eTeam Inc.SGS-Service Center Representative eTeam Inc.SGS-Service Center RepresentativeBethesda - Remote, MDRemote$17–$18 / hourThe Service Center Representative expedites the claims process and provides detailed claim notes on all calls; as well as resolves issues and directs calls to an appropriate escalation path as needed. Job Description Essential Functions Duties and Responsibilities Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims process and servicing processes.
Blue Cross and Blue Shield AssociationCare Manager - RN (Remote) Blue Cross and Blue Shield AssociationCare Manager - RN (Remote)Baltimore, MDRemote$72,216–$143,429 / yearThe Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. Federal Disclosure Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
Blue Cross and Blue Shield AssociationCare Manager (Remote) Blue Cross and Blue Shield AssociationCare Manager (Remote)Baltimore, MDRemote$72,216–$143,429 / yearThe Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. Federal Disclosure Physical Demand Note The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
Blue Cross and Blue Shield AssociationClinical Navigator (Remote) Blue Cross and Blue Shield AssociationClinical Navigator (Remote)Baltimore, MDRemote$72,216–$143,429 / yearUtilizing experience and skills in both care management and utilization management, the Clinical Navigator will leverage proficiency in established MCG, in addition to administrative and regulatory considerations, to determine medical necessity, appropriate levels of care, and case management to engage members, enrollees, their families, and other support systems in discharge planning. The role will function as a liaison, working telephonically with the hospital care team, including case managers, social workers, and discharge planners, to ensure CareFirst members, enrollees receive the appropriate level of care and partner to address any potential barriers to discharge.
TransPerfect IncRemote Bilingual Interpreter (English <> Target Language) TransPerfect IncRemote Bilingual Interpreter (English <> Target Language)new mexico, MDRemoteWho We Are: TransPerfect Connect is the world's leading provider of interpreting services, including Over-the-Phone Interpretation (OPI) and Video Remote Interpretation (VRI). Interpreters manage continuous live calls, often under pressure, while strictly following interpretation protocols to maintain neutrality, accuracy, and confidentiality.
Blue Cross and Blue Shield AssociationCare Manager - (Remote) Blue Cross and Blue Shield AssociationCare Manager - (Remote)Baltimore, MDRemote$72,216–$143,429 / yearThe Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. Experience: 5 years clinically related experience working in Care Management, Discharge Coordination, Home Health Utilization Review, Disease Management, or other direct patient care experience.