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Displaying results 1 - 15 of 100

Senior Customer Service Representative

Celtic Insurance Company - Waltham, MA

Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Qualifications Education/Experience: High school diploma or equivalent. 3+ years of call center customer service experience preferably in a healthcare or insurance environment. 1+ years of managed care experience preferred. Associate's degree and...

Application Deadline: None

Contracts Coordinator

Celtic Insurance Company - Waltham, MA

Position Purpose: Assist with the contract submission process and the auditing of provider information systems (AMISYS) for consistency and best practices in Provider set up. Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for daily and monthly reports. Maintain and report on the Health Plan(s) compliance with contract submissi...

Application Deadline: None

Program Coordinator I

Celtic Insurance Company - Waltham, MA

Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as verifying ...

Application Deadline: None

Lead Case Manager I (Prior Auth)

Celtic Insurance Company - Waltham, MA

Position Purpose: Review inpatient admissions and/or radiology services (MRI's, CAT Scans, etc) to assure appropriate level of care and medical necessity. Assist Case Manager I's with complicated reviews and coordinate case load among staff. Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care Provide consultat...

Application Deadline: None

Referral Specialist I

Celtic Insurance Company - Waltham, MA

Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer ...

Application Deadline: None

Referral Specialist I/Letter Writer

Celtic Insurance Company - Waltham, MA

Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer ...

Application Deadline: None

Trainer II (Claims)

Celtic Insurance Company - Waltham, MA

Position Purpose: Responsible for developing and conducting a variety of training programs and/or auditing tools. Conduct training needs analyses to determine specific training needs for department staff and evaluate effectiveness Identify, develop and conduct appropriate training programs, including selecting and designing appropriate training aids Facili...

Application Deadline: None

Executive Assistant

Celtic Insurance Company - Waltham, MA

Position Purpose: Relieves the executive of administrative type functions in order to increase the time the executive has available for senior level responsibilities. Communicates and interprets administrative and operating policies and procedures. Assists in the preparation and coordination of records, statistics, and reports regarding operations, etc. Gath...

Application Deadline: None

Customer Service Representative I (Member)

Celtic Insurance Company - Waltham, MA

Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources Provide assistance to members and/or providers regarding website regi...

Application Deadline: None

Trainer II (Claims)

Celtic Insurance Company - Bedford, NH

Position Purpose: Responsible for developing and conducting a variety of training programs and/or auditing tools. Conduct training needs analyses to determine specific training needs for department staff and evaluate effectiveness Identify, develop and conduct appropriate training programs, including selecting and designing appropriate training aids Facili...

Application Deadline: None

Manager, Customer Service

Celtic Insurance Company - Waltham, MA

Position Purpose: Plan and manage assigned customer service function at the health plan to meet overall business goals and objectives. Manage the workflow of the customer service function and communicate standards Analyze department performance; develop, implement and maintain production/performance standards in line with Company goals and objectives Ensure ...

Application Deadline: None

Workforce Analyst I

Celtic Insurance Company - Waltham, MA

Position Purpose: Use ACD phone system to assist with maximizing the effectiveness of scheduling, systems, performance metrics, data analysis, reporting and overall operational functions for all lines of business and all locations. Evaluate staffing adjustments and re skilling of agents as necessary to provide adequate phone coverage. Monitor real-time call activity at various call c...

Application Deadline: None

Concurrent Review Nurse

Celtic Insurance Company - Waltham, MA

Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care Review and audit patient charts through on-site hospital visits Act as clinical resources to referral staff and make appropriate referrals ...

Application Deadline: None

Customer Service Representative II

Ryder - HOUSTON, TX

Position Description: The Customer Service Rep II will provide service relating to fuel systems operations and compliance Requirements: High School diploma or equivalent A minimum of 6 (six) months experience as a CSR level 1 or equivalent industry experience Basic computer skills such as using an internet browser, such as Internet Explorer; us...

Application Deadline: None

STCH-FOOD SERVICE WORKER*

Sutter Tracy Community Hospital - Tracy, CA

A full-service acute care facility serving the residents of Tracy for over 60 years, Sutter Tracy Community Hospital (STCH) has a total of 82 inpatient beds. STCH provides a wide range of inpatient and outpatient services including: a 24-hour emergency department, inpatient and ambulatory surgical services, endoscopy lab, intensive care, diagnostic imaging, laboratory and rehabilitation serv...

Application Deadline: None