CoreSource - Lancaster, PA
SUMMARY: - Reviews claim forms, medical bills and reports to determine nature of illness/injury; determines benefit coverage based on system data, case histories, plan booklets, CoreSource Claim Manual and claims-related memoranda. - Utilizes computer terminal to obtain essential...
CoreSource - Lancaster, PA
SUMMARY: - Reviews claim forms, medical bills and reports to determine nature of illness/injury; determines benefit coverage based on system data, case histories, plan booklets, CoreSource Claim Manual and claims-related memoranda. - Utilizes computer terminal to obtain essential...
CoreSource - Clinton Township, MI
Job Description NGS CoreSource, Michigan's leading third party health claims administrator, is seeking Medical Claims Analysts/trainees. We are in search of outgoing, flexible, team-oriented positive individuals who enjoy working in a fast-paced client focused setting. This posit...
RN Care Manager - Case Management
CoreSource - Lancaster, PA
SUMMARY STATEMENT: The Case Manager serves as the liaison between a patient, the primary care physician and other providers in the health care community. The Case Manager assesses, plans, implements, coordinates, monitors, and evaluates the options and services required for the e...
CoreSource - Charlotte, NC
Summary Statement: This position is primarily responsible for collaborating with our Client Management Team to produce queries and / or reports from data in the ICE Data Warehouse to meet client requests. This position is also responsible for participating on the team responsible...
CoreSource - Clinton Township, MI
Job Summary Investigate, analyze and determine whether previously paid or denied claims are correctly processed and/or payable upon receipt of appeal. Essential Duties and Responsibilities (other duties may be assigned) - Acquire necessary information to thoroughly analyze, inves...
CoreSource - Tinley Park, IL
The Implementation Manager is responsible for leading the implementation phase for new clients and any changes required at renewals. This includes planning and coordinating both client and cross-functional operational teams to support all aspects of setup and implementation. The ...
CoreSource - Tinley Park, IL
The Client Manager is responsible for the overall relationship with the client, from implementation, everyday problem resolution through renewal activities. They maintain senior management level contact with the Benefits, Human Resources, and the financial staff of the client. Th...
CoreSource - Overland Park, KS
This position is responsible for managing the claims processing teams. Essential Job Functions - Assists in establishing sound claims practices and policies - Ensures thorough claims investigations, settlements, and legal reviews as needed. - Handles all personnel related matters...
Korean Customer Service Rep servicing Nippon Life Benefits
CoreSource - Des Moines, IA
Position Summary This position is responsible for servicing our prominent client, Nippon Life Benefits, by timely and accurately handling an average of 80 calls daily from providers, employee and dependent participants, and clients involving verification of benefits and status of...
Customer Service Representative
CoreSource - Lancaster, PA
SUMMARY: The Customer Service Representative is responsible for working with employers and participants to accurately respond to telephone and email inquiries regarding their medica/or dental benefits and claims. Emphasis is on exceptional customer service and exceeding customer'...
Customer Service Representative
CoreSource - Des Moines, IA
Position Summary This position is responsible for timely and accurately handling an average of 80 calls daily from providers, employee and dependent participants, and clients involving verification of benefits and status of claims. This position is also responsible for researchin...
CoreSource - Lancaster, PA
The Switchboard Operator is responsible for answering and processing incoming calls within acceptable industry standards. This position is also responsible for asking additional screening questions as appropriate to determine the correct routing of calls. Excellent organizational...
CoreSource - Lancaster, PA
The Repricing Coordinator is responsible for reviewing and repricing incoming claims, along with monitoring workflow for potential claims issues. RESPONSIBILITIES: - Reprice incoming claims within established turnaround standards. - Review claims over Repricing Processor's author...
CoreSource - Overland Park, KS
SUMMARY: - Reviews claim forms, medical bills and reports to determine nature of illness/injury; determines benefit coverage based on system data, case histories, plan booklets, CoreSource Claim Manual and claims-related memoranda. - Utilizes computer terminal to obtain essential...
RN - Utilization Management Nurse Trainer
CoreSource - Lancaster, PA
The Utilization Management Nurse Trainer is responsible for the orientation and educational training of the professional Healthcare Management staff in accordance with Healthcare Management policies and procedures. This position serves as a senior nurse resource for the professio...
Customer Service Representative
CoreSource - Tinley Park, IL
Position Summary This position is responsible for timely and accurately handling an average of 60 calls daily from providers, employee and dependent participants, and clients involving verification of benefits and status of claims. This position is also responsible for researchin...
CoreSource - Lancaster, PA
The Implemenation Manager is responsible for leading the implementation phase for new clients and any changes required at renewals. This includes planning and coordinating both clients and cross-functional operational teams to support all aspects of setup and implementation. The ...
CoreSource - Charlotte, NC
SUMMARY: The Implementation Manager is responsible for leading the implementation phase for new clients and any changes required at renewals. This includes planning and coordinating both client and cross-functional operational teams to support all aspects of setup and implementat...
CoreSource - Lancaster, PA
The Disability Claims Analyst is responsible for reviewing and processing short-term and long-term disability claims to determine illness/injury and appropriate benefit coverage. KEY ACCOUNTABILITIES: - Process short term and long term disability claims; collects medical informat...