Top 807 Appeals representative associate Jobs

Remote Healthcare Customer Service Representative
Conduent Commercial Solutions, LLC —Remote
- $16 an hour
- Email
- Remote
- Background check
- Microsoft Outlook
- Computer literacy
- Paid training
- Paid holidays
Appeals Professional III (Weekend Work) (Part C)
TMF Health Quality Institute —Remote
- Weekends as needed
- Remote
- Writing skills
- Research
- Mid-level
- 401(k)
- Tuition reimbursement
Administrative Assistant - Social Security Disability Claims
Duncan Disability Law, SC —Nekoosa, WI
- From $16 an hour
- Full-time
- Office
- Administrative experience
- Data entry
- Dental insurance
- Paid time off
Quick Apply
Senior Trial Associate- US Virgin Islands
Fischer Redavid PLLC —Remote
- $95,000 - $120,000 a year
- Full-time
- Hybrid work
- Travel
- Senior level
- Under 1 year
Quick Apply
Assistant Property Manager
Impact Management Group —Saukville, WI
- $25 - $28 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Quick Apply
7d
Senior Litigation Associate Attorney, (Employment Law) (Hybrid)
Abramson Labor Group —Burbank, CA
- $180,000 - $250,000 a year
- Full-time
- Hybrid work
- Writing skills
- Business development experience
- Mentoring
- Health insurance
- Paid time off
Quick Apply
Workers Compensation Applicant Associate Attorney
Genuine Search Group —Westlake Village, CA
- $120,000 - $140,000 a year
- Full-time
- Doctoral degree
- Mid-level
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
7d
Technical Specialist III (Odyssey)-815
Hillsborough County Clerk of Court & Comptroller —Tampa, FL
- $90,000 a year
- Azure
- Office
- Windows
DRG Clinical Validation Lead
Elevance Health —Indianapolis, IN
- $89,520 - $161,136 a year
- Full-time
- Nursing
- 7 years
- RN License
- Employee stock purchase plan
- Paid holidays
9d
Sales Manager - Conventional Housing
Coastal Ridge Real Estate —Columbus, OH
- $70,000 - $80,000 a year
- Office
- High school diploma or GED
- Bachelor's degree
Quick Apply
Legal Assistant - Immigration Law (Spanish Speaking)
The Legal Clinic (Immigration Law and Justice Network - Hawaii) —Honolulu, HI
- $45,000 - $52,000 a year
- Email
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Wellness program
- Commuter assistance
Quick Apply
Certified Claims Processor I
AllCare Health —Grants Pass, OR
- $20 - $24 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Health insurance
- 401(k)
Quick Apply
Property Manager
UMOS —Jefferson, WI
- $53,051 - $66,313 a year
- Weekends as needed
- Carpentry
- Spanish
- Microsoft Excel
- Health savings account
- AD&D insurance
Claim Examiner I
Doral Office Services —Doral, FL
- $19 - $23 an hour
- Weekends as needed
- Background check
- Spanish
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Quick Apply
2d
Medical Office Receptionist
LifeStance Health —Portland, ME
- From $21 an hour
- Full-time
- HIPAA
- High school diploma or GED
- In-person
- Paid parental leave
- AD&D insurance
Quick Apply
1d
CP - Regional Sales Director (RSD)
Century Park Associates —Seattle, WA
- $105,000 - $120,000 a year
- Full-time
- English
- Mid-level
- 3 years
Quick Apply
Maintenance Manager - Palladia
Holland Partner Group —Hillsboro, OR
- Overtime
- Basic math
- English
- Residential
- Health savings account
- Paid holidays
10d
Insurance Follow-Up Specialist
Bayhealth —Dover, DE
- $19.18 - $28.77 an hour
- Day shift
- Hospital
- Research
- Mid-level
- 403(b) matching
- Paid holidays
Senior Attorney
Everforth —Irvine, CA
- $180,000 - $280,000 a year
- Overtime
- 5 years
- Writing skills
- Supervising experience
- AD&D insurance
- Paid holidays
Quick Apply
Dispute Resolution Reviewer I
TMF Health Quality Institute —Remote
- Full-time
- Remote
- Research
- Mid-level
- Associate's degree
- AD&D insurance
- Disability insurance

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Remote Healthcare Customer Service Representative

Conduent Commercial Solutions, LLC -
Remote

Apply Now

Job Details

Full-time
$16 an hour

Benefits

Paid training
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
Retirement plan

Qualifications

Computer operation
Microsoft Outlook
Phone communication
Computer literacy
Writing skills
Word embeddings
Typing
Client interaction via phone calls

Full Job Description

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Remote Call Center Representative

Would you enjoy being part of a team that makes a difference in people’s lives? Do you love helping people solve complex problems and deliver solutions? We are looking for people with a passion for helping others, naturally empathy, and are determined to deliver a comprehensive solution to healthcare-related calls. To be successful customer service experience is a plus, but not a requirement.

