Provider Claims Service RepresentativeProvider Claims Service Representative is responsible for promptly, professionally, and courteously responding to providers/customers' calls regarding claims and other inquiries. Reviews and adjudicates claims based on provider and health plan contractual agreements and Medicaid claims processing guidelines. Reconciles audit discrepancies correctly in the system and makes appropriate changes to avoid recurrence.Maintains thorough knowledge of claims process systems, databases, and subsystems. Submit information about policy changes, updates, and revisions.Working on Callback Projects and researching claims issues, and re-evaluating claims

Provider Claims Service RepresentativeProvider Claims Service Representative is responsible for responding to providers/customer's calls regarding claims and other inquiries promptly, professionally, and courteously. Reviews and adjudicates claims based on provider and health plan contractual agreements and Medicaid claims processing guidelines. Reconciles audit discrepancies correctly in the system and makes appropriate changes to avoid recurrence. Maintains thorough knowledge of claims process systems, databases, and subsystems.

Lead Associate Operations supports the Branch Banking team to ensure customer financial transactions are completed accurately and efficiently, while complying with all policies, procedures, and regulatory banking requirements. Support the Branch Manager with all aspects of branch operations, including loss control, compliance, and audit standards.Assist with scheduling as necessary for employees.In the absence of the Branch Manager or designated banker, the responsibility is to communicate branch priorities throughout the day.

Assist the Lifestyle 360 Director in the delivery of recreational events and planning. Evidence-based programming to meet the needs of the residents in the community.Coordinate with the Lifestyles 360 Director to provide programs for residents.Provide activities for residents, exercise, games, and arts and crafts.Manage and distribute information to residents and within the office departments. Manage incoming and outgoing mail. Answering incoming calls and filling in at the receptionist desk when needed.Working knowledge and ability to apply professional standards of practice in job situations.Excellent organization, communication, and interpersonal skills.

Support a sizeable national background investigations program that provides services to the federal government. Conduct interviews and schedule appointments to meet with clients. Self-audit records, taking notes in all interview meetings, transcribing in a timely manner. Handle sensitive and confidential information appropriately. Maintain files for organization electronically secure files sent to OPM. Handle all administrative work and manage supplies, credit card invoices, and payments.Scheduling appointments for clearances with government agencies, employers, and employees.

Health Insurance high volume call center

Provide service to pensioners