The Appeals Specialist II position plays a critical role ensuring that PEHP member and provider appeals are researched according to Master and Corporate Policy. This role performs reviews for medical, dental, FSAs, and enrollment appeals disputed by members or providers, requiring knowledge of PEHP policies and strong communication skills.

Join North American Dental Group's Revenue Cycle Department as an Insurance Verification Specialist! You will accurately enter data, verify insurance coverage, build insurance groups, resolve errors, and reconcile numbers between systems. We need someone with a high school diploma, MS Office experience, and preferably 2 years of medical/dental insurance experience.

Handle customer interactions and inquiries, ensuring a smooth customer experience. You will provide assistance across different service areas, process transactions, and help maintain a high level of customer satisfaction. The associate will respond to calls, emails, and chats, while also identifying improvements to processes and customer service delivery.

Your role is to be the external face of the company, dealing with patient enquiries, working with referrers, contacting imaging sites to assist with scheduling and ensuring we are delivering our services both efficiently and excellently. You’ll be passionate about providing an amazing service.

The Provider Systems Support Specialist provides systems and transactional support to healthcare providers via phone and email, serving as a key resource for inquiries related to the CareAffiliate and Availity systems, requiring strong problem-solving skills and customer support.

Actively listen to our clients’ customers, utilize customer service experience, passion, and creativity to meet their needs and deliver a world-class experience across every interaction. Help customers with their account issues, via telephone, email and/or website inquiries and provide them with exceptional service.

As a Remote Licensed Property & Casualty Insurance Agent, you will provide full life-cycle customer service and sales to assist customers in understanding their coverages and selecting the right products, services and best solutions to meet their personal financial needs.

As a Member Advocate, you'll answer questions regarding pharmacy benefits, establish and maintain relationships with members, and provide information and solve issues to influence a positive customer experience. You will be the first point of contact and must convey a sense of care and expertise in our services.

As the eyes and ears for our team fielding customer inquiries and finding innovative ways to respond in a collaborative and engaging environment. Interact with people from all walks of life, resolving high level consumer issues in a fast-paced environment, assisting policy holders, and providing recommendations.

As a Customer Support Advisor, you'll work within 1st tier support, collaborating with Technical Product Specialists, Customer Experience, and R&D. Your responsibilities include replying to customer inquiries, identifying product issues, logging feature requests, and providing outstanding service via phone, email, and chat.