Member Appeals Specialist
Geisinger Health System
Geisinger in Pennsylvania is hiring for a position focused on supporting the Appeals and Grievance process. The role involves acting as a liaison between members and the plan, ensuring compliance with regulations regarding denied claims and quality of care. The ideal candidate will have a high school diploma or equivalent and at least 5 years of relevant experience. Strong communication skills and the ability to multitask are essential for successfully navigating the responsibilities inherent to this position. #J-18808-Ljbffr
- ...Geisinger is seeking a dedicated professional to support the administration of the Appeals and Grievance process. The role involves acting as a liaison between members and the Plan regarding denied claims, services, and other concerns. Responsibilities include managing...SuggestedRemote work
- Geisinger is looking for a professional to provide support in the administration of the Appeals and Grievance process. This role involves liaising between members and the plan to address denied claims and benefit issues. Applicants should have a minimum of 5 years of relevant...SuggestedRemote job
$50k - $55k
...Appeals Coordinator Level II At MedReview, our mission is to bring accuracy, accountability... ..., the Appeals Coordinator level II team member will assist Appeals leadership with... ...work within the department. The Appeals Specialist level II performs research,...SuggestedRemote work- ...TeamHEALTH is looking for a Denials and Appeals Representative to handle denials and appeals for patient accounts in a cooperative team environment. The ideal candidate has at least two years of experience with insurance denial processes. Responsibilities include processing...SuggestedRemote work
$60k - $75k
A financial services company seeks a Financial Operations Specialist to provide exceptional support for investment transfers and resolve member inquiries. This role requires 2-3 years in financial services with a strong focus on customer experience. Responsibilities include...SuggestedRemote jobFlexible hours- AbsoluteCARE Medical Center & Pharmacy is looking for a Member Access Coordinator to facilitate communication with members and ensure high-quality customer service. The ideal candidate should possess a passion for healthcare, strong listening skills, and experience in...Remote job
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote job
$17 per hour
...Complimentary Crunch gym membership Discounts on services, products, and much more Front Desk Representative Responsibilities Greet all members & guests with a smile and wish them well as they exit the club Check in all members and guests in accordance with company...Hourly payFull timeLocal area$21 - $25 per hour
First Entertainment Credit Union is seeking a Member Experience Representative to deliver exceptional member service through various communication channels. This remote temporary position requires candidates to reside in Arizona, Georgia, or Texas. The role focuses on...Remote jobHourly payTemporary work$58.9k - $80.07k
...Healthfirst is seeking a MarketPlace Facilitated Enroller in New York City to help identify and educate potential members about healthcare plans. This role involves conducting enrollment activities both remotely and in-person, and ensuring members recertify their healthcare...Work at officeRemote work$14 per hour
...stocking supplies, and ensuring cleanliness. Strong customer service skills are essential, along with handling inventory and assisting members. Compensation is set at $14.00 per hour with comprehensive benefits and opportunities for discounts and training. Join our...Hourly pay$64.53k - $105k
Mount Sinai Medical Center in New York is seeking a dedicated professional to manage relationships with member organizations and ensure their efficient engagement with CAPC resources. The role requires a blend of strong communication skills, knowledge of healthcare, and...$17 per hour
Crunch Fitness in New York, NY, is seeking a Front Desk Representative to greet members and guests, check in clients, and facilitate member requests. The ideal candidate should be fluent in English, possess strong customer service skills, and have experience in a fast-paced...Hourly pay- ...FEDERAL CREDIT UNION seeks a full-time position at the North Belair Road Branch in Evans, GA. The role involves providing excellent member service, supporting a team, and ensuring compliance with Credit Union policies. Ideal candidates will have a degree or relevant...Full time
- A community-focused organization in New York seeks a Member Experience Representative to enhance member satisfaction and engagement. The role involves greeting members, providing tours, and efficiently processing transactions. Ideal candidates will have customer service...
$48k - $50k
The NYC Bar Association is seeking a Customer Relations Representative to enhance member engagement and ensure optimal service delivery. The role involves handling member and customer inquiries, managing event registrations, and supporting administrative functions, while...- ...site is also home to key marketing programs including NYC Restaurant Week, NYC Broadway Week, and more. POSITION SUMMARY The Specialist, Member Programs & Services, supports member engagement, retention, and program participation by serving as a day‑to‑day resource for...Work at officeRemote workWork visaFlexible hours
$66.3k - $75.33k
Municipal Credit Union is looking for a dedicated support representative in New York, NY, to assist members through outbound calls aimed at retaining accounts and enhancing overall member experience. The role requires a minimum of 3 years’ experience in a call center environment...Work at office- Member Specialist Well Known AAA Brand Products and Service Excellent Earning Potential Paid Training If you are a career‑minded, service‑driven professional looking to join a fast‑paced organization then you have come to the right place. This is an exciting entry level...Work at officeMonday to FridayWeekend work
- ...services provider in New York is seeking a Customer Success Representative for a 3-month contract. This role is pivotal in supporting members throughout their healthcare journey, particularly in member retention and enrollment. Ideal candidates should possess a High School...Contract work
- Position Summary Creates a memorable Member experience by cultivating, maintaining, and enhancing relationships with a book of business... .... Implements corrections if assigned. Supports Senior Member Specialist with loan fulfillment. Achieves personal sales goals by cross‑...Local area
- ...meaningful work that will impact tons of people through the family-building process. What we're looking for We are hiring a Member Outreach Specialist to support our Clinical Operations and Matchmaking teams in guiding members through their egg donation journeys. This is...Local areaRemote workWeekend workWeekday work
- A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage appeals and complaints. The ideal candidate will have 3+ years of healthcare experience, a strong background in claims processing, and...Remote job
- American Logistics, LLC is seeking a part-time Member Experience Representative to work remotely during overnight shifts. In this role, you will arrange non-emergency medical transportation by handling both inbound and outbound calls, ensuring a positive customer experience...Remote jobPart timeNight shift
$25.25 per hour
A premium workplace provider in New York City seeks a Member Experience Associate to enhance the member experience by preparing the office, managing supplies, and creating a welcoming atmosphere. This in-person role demands excellent customer service skills and the ability...Hourly payWork at office$18 - $25 per hour
A leading retail membership club is looking for team members to manage produce quality and enhance customer experience in Secaucus, New Jersey. Ideal candidates will demonstrate a passion for fresh food, possess excellent communication skills, and maintain high standards...Hourly pay- ...Representative to deliver exceptional personal lines service remotely. This role requires strong judgment and reliability, handling complex member servicing needs effectively. You will assist members in various capacities, including billing, coverage, and claims guidance,...Remote job
$48k - $55k
The Role: The Member and Provider Experience Specialist serves as the first point of contact for members and healthcare providers, delivering high-quality, compassionate, and solution-oriented support over the phone. This role is responsible for resolving benefit, eligibility...Remote workMonday to Friday- ...Customer Service Associate (CSA) in Forest Hills, North Carolina. As a CSA, you will deliver exceptional customer service, assist with member sign-ups, and provide coverage in our Kid's Center. This role requires strong communication skills, a positive attitude, and the...Flexible hours
$22 - $24 per hour
...community. We strive to build brighter financial futures with our members and look for solutions for all their financial needs through... ...management approval. Responsibilities As a Member Solution Specialist, you'll be responsible for providing service to members by relaying...Local areaWork from home
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