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Claims Resolution Specialist

Magellan Health Services, Inc.
Maryland Heights, MO
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This position is responsible for accurate and timely research of all claim ...
Details
Summary
About the job:
dispute types, timely processing of adjustments and acts as liaison between members, providers and internal claims departments. If a recalculation is warranted and modification to the payment amount is determined to be required, acting within established parameters, this role makes the appropriate payment adjustment into the claims system. Must complete duties with a high level of detailed quality and professionalism. - Assists with claim dispute resolution through research and facilitating the resolution of the...
Location:
Maryland Heights, MO
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

None Specified

Magellan Health Services, Inc.
Key West, FL
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JOB DESCRIPTION Provides professional military personnel support services to ...
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Summary
About the job:
the U.S. Navy’s Identification Card Administration (ICA) program at Navy installations designated as Defense Enrollment Eligibility Reporting System (DEERS) and Real-time Automated Personnel Identification System (RAPIDS) sites. - Serves as ID Card/Common Access Card (CAC) customer service specialist trained and certified by the Defense Manpower Data Center (DMDC). - Delivers ID Card services to all personnel assigned to support customer commands, other military service personnel, retirees and their dependents, and...
Location:
Key West, FL
Job Type:
Part-Time
Permanent
Occupation:
Information Security Analysts
Career Level / Education:
High school diploma or equivalent
Salary:
Entry Level Jobs (less than $30K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

None Specified

Magellan Health Services, Inc.
Richmond, VA
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JOB DESCRIPTION Secures leads by identifying and qualifying sales ...
Details
Summary
About the job:
opportunities and passing them to sales teams. Produces qualified prospects by following up on inbound leads from various marketing programs, or conducting outbound, proactive calling to target accounts or markets. Works with sales team and conducts creative tactic lead generation for multiple lines of business. - Nurtures prospects over time, discovering needs, offering relevant resources, and learning where they are in the buying process to help propel the sale forward. - Utilizes targeted and insightful questions to speak...
Location:
Richmond, VA
Job Type:
Full-Time
Permanent
Occupation:
Sales Representatives of Services, Except Advertising, Insurance, Financial Services, and Travel
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Inside Sales/Sales Dev. Specialist, BSH Employer - Remote

Magellan Health Services, Inc.
Phoenix, AZ
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Secures leads by identifying and qualifying sales opportunities and passing ...
Details
Summary
About the job:
them to sales teams. Produces qualified prospects by following up on inbound leads from various marketing programs, or conducting outbound, proactive calling to target accounts or markets. Works with sales team and conducts creative tactic lead generation for multiple lines of business. - Nurtures prospects over time, discovering needs, offering relevant resources, and learning where they are in the buying process to help propel the sale forward. - Utilizes targeted and insightful questions to speak knowledgeably with...
Location:
Phoenix, AZ
Job Type:
Full-Time
Permanent
Occupation:
Sales Representatives, Wholesale and Manufacturing, Except Technical and Scientific Products
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Customer Experience Associate I, Healthcare

Magellan Health Services Inc
Scottsdale, AZ
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Job Description: Customer advocate role supporting our members and ...
Details
Summary
About the job:
providers, facilitating care and service. This is a service position providing assistance to Magellan's members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls related to healthcare related benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers'...
Location:
Scottsdale, AZ
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Customer Experience Associate I, Healthcare

Magellan Health Services, Inc.
Located in Ohio
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Customer advocate role supporting our members and providers, facilitating ...
Details
Summary
About the job:
care and service. This is a service position providing assistance to Magellan's members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls related to healthcare related benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers’ needs on the first...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

None Specified

Magellan Health Services Inc
Langley, VA
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JOB DESCRIPTION This position supports the Training Center Manager to ...
Details
Summary
About the job:
accomplish all administrative, training, and logistics functions. Typically responsible for ordering and receiving any supplies, property accountability, assisting with travel, and training management functions as directed by the Training Center Manager. - Under general supervision, handles a wide variety of general office procedures and administrative duties such as setting-up and maintaining files, composing and proofreading documents, collecting and compiling data, and coordinating the flow of reports, invoices, or...
Location:
Langley, VA
Job Type:
Full-Time
Permanent
Occupation:
Office Clerks, General
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Onsite General Clerk II, Joint Base Langley-Eustis, Virginia

Magellan Health Services, Inc.
Virginia
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This position supports the Training Center Manager to accomplish all ...
Details
Summary
About the job:
administrative, training, and logistics functions. Typically responsible for ordering and receiving any supplies, property accountability, assisting with travel, and training management functions as directed by the Training Center Manager. - Under general supervision, handles a wide variety of general office procedures and administrative duties such as setting-up and maintaining files, composing and proofreading documents, collecting and compiling data, and coordinating the flow of reports, invoices, or records. - Prepares...
Location:
Virginia
Job Type:
Full-Time
Permanent
Occupation:
Office Clerks, General
Career Level / Education:
High school diploma or equivalent
Salary:
Entry Level Jobs (less than $30K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Customer Experience Associate I, Healthcare - PSL

Magellan Health Services Inc
Hazelwood, MO
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Job Description: Customer advocate role supporting our members and ...
Details
Summary
About the job:
providers, facilitating care and service. This is a service position providing assistance to Magellan's members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls related to healthcare related benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers'...
Location:
Hazelwood, MO
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Customer Experience Associate I, Healthcare

Magellan Health Services Inc
Maryland Heights, MO
Actions
Apply
Save to My Profile
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See who you know on LinkedIn
Report this job
Job Description: Customer advocate role supporting our members and ...
Details
Summary
About the job:
providers, facilitating care and service. This is a service position providing assistance to Magellan's members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls related to healthcare related benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers'...
Location:
Maryland Heights, MO
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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