Conduent has plenty of growth opportunities within the healthcare team.

The pay rate is $16 per hour, which may be below your state’s minimum wage. Please take this into consideration when applying.

Training is 5 weeks classroom and 2 weeks nesting.

Successfully complete a mandatory paid training program with 100% attendance.

Hours of operation: Monday – Sunday 7:30am – 11:00pm EST

Medical, dental and vision benefits are available on the 1st day of employment.

Paid time off is accrued after 180 days (about 6 months) of employment.

Successfully navigate 6 systems and average 32 calls per day.

Responsibilities for Remote Call Center Representative:

Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for both Commercial and Medicare plans.

Provide uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups.

Actively attempt to resolve member or provider concerns by investigating issues, contacting appropriate parties, and documenting all interactions accurately within the billing system.

Investigate verbal complaints regarding billing, claims, or services rendered; escalate service failures to appropriate internal departments for follow-up and resolution.

Retrieve and send written correspondence, including plan brochures, provider directories, and other printed materials as needed.

Meet or exceed established ACD (Automated Call Distribution) system call volume and quality performance goals.

Achieve all assigned individual monthly performance metrics.

Maintain current and thorough knowledge of all Member Services policies, procedures, and dental plan updates.

Perform additional duties and responsibilities as assigned by management.

Requirement for Remote Call Center Representative:

Successfully complete customer service assessment & typing test.

High school diploma, GED, or college degree

At least 1 year of Call Center experience preferred.

1 year of face-to-face customer service experience.

Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred.

Must possess the following characteristics: self-motivation, resourceful, detail-oriented, sense of accountability and must be a team player.

Must possess strong skills in the following areas: organizational, time management, written and verbal communication, analytical, and problem solving.

Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer.

Effective communication skills over the phone.

Ability to deal with problems involving several concrete variables in standardized situations.

Successful completion of background check is required for this position.

Equipment and workspace requirements:

We provide all equipment. (Computer, Monitor, Mouse, Keyboard, Headset, Ethernet Cord, Power Cables)

You must have a home internet connection of 10 Download and 3 Upload Speed (you may do a quick check through https://www.speedtest.net/

Must be able to hardwire your work computer directly to your home modem via ethernet. Ensure the available connection meets the minimum bandwidth requirements to perform your job function. Satellite internet and wireless internet are not acceptable.

Must have a distraction free and secure work environment. (Workspace must be clutter free, free of distraction, no one is allowed in workspace during working hours, no writing utensils, or unauthorized electronics in the work area).

The application process will take less than 20 minutes and includes everything required to be considered.

Apply to the role and provide your basic profile information (2 minutes)

Answer prescreens questions to be sure you meet the minimum requirements for the role (3 minutes)

Complete a typing test (1 minute) You will need a keyboard.

Take a short assessment to determine your fit for the role and set everyone up for success (10 minutes).

Important

It is important that you complete the application in a timely manner to be considered for the role.

Your local library, shipping store or search, ‘public computers near me’ if you do not have a computer.

Important:

Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time.

We are currently NOT hiring in the following geographies, including but not limited to:

States: AK, CA, CT, HI, IL, MA, MD, MT, NJ, NY, OR, WA
Metro Areas: Minneapolis - MN, Washington, DC, Denver/County of Boulder/Edgewater County - CO

Be part of the future

Are you seeking an opportunity to make a real impact in a company that appreciates ideas and new ways of thinking? Come join us and grow with a team of people who will challenge and inspire you to be the best!

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $16.00/hour.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to [email protected]. You may also click here to access Conduent's ADAAA Accommodation Policy.

Apply Now

Refine Your Search

appeals representative associate jobs

Remote Healthcare Customer Service Representative

Appeals Professional III (Weekend Work) (Part C)

Administrative Assistant - Social Security Disability Claims

Senior Trial Associate- US Virgin Islands

Assistant Property Manager

Senior Litigation Associate Attorney, (Employment Law) (Hybrid)

Workers Compensation Applicant Associate Attorney

Technical Specialist III (Odyssey)-815

DRG Clinical Validation Lead

Sales Manager - Conventional Housing

Legal Assistant - Immigration Law (Spanish Speaking)

Certified Claims Processor I

Property Manager

Claim Examiner I

Medical Office Receptionist

CP - Regional Sales Director (RSD)

Maintenance Manager - Palladia

Insurance Follow-Up Specialist

Senior Attorney

Dispute Resolution Reviewer I

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