- Eisai, Inc (Nutley, NJ)
- …pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code ... and FDA regulatory guidelines.Serves as the legal representative for market access materials on promotional review committees.Proactively informs assigned business… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking a*RCM Representative Senior *to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely ... Knowledge of applicable federal and state regulations **Title:** *RCM Representative Senior , Third-Party Claims -HB&PB* **Location:** *MN-Minneapolis-Downtown… more
- New York State Civil Service (Queens Village, NY)
- …No Agency DASNY - Dormitory Authority of the State of New York Title Senior Field Representative - Creedmoor PC Occupational Category Other Professional Careers ... Queens Village State NY Zip Code 11427 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level… more
- Penske (Las Vegas, NV)
- **Position Summary:** A Penske Senior Rental Representative demands a confident individual with customer service orientation, strong interpersonal and telephone ... to respond to inquiries or to notify them of claim investigation results and any planned adjustments. * Refer...Requirements:** -The physical and mental demands described here are representative of those that must be met by an… more
- Molina Healthcare (Buffalo, NY)
- …troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes ... subject matter expertise to successfully engage high priority providers, including senior leaders and physicians, to ensure provider satisfaction, education on key… more
- The Hartford (CA)
- …position is open only to candidates who reside in the state of California. As a Senior Workers' Compensation Claim Representative , you are at the front lines ... Sr Representative Clms CA - CH08AN We're determined to...Plan, recommend, and execute the investigation and disposition of claims consistent with corporate claim standards policies… more
- UNC Health Care (Smithfield, NC)
- …and well-being of the unique communities we serve. **This Revenue Cycle Rep Senior will be an onsite position in Smithfield, NC.** Summary: Responsible for ... all 3rd party appeals including researching and determining if carrier denial of claim is valid and if not, abstracts information from medical records to support… more
- GAF (Boston, MA)
- …GAF. And under this roof, we protect what matters most. **Job Summary** The Senior Field Services Representative performs the day to day services within their ... direct supervision. And (as unique from the FSR) the Senior FSR serves as a primary back-up to the...of responsibility and authority. Such increased responsibilities may include: Claims resolution and legal assistance, working with new product… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Senior Patient Services Representative is responsible for performing patient check in/check out functions and appointment scheduling to ... and mentor to less experienced staff. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions.… more
- Graybar (Fresno, CA)
- Are you ready? As a Senior Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of ... policies + Handle customer complaints promptly and effectively, and report potential claims + Keep management informed of local competition and market conditions +… more
- The Hartford (Hartford, CT)
- Claims Representative - CH09CNSr Representative ...shape the future. This position can be filled as a Claim Representative or Sr. Claim ... Representative based on experience. The Workers' Compensation Claim / Sr. Claim Representative ...planning, recommending, and executing the investigation of workers' compensation claims . Our dynamic team of claim professionals… more
- UPMC (Cumberland, MD)
- **Purpose:** The Account Representative , Senior is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all ... monies owed by both insurers and patients. Account Representatives, Senior are responsible to: ensure claims are...high dollar accounts on a regular basis. The Account Representative , Senior is expected to identify recurring… more
- The Hartford (San Antonio, TX)
- …our team as we help shape the future. COMPLEX CLAIMS UNIT CONSTRUCTION DEFECT- SR. CLAIM REPRESENTATIVE / CLAIM CONSULTANT This role will be filled as a ... Consultant Claims - CH08CESr Representative Claims...Consultant Claims - CH08CESr Representative Claims - CH08BE We're determined... Representative / Claim Consultant is a claim handling role within the Complex Claims … more
- Weston & Sampson (MA)
- Weston & Sampson is seeking a Senior Resident Project Representative or Senior Construction Inspector for oversight and inspection of utility and ... with engineers working in support. + With municipality involvement, negotiate claims for extra work/change orders. + Maintain, liaison and attend regular… more
- CHS (Clearwater, FL)
- …Adhering to Team standards for escalation via transfer of calls to a more senior Representative or Supervisor. + For any calls or correspondence where additional ... **Overview** ** ** **Medical Insurance Call Center Representative | Member and Provider Services Representative ** **Clearwater, FL** ** ** + **VERY competitive… more
- Molina Healthcare (Los Angeles, CA)
- …troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes ... skills to successfully engage high volume, high visibility providers, including senior leaders and physicians, to ensure provider satisfaction, education on key… more
- Golden State Foods (Lancaster, TX)
- …(advertising, scheduling interviews, etc.), staffing, preparation of workers' compensation claims , completion of new employee paperwork, support of accounting ... functions, and routine correspondence. (25%) + Maintains Human Resources records and files for all GSF employees (eg, employee status change, address change, job bids, pay rate changes, etc.) to ensure compliance with GSF, federal, and state regulations and… more
- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking a Senior Cross-Functional Collections Representative to support Patient Business Services by managing a diverse portfolio of ... This position plays a critical role in ensuring timely resolution of outstanding claims and contributes to the overall financial success of the organization. In this… more
- University of Miami (Coral Gables, FL)
- …. CORE JOB SUMMARYThe Sr. Insurance Verification Representative verifies insurance eligibility and authorization for all ... customer inquiries regarding insurance coverage of services and processing of claims .6. Follows appropriate procedures to link alternative insurance plan payers to… more
- Ochsner Health (Morgan City, LA)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... data and required forms necessary for the processing of charges/ claims , and ultimately, the receipt and processing of payments...and Environmental Demands** The physical demands described here are representative of those that must be met by an… more
