- Monroe Plan for Medical Care (Rochester, NY)
- Utilization Management Intake Representative II Summary Title:Utilization Management Intake Representative II ID:UM 42 (ROC) Location:Rochester, Buffalo, ... federal, state, and local pay equity laws. POSITION SUMMARY The UM Intake Representative II provides and processes information to Monroe Plan's contracted… more
- Kelsey-Seybold Clinic (TX)
- …and to determine disenrollment reasons.. **Job Title: Member Services Representative II -KSPA** **Location: Pearland Administrative Office** **Department:** ... **Responsibilities** Member Service Representatives II -KSPA provide Concierge Service to members of the health plan which include providing a high level of service… more
- Community Health Systems (Vicksburg, MS)
- …coding claims for payor and patient accounts. Patient Accounts Representative II ensures patient registration during check-in/check-out services, monitors ... As a Patient Accounts Representative II you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our… more
- Montana Tech (Butte, MT)
- Admissions Representative II Department : Admissions Employment Detail: Full-Time Salary: $20.00/ hour THIS POSITION IS NOT ELIGIBLE FOR REMOTE WORK Montana ... Montana Technological University seeks an organized and energetic Admissions Representative to engage prospective students, families, and organizations; recruiting… more
- Elevance Health (Houston, TX)
- **Title: Customer Care Representative II ** **Houston, TX** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... between 8am and 8pm EST, possible weekend OT as needed As a **Customer Care Representative II ** you will be responsible for responding to customer questions via… more
- Elevance Health (Miami, FL)
- **Utilization Management Representative II ** **Location:** This role enables associates to work virtually full-time in **Florida** , with the exception of ... are 6 am - 6 pm EST including weekends. The **Utilization Management Representative II ** is responsible for managing incoming calls, including triage, opening… more
- Ryder System (Nashville, TN)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Employee Services Representative II is responsible for second level ... to areas such as: I-9 compliance, Pre-employment services, Unemployment Insurance claims , Immigration Services, Leave Administration, Drug and Alcohol program, HR… more
- Novant Health (MS)
- Job Summary Insurance Follow-Up Representative II Core Responsibilities: + Claims Investigation: Contact insurance payers to determine the cause of claim ... ensuring timely resolution and payment. + Root Cause Analysis: Research and analyze claims to identify trends or patterns contributing to denials or non-responses. +… more
- Ricoh Americas Corporation (Bolingbrook, IL)
- **Support Representative II , Inventory Control** POSITION PROFILE Performs a variety of advanced inventory related duties to support supply chain operations. ... requesting of booked swap orders and RMAs for damage claims process from receipt to disposition or restock of...with defective/cancelled/refused orders. �. Assists in management of damage claims process from receipt to scrap or restock of… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …fully insured and Medicare Commercial plans. **Job Title: Managed Care Representative II ** **Location: Pearland Administrative Office** **Department:** **Member ... to health plan operations including benefit interpretation for providers, claims resolution, referral inquiries, general plan benefits, Kelsey-Seybold Clinic… more
- Novant Health (Charlotte, NC)
- Job Summary Insurance Follow Up Representative II | Novant Health + Analyze patient accounts to identify outstanding balances and determine necessary actions to ... insurance payers and internal teams to ensure timely follow-up and resolution of claims . + Support overall revenue cycle efforts by performing accurate and efficient… more
- Mass Markets (Killeen, TX)
- …a trusted partner in the industry. We're seeking skilled and dependable Contact Center Representative (Level II ) to support a variety of inbound and outbound ... as needed + Accurately document customer interactions and process claims + Conduct needs-based conversations to identify the best...Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job… more
- Mass Markets (Killeen, TX)
- …of the position + Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job offers are contingent on ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (Wichita, KS)
- …of the position + Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job offers are contingent on ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Cardinal Health (Washington, DC)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Trinity Health (Farmington Hills, MI)
- …of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates ... objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and...or settled in a timely and accurate manner. Researches claim rejections, make corrections, take corrective actions, and/or refer… more
- United States Steel (Gary, IN)
- …Description:United States Steel Corporation is actively seeking a Labor Relations Representative . Labor Relations is a key function within our Employee Relations ... position is located at our location. Relocation will be considered. The Representative will be responsible for various activities including: + Interpret the Basic… more
- HonorHealth (AZ)
- …to reduce the A/R Submit appeal letters on unpaid and underpaid claims Participate in accounts receivable collections projects as needed to meet department ... Work the electronic denial file (835b) to ensure clean claim submission Review Charge review work queues as assigned...specialty specific limitation or payer expectations Process the electronic claims batch daily and initiate the printing of paper… more
- Leviton (Melville, NY)
- …and sales force pertaining to customer orders, quotation and entry, claims , stock availability, shipping specifications and product information to ensure customer ... satisfaction. May handle more complex issues requiring additional research and follow up. This position ensures the timely processing of customer orders through various forms of communication in an effort to exceed customer expectations. Responsibilities… more
- NJM Insurance (Parsippany, NJ)
- …a top-rated insurance company, is looking for a Personal Injury Protection Representative who has excellent communication skills as well as strong organizational and ... as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and...communication with involved parties during the course of the claim , via written and/or verbal communication, to provide relevant… more