Remote Executive Escalation & Resolution Specialist II
Centene Corporation
Centene Corporation is seeking a Customer Escalation Specialist in Florida to respond to complaints and escalations from members and providers. You will coordinate with multiple departments to resolve issues, perform root cause analysis, and maintain accurate records of all inquiries.
The role requires strong communication skills, familiarity with Medicare/Medicaid processes, and the ability to work across teams to implement enterprise-wide solutions.
#J-18808-Ljbffr- ...REVCO SOLUTIONS INC. is seeking an experienced MVA/TPL Resolution Specialist II to independently investigate, negotiate, and resolve complex hospital accounts involving Motor Vehicle Accident and Third-Party Liability claims. You will work with insurers, attorneys, patients...Remote work
- ...regulations the Enrollment Specialist performs... ...back to the team. Execution of quality service... .... Level II - in addition to Level... ...recommend and execute resolution through completion... ...resolve complex & escalated issues. Lead... ...be opportunity for remote work within all...Remote workWork experience placementWork at officeWork from homeHome office
- ...motivated and member-focused professional to join our Resolutions team as a Resolutions Specialist II. In this role, you will work directly with members to... ..., and relationship-building skills. Ability to de-escalate challenging situations while maintaining...SuggestedFull timeWork at office
- ...The Field Distribution Specialist II performs detailed field assessments... ..., and successful project execution. Monitors project progress by... ...fostering teamwork and effective resolution of technical challenges.... ...minor questions, and escalating complex issues to senior team...Remote workWork at officeLocal area
$26.81 - $32.82 per hour
...become available. Patient Access Specialist II - GASTROENTEROLOGY #Full Time #Remote The 61st Street Service... ...patient scheduling needs. Work on escalated cases with higher complexity as... ...to lead/supervisor/manager for resolution. Performs other related...Remote workHourly payFull timeWork at officeLocal area$45.76k - $56.16k
...LOCATION: REMOTE HOURS: M-F, 8-5 ROLE OVERVIEW The RCM Specialist II is an individual contributor role on the RCM team... ...cycle, helping ensure timely resolution of outstanding balances, clean... ...payment delays, and denials, and escalate issues for resolution. Always...Remote workFull time- The Verification Specialist II, Criminal Operations supports the day-to... ...team as needed. Issue Escalation: Report any inconsistencies,... ...or supervisor for review and resolution. Cross-Functional Support: Provide... ...in a fast-paced, remote work environment Collaborate...Remote workTemporary workWork at office
$111.35 - $126.14 per hour
...CRONA Benefits Eligible: No Remote Eligible: No Department: Patient... ...job. The Patient Placement Specialist II performs selected services... ...facilitating follow-up for resolution ESSENTIAL FUNCTIONS The essential... ...from housekeeping staff. Escalates any bed cleaning delay to...Remote workHourly payPart timeImmediate startShift workRotating shift$18.17 - $27.31 per hour
...Operations Job Profile Title Specialist II Management Level... ...Work Option No remote option; must work at... ...follow-up, and issue resolution. The Title Clerk II works... ...requirements. Properly execute title assignments,... ...title-related concerns, escalating issues when...Remote workHourly payWork at officeVisa sponsorshipFlexible hoursShift work$20 - $30 per hour
...Group Vehicle Operations Job Profile Title Specialist II Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox... ...clients on title questions and issues to resolution, escalating if necessary. Troubleshoot and resolve title...Remote workHourly payWork at officeVisa sponsorshipFlexible hoursShift work$22 - $27.14 per hour
Patient Experience Specialist (PES) II-Behavioral Health - Full TimeOur service... ...in our service area* Remote work is not available at this... ...the public.Apply conflict resolution skills and apply solution focused... ...processes including timely escalation of issues and concerns to...Remote workHourly payFull timeContract workSummer workImmediate start$80k - $105k
...hands-on, versatile Technology Specialist — a true "jack of all trades"... ...Help Desk SupportServe as an escalation point and hands-on contributor... ...ticket queue, ensuring timely resolution and clear communication.Provide in-person and remote support across Windows, macOS,...Remote workWork at office- ...To improve customer service, the full-time remote Escalation Response Specialist will respond to complex complaints and escalations from members or... .... Key responsibilities Provide timely and appropriate resolutions to escalated issues from various communication channels...Remote workFull timeWork experience placementVisa sponsorshipWork visa
- ...Kuresmart is seeking a Procedure Scheduling Representative II to coordinate complex procedures and high-end ASC cases. You will... ...across scheduling, eligibility, providers, and operations, handling escalations and ensuring accurate benefits validation. You will...Remote work
