Appeals Coordinator
About The RoleBrighton Health Plan Solutions (BHPS) is seeking an experienced Appeals Coordinator skilled in investigating and resolving grievances, provider payment disputes and medical appeals submitted by our members and providers. Responsible for ensuring …
Customer Service Representative
About The RoleThe Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representative…
Care Coordinator
About The RoleREMOTE Support Coordinators handle care management, data entry, and communication with various stakeholders in workers compensation cases. They provide education and issue resolution for MagnaCare network providers and customers, collaborating to…
Claims Examiner
About The RoleBrighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts, Medical Policies and Payment procedures as well as capable of manually processing claims…
Instructional Designer
About The RoleBrighton Health Plan Solutions (BHPS) is seeking an Instructional Designer, a remote role, responsible for assisting in the design, development, and delivery of our Learning Management System (LMS) and all incorporated content. The Instructional …