Representative

• Ensure timely enrollment of new providers and facility sites with payors
• Maintain existing provider and facility-site enrollment, including re-enrollment and terminations
• Gather and maintain accurate provider directory and payor database information
• Follow up with payors to obtain effective dates, status updates, and billing identification numbers
• Update provider numbers and related data in internal and external billing software and production programs
• Maintain supporting documentation, including W-9, CLIA certificates, bank, IRS, and CMS letters
• Apply for or assist with individual practitioner and facility NPI applications through NPPES
• Notify payors and internal contacts about practitioner practice changes, terminations, malpractice cases, and legal matters
• Notify payors about new sites, site terminations, and site changes
• Follow up on enrollment-related denials and resolve accounts in accordance with federal and state regulations
• Respond to internal and external inquiries regarding research issues
• Review charges, claims-pending reports, and claim-edit work queues in Epic
• Work Epic follow-up queues to resolve enrollment-related issues
• Monitor changes in managed care and payor provider-enrollment requirements
• Complete work within departmental, compliance, and payor time limits
• Initiate enrollment for electronic claims submission
• Attend site-planning meetings, provide input, gather setup information, and provide updates

Provider enrollment representative managing payor enrollment for Sanford Health, a major rural U.S. health system

Provider Enrollment Representative

Provider Enrollment Representative managing provider and facility payor enrollment for Sanford Health, the largest rural U.S. health system.
Maintaining billing data, documentation, NPIs, claims queues, and regulatory compliance.

• Advise Project Owner on all aspects of commercial construction projects from concept to completion.
• Ensure compliance with environmental regulations and permits throughout the construction process, including environmental impact assessments and mitigation measures.
• Monitor all project schedules, provide early feedback on performance and risk to those schedules, and support timely completion of all project milestones.
• Identify potential risks and develop mitigation strategies to better position the project for success.
• Monitor the Contractor’s quality control measures to ensure construction activities meet industry standards and Owner expectations.
• Serve as a key conduit of information exchange between all on-site stakeholders, providing regular updates on project progress and addressing any concerns that may arise.
• Observe and influence the activities of construction teams, subcontractors, and support staff on behalf of the Owner, fostering a collaborative and safety-focused work environment.
• Consult to ensure compliance with safety regulations and best practices and recommend corrective actions to maintain a safe work environment for all personnel.
• Maintain accurate project documentation, including contracts, permits, change orders, and progress reports, and provide regular reporting to stakeholders.

Construction Manager serving as Owner's Representative for large-scale projects

Owner's Representative

Construction Manager serving as Owner's Representative in remote environments. Overseeing construction management responsibilities and ensuring alignment with Owner's vision and objectives.

• Make outbound calls to hospitals and healthcare clinics across the U.S.
• Conduct brief surveys focused on after-hours and emergency response protocols
• Ask approximately 3 standardized questions per call
• Accurately document responses during each call using provided systems
• Maintain a professional and courteous demeanor with healthcare staff
• Follow call scripts and guidelines to ensure consistency and compliance
• Handle a high volume of calls while maintaining quality standards
• Protect confidential information and adhere to company policies
• Communicate any issues or escalations to supervisors as needed
• Meet performance and attendance expectations in a remote work environment

Healthcare Survey Agents conducting outbound calls for brief surveys

Outbound Survey Representative

Healthcare Survey Agents conducting outbound calls to hospitals for brief surveys. Requires strong communication skills and professionalism in a remote work environment.

• Answer incoming emergency and non-emergency calls, following protocols to determine priorities and dispatch responses accordingly.
• Provide compassionate customer support using scripted and non-scripted responses.
• Monitor a high volume of medical alerts and alarms, offering genuine care during potentially stressful situations.
• Record call details, dispatches, and messages into a database in real-time while maintaining focus and accuracy.
• Communicate with empathy, respect, and patience to ensure a positive experience for our members.
• Verify and update customer information in the system to ensure records are accurate.
• Troubleshoot alarm systems and report issues to ensure timely maintenance.
• Proactively inquire about and recommend preventative healthcare services to members.
• Manage access to highly sensitive materials and maintain strict confidentiality.
• Talk and type simultaneously while navigating multiple screens and systems efficiently.
• Successfully complete new hire training and pass all required compliance testing.
• Perform other duties as assigned.

