organization that values Service, Growth, and Excellence. Our core values guide...
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Medical Labor and Delivery Specialist
1 week ago
Lawrence, Massachusetts, United States CareStaff Partners Full timeAre you a dedicated Registered Nurse seeking a challenging opportunity in Labor & Delivery? CareStaff Partners is proud to offer a 13-week contract position at a prestigious hospital in Lawrence, MA.About the RoleWe are looking for an experienced RN with a strong background in Labor and Delivery and Obstetrics. As a Medical Labor and Delivery Specialist, you...
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Mental Health Community Outreach Specialist
1 week ago
Lawrence, Massachusetts, United States Alliance Lifetime Mental Health Inc Full timeAt Alliance Lifetime Mental Health Inc, we value our team members and strive to promote a positive work-life balance. We understand that exceptional client care begins with our staff.We will take care of you so that you can take care of them. Bilingual applicants are encouraged.Alliance Lifetime Mental Health offers mental health services virtually across...
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Facilities Maintenance Specialist
5 days ago
Lawrence, Massachusetts, United States JeNet Management LLC Full timeJob OverviewWe are seeking a skilled Facilities Maintenance Specialist to join our team at JeNet Management LLC.The ideal candidate will possess excellent customer service skills, a can-do attitude, and the ability to perform multiple tasks in a fast-paced environment.Key ResponsibilitiesComplete routine maintenance duties, including painting, minor repairs,...
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Diagnostic Imaging Specialist
1 week ago
Lawrence, Massachusetts, United States TotalMed Allied Full timeJob Opportunity: Diagnostic Imaging SpecialistTotalMed Allied is seeking a skilled Diagnostic Imaging Specialist for a travel assignment in the United States.About TotalMed AlliedWe are a healthcare staffing agency dedicated to providing top-notch customer care and personalized support to our traveling professionals. Our goal is to facilitate seamless career...
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Diagnostic Imaging Specialist
4 days ago
Lawrence, Massachusetts, United States ADEX Healthcare Staffing LLC Full timeJob OverviewADEX Healthcare Staffing LLC is currently seeking a skilled Diagnostic Imaging Specialist to fill a travel position in Massachusetts.About the PositionThis 13-week opportunity offers a chance to work with a reputable healthcare staffing agency and gain valuable experience in diagnostic imaging.Specialty: Diagnostic Imaging SpecialistDiscipline:...
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Advanced Medical Imaging Specialist
6 days ago
Lawrence, Massachusetts, United States TotalMed Allied Full timeAbout the JobTotalMed Allied is seeking a highly skilled Advanced Medical Imaging Specialist for a travel position in Massachusetts.Job DetailsSpecialty: Interventional Radiology TechnologistDuration: 13 weeksHours per week: 40 hoursShift: 8 hours, daysEstimated Salary:We estimate the salary for this position to be around $90,000-$120,000 based on national...
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Radial Intervention Specialist
1 week ago
Lawrence, Massachusetts, United States Travel Nurse Across America Full timeAbout UsTravel Nurse Across America is a leading healthcare staffing agency that specializes in placing nurses and allied health professionals on travel assignments across the United States.About the JobWe are seeking an experienced Radial Intervention Specialist (RIS) to join our team for a 13-week contract in Lawrence, Massachusetts. As an RIS, you will...
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Automotive Body Repair Specialist
1 week ago
Lawrence, Massachusetts, United States Recruiting Solutions Full time**Job Title:** Automotive Body Repair Specialist**Job Summary:We are seeking an experienced Automotive Body Repair Specialist to join our team at Recruiting Solutions. As a skilled professional in auto body repair and refinishing, you will be responsible for restoring vehicles to their original condition after accidents or wear.**Key...
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Senior Technical Support Specialist
1 week ago
Lawrence, Massachusetts, United States Fresenius Medical Care North America Full timeAbout the JobFresenius Medical Care North America is seeking a Senior Technical Support Specialist to join our team. This role provides high-level technical support on diverse customer telephone inquiries of applicable devices within the assigned function(s). As a subject matter expert, you will effectively communicate complex operational and technical...