Louisville, KY · Remote
$15.58 - $31.97/hr
Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls ...
Louisville, KY · Remote
$15.58 - $31.97/hr
Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls ...
Lexington, KY · Remote
$15.58 - $31.97/hr
Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls ...
Lexington, KY · Remote
$15.58 - $31.97/hr
Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls ...
Bowling Green, KY · Remote
$15.58 - $31.97/hr
Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls ...
Bowling Green, KY · Remote
$15.58 - $31.97/hr
Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls ...
Owensboro, KY · Remote
$15.58 - $31.97/hr
Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls ...
Owensboro, KY · Remote
$15.58 - $31.97/hr
Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls ...
Frankfort, KY · On-site +1
This position is remote with a Home Office setup as determined by Stratascale Management. Role Description * Leading the deployment, configuration, and integration of Palo Alto Networks XSIAM across ...
Frankfort, KY · On-site +1
This position is remote with a Home Office setup as determined by Stratascale Management. Role Description * Leading the deployment, configuration, and integration of Palo Alto Networks XSIAM across ...
Louisville, KY · Remote
... configuration, segmentation, and secure connectivity * CrowdStrike for OT monitoring and threat detection * BeyondTrust for privileged secure remote access management * Familiarity with other vendor ...
Louisville, KY · Remote
... configuration, segmentation, and secure connectivity * CrowdStrike for OT monitoring and threat detection * BeyondTrust for privileged secure remote access management * Familiarity with other vendor ...
Ideal candidate will be based in the Greater Columbus area, also open to remote candidates in ... Ensures data integrity, manages system interfaces, completes the chart of accounts, maintains ...
Ideal candidate will be based in the Greater Columbus area, also open to remote candidates in ... Ensures data integrity, manages system interfaces, completes the chart of accounts, maintains ...
Louisville, KY · On-site +1
This is a primarily remote (work-from-home) position. However, candidates must be based in or near ... Expertise in Jira Align, including configuration, reporting, and portfolio-level data management ...
Louisville, KY · On-site +1
This is a primarily remote (work-from-home) position. However, candidates must be based in or near ... Expertise in Jira Align, including configuration, reporting, and portfolio-level data management ...
Louisville, KY · On-site +1
This is a primarily remote (work-from-home) position. However, candidates must be based in or near ... Expertise in Jira Align, including configuration, reporting, and portfolio-level data management ...
Louisville, KY · On-site +1
This is a primarily remote (work-from-home) position. However, candidates must be based in or near ... Expertise in Jira Align, including configuration, reporting, and portfolio-level data management ...
Louisville, KY · On-site +1
This is a primarily remote (work-from-home) position. However, candidates must be based in or near ... Expertise in Jira Align, including configuration, reporting, and portfolio-level data management ...
Louisville, KY · On-site +1
This is a primarily remote (work-from-home) position. However, candidates must be based in or near ... Expertise in Jira Align, including configuration, reporting, and portfolio-level data management ...
Louisville, KY · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... 6 years of recent build and configuration experience on any of the Epic Tapestry modules
Louisville, KY · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... 6 years of recent build and configuration experience on any of the Epic Tapestry modules
Louisville, KY · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... configuration experience on any of the Epic Tapestry modules * Experience in application build and ...
Louisville, KY · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... configuration experience on any of the Epic Tapestry modules * Experience in application build and ...
Louisville, KY · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... 6 years of recent build and configuration experience on any of the Epic Tapestry modules
Louisville, KY · On-site +1
Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... 6 years of recent build and configuration experience on any of the Epic Tapestry modules
Remote Employment Type: Permanent Role Overview The Principal Anaplan Solution Architect serves as ... Own the end-to-end Anaplan solution architecture across Workforce Planning and Workforce Management ...
Remote Employment Type: Permanent Role Overview The Principal Anaplan Solution Architect serves as ... Own the end-to-end Anaplan solution architecture across Workforce Planning and Workforce Management ...
Louisville, KY · On-site +1
$88K - $132K/yr
Posting Type Remote/Hybrid Job Overview ABOUT THE ROLE The Senior Financial Systems Analyst serves ... Administer and own configuration of the Zuora platform, including Billing and Revenue/RevPro, to ...
Louisville, KY · On-site +1
$88K - $132K/yr
Posting Type Remote/Hybrid Job Overview ABOUT THE ROLE The Senior Financial Systems Analyst serves ... Administer and own configuration of the Zuora platform, including Billing and Revenue/RevPro, to ...
Our remote-first team is globally distributed around the world: USA , UK , the Netherlands , Israel ... Set expectations proactively, communicate progress regularly, and manage risks and trade-offs ...
Our remote-first team is globally distributed around the world: USA , UK , the Netherlands , Israel ... Set expectations proactively, communicate progress regularly, and manage risks and trade-offs ...
Remote- Flexible hours but 9am CST is general start time Duration: 3 months We are executing a ... The work involves shared libraries, component hierarchies, and a token architecture managed through ...
Remote- Flexible hours but 9am CST is general start time Duration: 3 months We are executing a ... The work involves shared libraries, component hierarchies, and a token architecture managed through ...
| Aspect | Remote Configuration Manager | Remote Network Engineer |
|---|---|---|
| Required Credentials | Certifications like Cisco CCNA, CompTIA Network+ | Certifications like Cisco CCNP, CompTIA Network+ |
| Work Environment | Managing configuration settings across systems and applications remotely | Designing, implementing, and troubleshooting network infrastructure remotely |
| Employer & Industry Usage | IT departments, cloud service providers, software companies | Telecommunications, IT services, enterprise networks |
| Common Search & Comparison Intent | Understanding roles in configuration management | Understanding network infrastructure roles |
The Remote Configuration Manager primarily focuses on managing system and application configurations remotely, ensuring settings are optimized and consistent. In contrast, the Remote Network Engineer designs and maintains network infrastructure remotely, troubleshooting connectivity issues. Both roles require networking certifications and involve remote work environments, but they serve different technical functions within IT and network management.
$15.58 - $31.97/hr
Full-time
Posted 4 days ago
8.0
Based on 192 frontline employees who took The Breakroom Quiz
146th of 260 rated insurance
Shift: M-F 9:30am - 6pm
JOB DESCRIPTION Job Summary
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
Essential Job Duties
Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
Assists in reviews of state and federal complaints related to claims.
Collaborates with other internal departments to determine appropriate resolution of claims issues.
Researches claims tracers, adjustments, and resubmissions of claims.
Adjudicates or readjudicates high volumes of claims in a timely manner.
Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
Meets claims department quality and production standards.
Supports claims department initiatives to improve overall claims function efficiency.
Completes basic claims projects as assigned.
Required Qualifications
At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
Research and data analysis skills.
Organizational skills and attention to detail.
Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Customer service experience.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $15.58 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Get the full story on Breakroom
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
