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Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquires may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as…

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ourhrconnect

22 hours ago

IS Risk and Compliance Manager

NewBe an early applicant North AmericaFull-time

United States

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly…

AI Cism Risk Assessment Strategic Planning

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2 days ago

Claims Customer Service Advocate II

NewBe an early applicant North AmericaContract

United States

Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing

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ourhrconnect

2 days ago

FCMB Claims Customer Service Advocate II

NewBe an early applicant North AmericaContract

United States

Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing

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ourhrconnect

2 days ago

RN Appeals Analyst

NewBe an early applicant North AmericaContract

Summary Description

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Customer Service Advocate II

NewBe an early applicant North AmericaContract

United States

Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as…

Cohere

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ourhrconnect

2 days ago

Claims Customer Service Advocate III

NewBe an early applicant North AmericaContract

United States

Summary Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries. Inquiries are typically non-routine and require deviation from standard screens, scripts, and procedures. Performs…

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ourhrconnect

2 days ago

Phone Advocate, Customer Service

NewBe an early applicant Europe, North AmericaContract

Summary Provides prompt, accurate, thorough and courteous responses to all telephone inquiries. Performs research as needed to resolve

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ourhrconnect

3 days ago

Customer Service Advocate I

NewBe an early applicant North AmericaContract

United States

Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve

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4 days ago

IT Senior Project Manager- CGS Administrators, LLC

NewBe an early applicant North AmericaContractSenior

United States

Summary Working at CGS Administrators, LLC CGS Administrators, LLC (CGS) is part of BCBSSC™'s Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and…

Agile AWS Cloud EVM Microsoft Project +3 skills

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ourhrconnect

4 days ago

Business Analyst ll

NewBe an early applicant North AmericaContract

United States

Summary Conducts business process analyses, needs assessments and preliminary cost/benefit analyses in an effort to align operations solutions with business initiatives. Prepares functional, system and program…

Db2 Express.js Mainframe

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4 days ago

Customer Service Advocate II Part Time 4pm to 8pm

NewBe an early applicant Europe, North AmericaPart-time

Summary We are currently hiring for a part-time Customer Service Advocate II to join BlueCross BlueShield of South Carolina. You will be responsible for responding to routine correspondence and telephone inquiries…

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ourhrconnect

4 days ago

Pharmacy Technician - Prior Authorization Focus

NewBe an early applicant HybridNorth AmericaContract

United States

Summary Responsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely, complete, and accurate processing of authorization…

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4 days ago

Physical Medicine and Rehabilitation Medical Director

NewBe an early applicant North AmericaContract

United States

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots…

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ourhrconnect

4 days ago

Accountant I

NewBe an early applicant North AmericaContractJunior

Summary Description

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Director, Contract Compliance

NewBe an early applicant HybridNorth AmericaContract

United States

Summary Description

Hipaa Regulatory Compliance

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ourhrconnect

4 days ago

Claims Customer Service Advocate II

NewBe an early applicant North AmericaContract

United States

Summary In the role as the Claims Customer Service Advocate II, the ideal candidate will be responsible for responding to routine inquiries. These inquiries may be non-routine and require deviation from standard…

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ourhrconnect

4 days ago

Customer Service Manager

NewBe an early applicant North AmericaContract

United States

Summary We are currently hiring for a Customer Service Manager to join BlueCross BlueShield of South Carolina. You will be accountable for managing one or more teams responsible for customer service. Manages the…

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ourhrconnect

7 days ago

RN Medical Reviewer II - CGS

New HybridNorth AmericaContract

United States

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or…