Health Plans Inc jobs

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BILLING & PAYMENT CONFIG. SYSTEM SPECIALIST (HYBRID/REMOTE)

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...

CompanyHealth Plans Inc
AddressPortland, ME
CategoryInformation Technology
Salary$41.8K - $52.9K a year
Job typeFull-time
Date Posted 2 weeks ago See detail

Billing & Payment Config. System Specialist (Hybrid/Remote)

Health Plans Inc

Portland, ME

$41.8K - $52.9K a year

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...

Supervisor of Customer Service (On-Site/Remote)

Health Plans Inc

Westborough, MA

$55.4K - $70.2K a year

Assist with problem resolution and supporting front-line staff Oversee the phone queue performance and make necessary adjustments to meet optimal service levels Create and deliver annual performance reviews Support department lead...

Plan Building Specialist (Hybrid/Remote)

Health Plans Inc

Westborough, MA

$39.2K - $49.7K a year

Responsible for installation of new business as well as renewal process for in force businessBenefit Plan BuildingAdjudication Logic BuildingMaintain Benefit Code, Pend Reason Code, Denial Code, Provider Specialty, EOB Message Cod...

Plan Building Specialist (Hybrid/Remote)

Health Plans Inc

Palm Beach Gardens, FL

$39K - $49.4K a year

Responsible for installation of new business as well as renewal process for in force businessBenefit Plan BuildingAdjudication Logic BuildingMaintain Benefit Code, Pend Reason Code, Denial Code, Provider Specialty, EOB Message Cod...

Plan Building Specialist (Hybrid/Remote)

Health Plans Inc

Green Bay, WI

$39.9K - $50.5K a year

Responsible for installation of new business as well as renewal process for in force businessBenefit Plan BuildingAdjudication Logic BuildingMaintain Benefit Code, Pend Reason Code, Denial Code, Provider Specialty, EOB Message Cod...

Plan Building Specialist (Hybrid/Remote)

Health Plans Inc

Greenwood, IN

$41K - $52K a year

Responsible for installation of new business as well as renewal process for in force businessBenefit Plan BuildingAdjudication Logic BuildingMaintain Benefit Code, Pend Reason Code, Denial Code, Provider Specialty, EOB Message Cod...

Case Manager, RN (Remote)

Health Plans Inc

Manchester, NH

$68.4K - $86.6K a year

Conduct utilization management using standardized clinical criteria Consult with Physician Reviewers and other experts to determine appropriateness of care Develop individualized case management plans and Identify quality of care...

Case Manager, RN (Remote)

Health Plans Inc

Maine, United States

$63.1K - $80K a year

Conduct utilization management using standardized clinical criteria Consult with Physician Reviewers and other experts to determine appropriateness of care Develop individualized case management plans and Identify quality of care...

Plan Building Specialist (Hybrid/Remote)

Health Plans Inc

Manchester, NH

$39.2K - $49.7K a year

Responsible for installation of new business as well as renewal process for in force businessBenefit Plan BuildingAdjudication Logic BuildingMaintain Benefit Code, Pend Reason Code, Denial Code, Provider Specialty, EOB Message Cod...

Billing & Payment Config. System Specialist (Hybrid/Remote)

Health Plans Inc

New Jersey, United States

$44.1K - $55.8K a year

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...

Claims Examiner (Hybrid/Remote)

Health Plans Inc

Westborough, MA

$39.9K - $50.5K a year

Maintain quality and production levels as determined by management Maintain updated filings for claim benefit investigation (medical necessity reviews, etc.) as required in accordance with plan benefits Prepare filings for outside...

Case Manager, RN (Remote)

Health Plans Inc

Westborough, MA

$69.7K - $88.3K a year

Conduct utilization management using standardized clinical criteria Consult with Physician Reviewers and other experts to determine appropriateness of care Develop individualized case management plans and Identify quality of care...

Billing & Payment Config. System Specialist (Hybrid/Remote)

Health Plans Inc

Green Bay, WI

Not just a joba mission.What youll doThe Billing & Payment Configuration System Specialist will be responsible for assisting with new business set up, renewal updates and day to day maintenance of data within the Healthware Syst...

Billing & Payment Config. System Specialist (Hybrid/Remote)

Health Plans Inc

Quincy, MA

$39.1K - $49.5K a year

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...

Billing & Payment Config. System Specialist (Hybrid/Remote)

Health Plans Inc

Westborough, MA

$39.1K - $49.5K a year

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...

Billing & Payment Configuration System Specialist

Health Plans Inc

Green Bay, WI

$37.8K - $47.8K a year

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...

Billing & Payment Configuration System Specialist

Health Plans Inc

Burlington, VT

$36.7K - $46.5K a year

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...

Customer Service Representative (Remote)

Health Plans Inc

Maine, United States

$35K - $44.4K a year

Serve as a positive team member working toward a common company goal Meet department standards and expectations for quality and production Efficiently leverage tools and technology to support resolution of issues Work with partner...

Billing & Payment Configuration System Specialist

Health Plans Inc

Maine, United States

$36.2K - $45.8K a year

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...

Billing & Payment Configuration System Specialist

Health Plans Inc

Manchester, NH

$36.6K - $46.3K a year

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...

Supervisor, Claims (Hybrid/Remote)

Health Plans Inc

United States

$53.3K - $67.5K a year

Work with Claim Seniors to create and manage department work schedules Complete weekly turnaround time reports Attend new business implementation meetings Assist in supervisor level phone calls Review and maintain department polic...