Complaint Resolution Specialist

Job DescriptionBoost Healthcare is seeking a skilled Claims Resolution Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for following up on claim status, denials, and initiating appropriate action to resolve insurance balances. This role requires strong communication and problem-solving skills, as well as the...

About the RoleThe Ombudsman Support Specialist will work in Alameda County, addressing issues negatively impacting the lives of long-term care residents through facility coverage and complaint investigation. This role is critical in resolving issues that negatively impact the quality of life and quality of care of older and dependent...

Job SummaryWe are seeking a highly skilled Claims Follow-up Specialist to join our team at Boost Healthcare. As a Claims Follow-up Specialist, you will be responsible for following up on claim status, denials, and initiating appropriate action for outstanding claims aged 45 days or greater to resolve insurance balances.Key Responsibilities:Completes...

Job Summary: We are seeking a highly skilled Regulatory Affairs Policy Specialist to join our team at Exelixis. The successful candidate will be responsible for gathering and interpreting global regulatory intelligence to inform Exelixis policy and practices. Key Responsibilities: Monitor the external regulatory environment to identify emerging intelligence...

About Alveo TechnologiesAt Alveo Technologies, we are revolutionizing molecular detection and diagnostics to make them universally accessible. Our innovative platform employs IntelliSense, a patented method of direct electrical sensing of nucleic acid amplification, to provide affordable, rapid, and accurate results.By enabling early pathogen detection, we...

The Opportunity The Complaint Handling Specialist II will be responsible for the following: Accurately evaluate, review, assess, and process complaints in a uniform and timely manner.  Evaluate complaint documentation and investigation information to determine what level of further investigation, if any, is required to determine a possible failure...

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.Working at...

Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Thank you for your interested in this position. Below we have included a comprehensive overview of the role, responsibilities, requirements, and more. We look forward to reviewing your application! OMBUDSMAN SUPPORT SPECIALIST Organizational Overview Empowered Aging is a...

Thank you for your interested in this position. Below we have included a comprehensive overview of the role, responsibilities, requirements, and more. We look forward to reviewing your application! OMBUDSMAN SUPPORT SPECIALISTOrganizational Overview  Empowered Aging is a regional nonprofit organization serving seniors and families in Alameda, Contra Costa,...

PRINCIPLE RESPONSIBILITIES:The Member Liaison Specialist (Behavioral Health), MLS, is responsible for the intake and triage services for telephonic (call center) or online (member portal), chat, behavioral health (BH), and autism spectrum disorder (ABA) related referrals and inquiries to all care coordination programs within AAH and external provider...

As a Coffee Quality Specialist, you will play a crucial role in ensuring the sensory excellence of our coffee products across the global supply chain. Your expertise will support our laboratories and factories in adhering to company-approved sensory methods and standards. You will collaborate closely with various stakeholders, including Quality Assurance,...

We are looking for a Healthcare Business Consultant/Senior Business Specialist with expertise in healthcare. While the role is based in Alameda, California, the client is offering a remote work option. Mandatory Skills: Business Analyst (healthcare payer) - remote role - Healthcare Insurance is required - (claims, billing, and enrollment) Job...

PRINCIPAL RESPONSIBILITIES: Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a...

PRINCIPAL RESPONSIBILITIES: Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a...

PRINCIPAL RESPONSIBILITIES: Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a...

PRINCIPAL RESPONSIBILITIES: Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a...

PRINCIPAL RESPONSIBILITIES:Member Services Representatives (MSR) are the first point of contact for our members‘ primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a...

PRINCIPAL RESPONSIBILITIES: Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a...

PRINCIPAL RESPONSIBILITIES:Member Services Representatives (MSR) are the first point of contact for our members‘ primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a...

Job DescriptionJob DescriptionESSENTIAL JOB FUNCTIONS Management reserves the rights to add, modify, change, or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job.Performs complex varied program work and participates in the full range of duties...