- ...Nash is seeking a Technical Support Specialist to join its global, 24/7 support team. You will own investigation, resolution, and escalation of complex platform issues for enterprise... ...communication and thorough documentation. Remote in Eastern US; US Eastern hours; 4...Remote work
$76.8k - $186.2k
...this role, you're the senior escalation point when porting... ...communicate clearly, and drive resolution. Strong knowledge of local number... ..., you'll mentor the Porting Specialists around you and help build the... ...centered around our offices and remote work environments. The work...Remote workWork at officeLocal areaImmediate startFlexible hours- ...Sharecare is seeking a Customer Service - Escalations specialist to handle escalated member concerns and support the Help Desk remotely. You will research inquiries, provide timely resolutions, and collaborate with CSR teams to improve first contact resolution. The...Remote workFlexible hours
$75.8k - $144.2k
...defense.As a Platform Patch Integration Specialist II, you will play a key role in managing... ...deploymentUtilize ServiceNow workflows for incident resolution, asset tracking, and lifecycle... ...is designated as on-site, hybrid or remote.The salary range for this role is 75,80...Remote workTemporary workWork experience placementRelocationFlexible hours$76.1k - $136.9k
...solutions. We also oversee FlexBase, temporary remote work, and digital nomad visa programs... ...guidance. As a Global Mobility Specialist II, you will be responsible for:... ...dates, and data reconciliation as well as escalating risks affecting employment continuity or...Remote workPermanent employmentTemporary workWork experience placementH1bVisa sponsorshipWork visaFlexible hours- ...n \n Debit Card Dispute Resolution Specialist \n $25-$27/HR W2 \n Duration... ...in Pensacola, FL / 2 Days Remote \n \n "Work sponsorship... .../Mastercard. Respond to escalated member inquiries from... ...and/or Navy Federal \n • Execute general ledger entries for...Remote workContract workLocal area3 days per week
- ...Supply Co Inc is seeking a Service Coordinator-Resolution Specialist to support patients and internal teams, handling escalated issues with speed and accuracy while... ...escalated members. This full-time role offers remote work within the specified states, with an in-...Remote workFull timeWork at office
- ...Responds to complaints and escalations from members or providers. Handles... ...-1, OPT, or CPT. This is a remote position and the hours are... .... This position supports executive level member escalations. Strong... ...timely and appropriate resolutions to escalated issues received...Remote workFull timePart timeWork experience placementH1bWork at officeMonday to FridayFlexible hours
- ...Medical Supply Co Inc is seeking a Service Coordinator-Resolution Specialist to support escalated patient issues and drive timely resolutions. The role centers... ...inquiries, and suggesting process improvements. Remote work is available for specified states; local in-office...Remote workWork at officeLocal area
- ...day interactions with our patients and teammates. Job Summary The AR Specialist II independently manages insurance and patient follow-up for physician billing, including denial resolution, payment reconciliation, and financial documentation. This role requires prior...Remote work
$24.72 - $33.98 per hour
...meet or exceed SLAs and deliver first-contact resolutions Experience collaborating across teams to resolve complex or escalated issues Clear, concise, and client-focused... ...and clear pathways Flexible hybrid or fully remote options depending on location with Hawaii Standard...Remote workFull timeLocal areaFlexible hours- ...Medical Supply Co Inc is seeking a Service Coordinator-Resolution Specialist to support escalated patient care issues and coordinate the order lifecycle... ...occasional after-hours coverage depending on workload. A remote role is available for candidates in eligible states,...Remote workFull time
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- ...Description HIRING REMOTE IN THE FOLLOWING STATES ONLY: AL, FL... ...Medical Supplies to join our Resolution Team. If you are located within... ...Coordinator-Resolution Specialist is responsible for providing... ...B teams and Leadership with escalated issues. The role will focus...Remote workFull timeCasual workWork at officeMonday to FridayAfternoon shift
- ...Knowtion Health is Hiring! A Specialist II, Revenue Recovery... ...patients. This position is remote . Who We Are? Knowtion Health... ...underlying reasons for denial, and execute all necessary follow-up actions... ...encompassing appeals, follow-ups, and resolutions in Artiva and client systems...Remote workTemporary work
- ...Inc is seeking a Service Coordinator-Resolution Specialist to support our Patient Care/Health Insurance... ...on delivering rapid resolutions for escalated member issues and ensuring high-... ...lifecycle. This full-time position is remote, covering the states listed for remote...Remote workFull time
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