All Jobs Pacificsource Jobs In USA

Responsible for credentialing and recredentialing practitioners and facilities in accordance with PacificSource policies and procedures, ensuring compliance...

This position supports enterprise risk adjustment through provider engagement and education. The position will play a key role in helping the leadership team in...

Position Overview: Review claims and information received via telephone or a medical service questionnaire for possible other party liability. Determine coverag...

Collaborate closely with physicians, nurses, social workers and a wide range of medical and non-medical professionals to coordinate delivery of healthcare servi...

rovide utilization management services which promote quality, cost-effective outcomes by helping the Medicaid member populations achieve effective utilization o...

Maintain accurate, up-to-date records of all documents and accounts for pending and enrolled participants and groups. Provide customer service assistance to ben...

processing guidelines. Adjudicate claims for payment or denial within PacificSource...

. Provide customer support to group administrators, agents, carriers and PacificSource...

Provide excellent customer service primarily by telephone to all PacificSource customers. Assist customers with coverage/claims related questions. Accurately...

Maintain positive public relations with provider groups, hospitals and clinic administrators across all business lines. Act as a personal contact for training, ...