- Magellan Health Services (Maryland Heights, MO)
- …abandonment rate, talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required ... detailed quality and professionalism. + Assists with claim dispute resolution through research and facilitating the ...all pertinent information is recorded both for ease of resolution by the Claims Department and service… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist) On-Site Job Description The Customer Service Representative ( Claims Specialist) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist/Customer Service Representative position at Concentrix...Utilize standard procedures when dealing with problems or performing research ; may need to use judgment to select from… more
- Travelers Insurance Company (Hunt Valley, MD)
- …We are looking for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team. As a Claim Representative , you will help navigate ... Will You Do?** + In the handling of small to mostly moderate exposure claims , your responsibilities may include: + Coverage Research and Analysis - Responsible… more
- Defense Finance and Accounting Service (Indianapolis, IN)
- …to assess the issue and determine action required for resolution . Attempts to eliminate misunderstandings, erroneous information and dissatisfaction discovered ... is defined as: applying financial regulations, policies and procedures to research customer issues; develop solutions and explain regulations and outcomes to… more
- Truist (Naples, FL)
- …matters for clients and prospects. May also provide support for solving complex claims or leading claim consulting teams in specialized industry verticals. Must be ... enterprise wide. 2. Manage workflow of the claim teams including Claim Representatives, Claims Consultants, and Claims Account Executives. 3. Resolve unique or… more
- University of Rochester (Rochester, NY)
- …payment date from the payer. + Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim based on fee schedule, APC or ... companies and other third party payers to obtain payments, research and resubmit rejected claims to primary...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… more
- Travelers Insurance Company (Indianapolis, IN)
- …We are looking for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team. As a Claim Representative Trainee, you will start ... how to apply that knowledge to the handling and resolution of complex liability claims . We provide...and peer mentors for guidance and feedback. + Coverage Research and Analysis - Learn how to research… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Independent Health (Buffalo, NY)
- …questions, billing and payment questions, and EOB explanations. The Provider Relations Representative will focus on first call resolution and navigate various ... and paid time off (PTO), including company-paid holidays. The Provider Relations Representative position offers an opportunity to begin a career at Independent… more
- Children's Hospital Boston (Boston, MA)
- …and denial reports in an effective and timely manner. Ensures prompt resolution of outstanding insurance claims . Identifies trends, denials, issues impacting ... Accept, reject, and reconcile claim runs daily. Ensure prompt resolution of outstanding insurance claims + Effectively...insurance issues when needed + Provide documentation to have claims processed and paid. Research , prepare, and… more
- UNC Health Care (Chapel Hill, NC)
- …of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having received ... denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Review credit balances for possible reallocation or… more
- Banner Health (AZ)
- …while providing excellent customer service and satisfaction with a goal of first call resolution . As a Provider Experience Representative , you will be working in ... parties to ensure delivery of outstanding customer service while facilitating timely research and issue resolution , in a positive work environment, that… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …scan lock box cash applications in search of checks. - COLLECTION ASSISTANT a. Research and file bankruptcy claims . b. Open and distribute incoming mail, bundle ... as outlined in one of the following areas: Medical Claims Support Rep, Support Specialist (PAS), Mail Clerk, Collection...carriers. - SENIOR SUPPORT SPECIALIST (PAS) a. Identify and research outstanding accounts that may be subject to probate… more
- University of Virginia (Charlottesville, VA)
- …processed and followed up to meet the CBO Revenue Cycle performance metrics & representative Facility specific goals. They will also research and answer all ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing...from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and… more
- CVS Health (Orlando, FL)
- …and Electronic Billing (System Adjudication and Web portal billing) + Perform detailed research of claims and outstanding balances. Identifying root cause and ... an opportunity available for a full time Medical Billing Representative . This role will work in a pharmacy operation...communication, and interpersonal skills. + Must also have excellent research , analytical and problem resolution skills. +… more
- Covenant Health (Lubbock, TX)
- **Description** This is a combined posting for Associate Billing and Collections Representative , Billing and Collections Representative and Senior Billing and ... supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible for ensuring correct coding initiatives are met for… more
- CHS (Clearwater, FL)
- …mandate a high level of service, including telephone service, accuracy, call resolution and satisfaction. TheMember and Provider Service Representative (MPSR) is ... **Overview** ** ** **Customer Service | Member and Provider Services Representative ** **Clearwater, FL** ** ** **Monday-Friday; 9:00AM TO 6:00PM** **Member and… more
- Beth Israel Lahey Health (Burlington, MA)
- …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 3. Establishes relationships ... within the Central Billing Office. 17. Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals and credits. 18. Completes… more
- Pacific Medical Centers (Seattle, WA)
- … Representative Overview of Responsibilities: Using established protocols, monitor, research and update patient accounts to reconcile and maximize reimbursement. ... **Essential Functions:** + Researches and resolves rejected, incorrectly paid and denied claims in assigned work-files within an established time frame. Verify … more
- Mass Markets (Wichita, KS)
- POSITION OVERVIEW PART-TIME TECHNICAL SUPPORT REPRESENTATIVE SUPPORTING COMMERICAL CLIENTS As a Technical Support Representative , you will handle blended inbound ... Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other… more