Director, Claims and Customer Service

Company: Preferred Health Care
Location: Lancaster
Posted on: March 19, 2023

Job Description:

480 New Holland Ave, Suite #7203, Lancaster, PA 17602Hours : Monday to Friday 8:00 am - 4:30 pm Phone : 717-560-9290 EmploymentPreferred Health Care is an equal opportunity employer and does not discriminate in the hiring, training, or promotion of employees by reason of race, color, religion, sex or nation origin. We offer full benefit packages including medical/dental/vision/life insurance and 401K.If you are looking for a rewarding and challenging position here in the Lancaster community, we have the following opportunities available:

• Client Manager
  • This position will retain and grow a portfolio of self-funded group medical & health insurance business, focused on service, growth and profitability. The client manager will develop and execute comprehensive group-specific account management strategies which meet client objectives; achieve annual retention goals and financial objectives while providing exceptional service. The client manager will partner with internal teams to share data, refine product lines and create new sales around Self-Funded Employer Health Plans and Wellness and ancillary product lines. The Client Manager is also responsible for the preparation of proposals, meeting materials and/or sales collateral during the account renewal process. The role will also evaluate, recommend and implement processes to ensure that account objectives are met.
  • View details in this PDF
  • Supervises and coordinates activities of workers engaged in the examining, repricing, and adjudication of insurance claims and providing customer service. Assures repriced claims are forwarded to the appropriate payor and applicable claims are adjudicated within mandated timeframes by performing the following duties.
  • PHC is currently seeking full-time case management nurses. Qualified candidates will have a current nursing license, strong computer skills and be self-motivating patient advocates. She/He will be responsible for coordinating, organizing, communicating and directing PHC patients through the case management process. Strong local clinical background, CCM designation and managed care experience preferred but not required.We offer competitive pay and benefit package upon experience. Office hours are Monday through Friday 8 AM to 4:30 PM. To be considered, interested candidates must submit their resume and salary requirements to:Human Resources
    Preferred Health Care
    PO Box 4824
    Lancaster, PA 17604
    Fax: 717-560-2312
    email: resumes@phcunity.com You can apply electronically by submitting your cover letter and resume to resumes@phcunity.com . You can fax your cover letter and resume to us at 717-560-2312 or you can mail your resume to the address above.

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