News
Insurance Advisor-West Tennessee
<p><b>BCBST is hiring an Insurance Sales Advisor (Consumer Center)!</b></p><p></p><p>We’re looking for a customer‑focused advisor who can resolve member needs on the first contact, confidently guide consumers through plan decisions, and...
Insurance Advisor-West Tennessee
<p><b>BCBST is hiring an Insurance Sales Advisor (Consumer Center)!</b></p><p></p><p>We’re looking for a customer‑focused advisor who can resolve member needs on the first contact, confidently guide consumers through plan decisions, and...
Claims Processor I (Remote)
Resp & Qualifications PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.ESSENTIAL FUNCTIONS: Examines and resolves non-adjudicated claims...
Claims Processor I (Remote)
Resp & Qualifications PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.ESSENTIAL FUNCTIONS: Examines and resolves non-adjudicated claims...
Medical Reviewer I
Job Description: Evaluate medical records to determine medical necessity Perform utilization management of professional, inpatient, outpatient facility benefits or services and appeals Document decisions using indicated protocol sets or clinical...
Medical Reviewer I
Job Description: Evaluate medical records to determine medical necessity Perform utilization management of professional, inpatient, outpatient facility benefits or services and appeals Document decisions using indicated protocol sets or clinical...
Medical Reviewer II (Prior-Auth A/B MAC) –...
R1049548 Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and...
Medical Reviewer II (Prior-Auth A/B MAC) –...
R1049548 Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and...
Service Representative - Provider Services
<h2><b>Ready to help us transform healthcare? Bring your true colors to blue.<span> </span></b></h2><p>At Blue Cross Blue Shield of Massachusetts, our company promise is to always put our members first. Our mission...
Service Representative - Provider Services
<h2><b>Ready to help us transform healthcare? Bring your true colors to blue.<span> </span></b></h2><p>At Blue Cross Blue Shield of Massachusetts, our company promise is to always put our members first. Our mission...
Work From Home Data Entry Job
Click Here to apply directly : https://bit.ly/48PPJhS Candidates applying with above link will be considered Our company is seeking individuals to participate in National & Local...
Work From Home Data Entry Job
Click Here to apply directly : https://bit.ly/48PPJhS Candidates applying with above link will be considered Our company is seeking individuals to participate in National & Local...