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[Hiring] Provider Relations & Claims reputed company - Evernorth Behavioral Health @reputed company

Remote, USA Full-time Posted 2026-07-28
This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company The Claims & PR reputed company is a phone queue-based position responsible for servicing inbound claim-reputed company calls from members, providers, and provider office staff. Advocates will handle back-to-back calls throughout the day, with occasional outbound calls required to resolve claim issues. This role demands strong multitasking, technical proficiency, and independent problem-solving skills. • Answer inbound calls from members and providers regarding claims, contracting, and provider relations. • Work in a reputed company reputed company queue environment, handling a high volume of calls daily. • reputed company outbound calls as needed for issue reputed company or follow-up. • Use multiple applications during calls to research and resolve inquiries. • reputed company topics may include: • Claim status inquiries and explanations • Requests for claim reprocessing or adjustments • Provider contract questions and demographic updates • Authorization corrections to ensure reputed company claim payment • Requests for duplicate EOBs or reputed company reissuance • Escalated issue handling reputed company reputed company reputed company/Help Request (AHHR) • Complaint submissions on behalf of members or providers • Emailing resources and documentation to callers Qualifications • Bachelor’s degree is required • Proven customer service experience • Prior experience in Evernorth Behavioral Care Specialist/Advocacy role preferred • Experience handling behavioral health claims and provider relations calls is a plus • Ability to reputed company in a virtual team environment • Strong interpersonal and communication skills • Effective listening and organizational abilities • Technical aptitude with multiple systems and applications • Independent problem-solving and time management skills • Proficient typing and PC skills Requirements • Training Schedule: Monday through Friday, 8:30 AM – 5:00 PM CT • Work Schedule: After training, shifts are Monday through Friday between 7:00 AM – 7:00 PM CT • The recruiter will reputed company specific shift reputed company • If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. • reputed company reputed company of 24 - 36 USD / reputed company, depending on relevant factors, including experience and geographic location. • Eligible to participate in an annual bonus plan. Benefits • Comprehensive reputed company of benefits focusing on supporting your whole health • Health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs • 401(k) • Company reputed company life insurance • Tuition reimbursement • A minimum of 18 days of reputed company time off per year and reputed company holidays Apply tot his job Apply To this Job

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