At Vantage Health Plan, Inc ., we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k). Vantage is currently looking for a Medicare Claims Examiner to work 8:00AM 5:00PM, Monday through Friday. The Claims Examiner is responsible for examining and processing Medicare, Commercial, Institutional, and/or Dental claims accurately, timely, and in accordance with plan guidelines. Essential Duties & Responsibilities: Thoroughly review, investigate, and adjudicate claims batches daily, working oldest to newest (excluding VHP employee claims) Examine claims for benefit payment according to policy provisions and ensure that the system processes the claim correctly Review each claim for appropriate coding of CPT and ICD codes against...
Jan 17, 2021
At Vantage Health Plan, Inc ., we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k). Vantage is currently looking for a Medicare Claims Examiner to work 8:00AM 5:00PM, Monday through Friday. The Claims Examiner is responsible for examining and processing Medicare, Commercial, Institutional, and/or Dental claims accurately, timely, and in accordance with plan guidelines. Essential Duties & Responsibilities: Thoroughly review, investigate, and adjudicate claims batches daily, working oldest to newest (excluding VHP employee claims) Examine claims for benefit payment according to policy provisions and ensure that the system processes the claim correctly Review each claim for appropriate coding of CPT and ICD codes against...
Requirements: * Have an insurance sales license in ten (10) or more states * High-speed internet, reliable computer, and headset with microphone * History of compliant insurance sales practice Benefits: * 100% remote; complete control of your own hours * Uncapped earning potential (top Life agents earn over $110,000 in commissions annually) * Commissions & production bonuses paid out 3x per day * Free inbound calls & access to our proprietary billion-dollar software platform * Contracts with leading national carriers such as Transamerica, Prudential, Lumico, and John Hancock By joining Assurance, you will experience why we were called "the Uber of insurance" when acquired by Prudential Financial for $3.5B in 2019. As an independent agent, you will benefit from the $300 million per year Assurance spends in acquiring in-market, high intent shoppers. These shoppers are delivered straight to your headset (at no charge) while you enjoy the benefits of the world's most dynamic...
Jan 17, 2021
Requirements: * Have an insurance sales license in ten (10) or more states * High-speed internet, reliable computer, and headset with microphone * History of compliant insurance sales practice Benefits: * 100% remote; complete control of your own hours * Uncapped earning potential (top Life agents earn over $110,000 in commissions annually) * Commissions & production bonuses paid out 3x per day * Free inbound calls & access to our proprietary billion-dollar software platform * Contracts with leading national carriers such as Transamerica, Prudential, Lumico, and John Hancock By joining Assurance, you will experience why we were called "the Uber of insurance" when acquired by Prudential Financial for $3.5B in 2019. As an independent agent, you will benefit from the $300 million per year Assurance spends in acquiring in-market, high intent shoppers. These shoppers are delivered straight to your headset (at no charge) while you enjoy the benefits of the world's most dynamic...
*About Lumen* Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Facebook: /lumentechnologies, and YouTube: /lumentechnologies. *The Role* Responsible for business case financial modeling, benefits forecasting and standardization, reporting automation and creation of executive dashboards via BI Tools. Successful candidate will possess strong analytical, forecasting, and automation skills with expertise in program benefit assessment. *The Main Responsibilities* * Develops comprehensive...
Jan 17, 2021
*About Lumen* Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Facebook: /lumentechnologies, and YouTube: /lumentechnologies. *The Role* Responsible for business case financial modeling, benefits forecasting and standardization, reporting automation and creation of executive dashboards via BI Tools. Successful candidate will possess strong analytical, forecasting, and automation skills with expertise in program benefit assessment. *The Main Responsibilities* * Develops comprehensive...
JOB SUMMARY: Responsible for the performance of up to 100 stores in regards to the sales, margin and profit metrics. Leads a team of market sales managers, coaching and developing them to ensure they uphold the leadership attributes and values of the company. Determines the priorities and initiatives to drive growth and improve performance and holds store leadership accountable for results. Develops sales leadership and operations talent to support the stores and provide a pipeline for additional growth opportunities. Collaborates with colleagues cross functionally in merchandising, marketing, distribution, service, human resources and finance to build business plans to improve overall performance. KEY RESPONSIBILITIES: Leads a $175 to $350 million dollar business until including P&L management, budgeting, key business decisions, sales performance and cost controls. Coaches and leads 4 to 10 direct reports who run business units of 7 to 15 stores in volumes up to $75...
Jan 17, 2021
JOB SUMMARY: Responsible for the performance of up to 100 stores in regards to the sales, margin and profit metrics. Leads a team of market sales managers, coaching and developing them to ensure they uphold the leadership attributes and values of the company. Determines the priorities and initiatives to drive growth and improve performance and holds store leadership accountable for results. Develops sales leadership and operations talent to support the stores and provide a pipeline for additional growth opportunities. Collaborates with colleagues cross functionally in merchandising, marketing, distribution, service, human resources and finance to build business plans to improve overall performance. KEY RESPONSIBILITIES: Leads a $175 to $350 million dollar business until including P&L management, budgeting, key business decisions, sales performance and cost controls. Coaches and leads 4 to 10 direct reports who run business units of 7 to 15 stores in volumes up to $75...
