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Job Openings
Network Operations Supervisor Provider Relations
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This position will contribute to the overall success of the business by building and maintaining effective working relationships and to oversee all activities related to provider relations of its provider network including but not limited to network provider communications; building and maintaining positive provider relationships; educational activities; assisting network provider with claims resolution activities; reviewing and resolving grievance related issues submitted to the organization. This position will be responsible for the daily oversight of workflow of the payer service team and provider relations representative. Requirements include, Team Leader or Supervisor Experience is required. Knowledge of healthcare delivery system. College degree desired, but relevant work experience may be acceptable. Must have computer skills – Windows and Excel. Excellent organizational, communication skills and creativity.
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| Claims Analyst I |
Responsible for medical and dental claim analysis and benefit determination ensuring claim is processed accurately and timely in an automated environment. This claims adjudication, not claims repricing.Minimum Job Requirements: a thorough understanding of CPT, CDT, ICD-9 coding guidelines and medical terminology, analytical problem solving skills and good communications skills, excellent data entry skills with knowledge of Microsoft Office.
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Call Representative
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Responsibilities
include assisting customers with general questions. Requirements:
detail oriented, organized, works well independently, possess
good written and oral communication skills, typing speed
of 30 words per minute and have analytical and problem
solving experience. Customer service experience helpful. Currently filled, but
accepting applications.
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| Customer
Service Representative |
Call
Center servicing inbound calls. Candidate must be detail
oriented, organized, possess excellent written and oral
skills, and have analytical and problem solving experience.
Previous experience in medical or insurance field preferred. Currently filled, but
accepting applications.
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RN,
Utilization Review Specialist
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Explore
the opportunities available for RNs to use their nursing
experience and communication skills to perform utilization
Review. Requirements: 3-5 years of recent clinical experience,
excellent communication skills, positive attitude, and
enjoy
the computer. Work M-F 8:30 5:00. Currently filled, but
accepting applications.
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How to Apply
To
apply for a position with MedCost, please
download an application.
Send a cover letter and a completed
application to the address below. If you have a current
resume, please attach it to the application.
Please
Note: Application is to be printed, filled out
and mailed to MedCost.
(The application is a PDF file. To download the free
Adobe Acrobat Reader click here.)
Human Resources
MedCost, LLC
165 Kimel Park Drive
Winston-Salem, NC 27103
If
you have questions about the application process
or about current job opportunities, please email Terri Davis or Barry Brown.
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