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Displaying results 1 - 15 of 100

PLI Student Srvs Coordinator

Kaplan International Canada - Vancouver, BC

Position Summary The successful candidate will be available 10 hours a week to assist and advise our post-secondary students from Japan. Additional primary duties include complying with school policy in the area of internationalization, and facilitating a smooth transition to social and academic life at Kaplan for our Japanese and other international students. The Intern...

Application Deadline: None

GMAT Instructor - Southern New Jersey

KTP Graduate - Cherry Hill, NJ

Join Kaplan as a GMAT Instructor! Kaplan is seeking dynamic and engaging presenters, with a proven ability to motivate others, as part-time GMAT Instructors. In this leadership role, you will provide exceptional instruction, student mentorship, and subject matter expertise on all sections of the exam. To qualify, you must have a GMAT score (either on the official test or a Kaplan p...

Application Deadline: None

Panel Builder

Aerotek - Maple Grove, MN

Enjoy being a part of this Northwest Metro company and share in a work culture that fosters excellence, enthusiasm and pride! Assemble electronic components, sub-assemblies, products, or systems Electrical control panel wiring and sub-assemblies Document first time builds for future orders (schematics and bill of materials) ...

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

Referral Specialist I

Celtic Insurance Company - Brighton, 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

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

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

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

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

Customer Service Representative I

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

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

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

Lead Case Manager II

Celtic Insurance Company - Waltham, MA

Position Purpose: Perform collaborative duties to assess, plan and coordinate continuum of care for select members at high risk in order to promote quality, cost effective programs. Assist Case manager II's with complicated high risk cases. Coordinate work flow in the department. Advanced review of admissions through on -site and telephonic review to ensure medical necessity and appr...

Application Deadline: None

Customer Service Representative II , Outbound

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. Associates degree and claims processing, billing and/or coding experience preferred. 1+years of experience in Medicare, Medicaid managed care or insurance environment. 3+ yea...

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