At Vantage Health Plan we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k). Job Summary: The Utilization Management Program of Vantage Health Plan assures the delivery of medically necessary, quality patient care through appropriate utilization of resources in a cost effective and timely manner. The Medical Management Nurse is an intricate part of this program by utilizing Vantage's authorization system to review and approve services based upon Standardized Criteria, Health Plan Medical Policy and Clinical Guidelines and the local delivery systems. Each request for service is authorized in accordance with the member's health plan benefits and mandates from regulatory agencies. The remote RN will have the same essential duties and responsibilities as the on-site RN....
Jan 17, 2021
At Vantage Health Plan we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k). Job Summary: The Utilization Management Program of Vantage Health Plan assures the delivery of medically necessary, quality patient care through appropriate utilization of resources in a cost effective and timely manner. The Medical Management Nurse is an intricate part of this program by utilizing Vantage's authorization system to review and approve services based upon Standardized Criteria, Health Plan Medical Policy and Clinical Guidelines and the local delivery systems. Each request for service is authorized in accordance with the member's health plan benefits and mandates from regulatory agencies. The remote RN will have the same essential duties and responsibilities as the on-site RN....
Frontline Call Center is now seeking qualified applicants to work from home ! We have Openings for our Dedicated Support- Bilingual Team * Must be available to start right away * Must be have open availability. * Attendance is vital! This position entails handling inbound calls for a single dedicated account. Desired Skills: Excellent verbal/written communication skills Ability to deal with upset customers, and calm them down Exceptionalattention to detail and ability to multitask. Prior call center experience in a high call volume environment preferred. Applicant must be able to show empathy and keep a caller on track. Job Requirements: -A quiet place to work at home with a locking door. It is critical to prevent background noise on calls by choosing a distraction-free area where callers can't hear any sounds such as kids, barking dogs, traffic, doorbells, TVs, radios, etc. -A high quality USB headset for training and live calls -A strong, reliable and hardwired...
Jan 17, 2021
Frontline Call Center is now seeking qualified applicants to work from home ! We have Openings for our Dedicated Support- Bilingual Team * Must be available to start right away * Must be have open availability. * Attendance is vital! This position entails handling inbound calls for a single dedicated account. Desired Skills: Excellent verbal/written communication skills Ability to deal with upset customers, and calm them down Exceptionalattention to detail and ability to multitask. Prior call center experience in a high call volume environment preferred. Applicant must be able to show empathy and keep a caller on track. Job Requirements: -A quiet place to work at home with a locking door. It is critical to prevent background noise on calls by choosing a distraction-free area where callers can't hear any sounds such as kids, barking dogs, traffic, doorbells, TVs, radios, etc. -A high quality USB headset for training and live calls -A strong, reliable and hardwired...
Infotree Service Inc
Remote * (Monroe Township, NJ 08831, USA)
Company Description Here at Infotree, meeting your career needs is a top priority. Our client satisfaction is largely dependent on the resources we can provide, and we take pride in our delivery. Job Description You can reach me at 845-999-6217 OR [email protected]. W2 Contract Position (C2C Not Allowed) This is a WAH position and will remain as such even after shelter in place state preferences lift related to COVID-19 This candidate will assist the team with developing and implementing communications, campaigns and collateral to drive participation and engagement for the Client Wellness portfolio of Commercial/Employer Group products. This super-organized associate is responsible for ensuring member engagement campaigns and collateral are successfully executed. Key responsibilities include: Manage tasks associated with delivering campaigns accurately and on time for assigned communications including: Leading internal processes and teams that support...
Jan 17, 2021
Company Description Here at Infotree, meeting your career needs is a top priority. Our client satisfaction is largely dependent on the resources we can provide, and we take pride in our delivery. Job Description You can reach me at 845-999-6217 OR [email protected]. W2 Contract Position (C2C Not Allowed) This is a WAH position and will remain as such even after shelter in place state preferences lift related to COVID-19 This candidate will assist the team with developing and implementing communications, campaigns and collateral to drive participation and engagement for the Client Wellness portfolio of Commercial/Employer Group products. This super-organized associate is responsible for ensuring member engagement campaigns and collateral are successfully executed. Key responsibilities include: Manage tasks associated with delivering campaigns accurately and on time for assigned communications including: Leading internal processes and teams that support...
*About Lumen* Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Twitter: @lumentechco, Facebook: /lumentechnologies, Instagram: @lumentechnologies and YouTube: /lumentechnologies. * The Role* Responsible for business case financial modeling, benefits forecasting and standardization, reporting automation and creation of executive dashboards via BI Tools. Successful candidate will possess strong analytical, forecasting, and automation skills with expertise in program benefit assessment. * The...
Jan 17, 2021
*About Lumen* Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Twitter: @lumentechco, Facebook: /lumentechnologies, Instagram: @lumentechnologies and YouTube: /lumentechnologies. * The Role* Responsible for business case financial modeling, benefits forecasting and standardization, reporting automation and creation of executive dashboards via BI Tools. Successful candidate will possess strong analytical, forecasting, and automation skills with expertise in program benefit assessment. * The...