Care Center Representative assisting with medical alerts and providing support

Care Center Representative – 2ND SHIFT ONLY

Care Center Representative responding to emergency and non-emergency calls, assisting members with medical alerts. Ensuring proper dispatch and providing compassionate customer support in a remote setting.

Care Center Representative providing support during emergency and non-emergency calls

Care Center Representative – Overnight

Care Center Representative providing compassionate support and monitoring medical alerts during emergency situations. Importance placed on customer service in a remote setting.

• Serve as the primary technical field support resource for Rebel Power and communications products
• Provide on-site assistance to defense, government, and commercial customers
• Support customer demonstrations, training, product integration, troubleshooting, and operational field exercises
• Serve as the technical liaison between customers and internal teams
• Work closely with Business Development, Sales, Program Management, and Engineering to ensure successful product deployment

Field Service Representative providing technical support for Rebel Power products

Field Service Representative

Field Service Representative providing technical support for Rebel Power and communications products. On-site assistance for customers, supporting demos, training, and deployments.

• Educate clients on financial planning and insurance options.
• Provide excellent customer service and build lasting relationships.
• Collaborate with a local supportive team.

Financial Representative educating clients on financial planning at Northwestern Mutual

Outside Representative

Financial Representative at Northwestern Mutual educating clients on financial planning and insurance options. Collaborating with a supportive local team to provide excellent customer service and build lasting relationships.

• Demonstrates good customer service skills while initiating outbound calls and receiving inbound calls from customers.
• Negotiates account resolution and accurately inputs and documents actions within the collection systems.
• Maintains up-to-date customer contact information in the collections systems.
• May be required to support other queues to facilitate teamwork in the department.
• Escalates and assists other team members with calls as needed.
• Serves as a resource/subject matter expert and may provide training to fellow team members.
• May be required to initiate external contact with customers and may perform advanced loss prevention activities.
• Review the Month to Date (MTD) sent by the clubs for accuracy.
• Daily review of ABC on prior day dues collections and all club entries.
• Process all refunds from ABC and Point of Sale (POS). Research all refunds from the clubs for accuracy.
• Oversees 3rd party collections and all communication that is needed to the clubs from Swift.
• Works as the liaison between ABC and the Club Operations Managers.
• Timely, responsive, courteous communication with all member inquiries, questions, concerns, and needs.

Member Services Representative handling day-to-day management of dues growth

Member Services Representative

Member Services Representative working for UFC GYM managing dues growth and providing customer service via calls. Responsible for account resolutions and supporting team members.

• Provide superior customer service to MVB clients and internal stakeholders regarding consumer and business online banking products and services.
• Perform daily administration duties to include, but not limited to, building and coding online banking profiles as per procedures and client agreements, daily report monitoring, and enrolling or updating businesses products and services (i.e. ACH, wire, Remote Deposit Capture, bill pay, positive pay, Estatements)
• Facilitate, install and train new Remote Deposit Capture and Positive Pay clients
• Assist Retail, Commercial, and Treasury teammates with sales presentations of online banking and RDC products
• Provide one-on-one end-user, tier two issue resolution support for consumer and business products and services via phone, email or through chat
• Support mRDC, mobile banking, and bill pay
• Support testing and implementation of changes relating to business online banking features (including ACH, wires, positive pay, etc.)
• Identify problems and/or potential problems and take the necessary steps to resolve or escalate
• Routinely provide enhancement recommendations or efficiencies
• Routinely provide training support for internal teammates and other lines of businesses
• Provide back-up support to other department roles
• Work with minimal supervision

Customer service role providing support for online banking products at MVB

Digital Banking Service Representative

Provide customer service to MVB clients for online banking products. Perform administrative duties and support product rollouts and training while residing in the United States.

Representative jobs in South Dakota

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