- ICW Group (Pasadena, CA)
- …and improve results by proactively analyzing and resolving litigated workers' compensation claims . The Certified Hearing Representative works under the ... Doctor). Claims Examiner experience preferred. **CERTIFICATES, LICENSES, REGISTRATIONS** Certified Hearing and Lien Representative (or equivalent) required.… more
- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team....claims from HCPs or patients and vetting the claim against program specific business rules to determine if… more
- Montana State University (Bozeman, MT)
- …Preferred Qualifications - Experience, Education, Knowledge & Skills + Certification as Certified Insurance Service Representative ( CISR ), Certified ... interns. + Ensure compliance with insurance, financial reporting and claims management rules and regulations. + Special event insurance... Certified Insurance Counselor ( CIC ), or Certified Risk Manager ( CRM ), Associate in Risk… more
- Zurich NA (Salt Lake City, UT)
- Claims Call Center Senior Representative 121827 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers ... identify opportunities for customer care's improvements. + Handle first and third-party claims taking responsibility to resolve all enquiries from both customer and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmit claims through the Epic billing system + Works External claim edits from Clearinghouse and resubmits claims through the Epic billing system ... the Department Manager & Supervisor, the Patient Financial Services Representative - Hospital Billing will be responsible for efficient...responsible parties to confirm payment dates, question why a claim was denied or questions why a claim… more
- Methodist Health System (Dallas, TX)
- …management system modules including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and ... profitability. Also depending upon assigned role you may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and… more
- Guidehouse (Birmingham, AL)
- …understanding of diagnosis, HCPCS and CPT codes. + 1 year experience with claim edits and follow-up related to government/non-government claims accounts. + Prior ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...+ 0-2 years of experience in hospital billing and/or claims follow-up **What Would Be Nice to Have** **:**… more
- Thermo King Northeast (Randolph, MA)
- Body Shop Estimator/Sales Representative Department: DeVivo Collision Centers Location: Randolph, MA START YOUR APPLICATION ... have an opening for a full-time Body Shop Estimator/Sales Representative at our collision center in Randolph, MA. DeVivo...collision repair and custom fabrication services. Our team of certified technicians specializes in all makes and models of… more
- HCA Healthcare (San Antonio, TX)
- …Introduction Do you have the career opportunities as a(an) Insurance Verification Representative you want with your current employer? We have an exciting opportunity ... group of colleagues. Do you want to work as a(an) Insurance Verification Representative where your passion for creating positive patient interactions is valued? If… more
- Publix (Lakeland, FL)
- …in which Publix operates, and + Associate of Risk Management designation or Certified Claims Representative Designation. **Zip Code:** 33811-3311 **Benefits ... developing and enhancing processes and policies for litigated and attorney-represented claims . Additionally, this role involves managing legal costs, providing legal… more
- Enviri Corporation (Mount Vernon, AL)
- …. **Preferred Qualifications:** + Professional certification, such as Certified Safety Professional. + Excellent organizational, administrative, and time-management ... required by regulatory agencies and/or Harsco. + Provides support Workers' Compensation Claim Manager as needed. + Maintains safety files and records. **SUPERVISORY… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for ... **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payors and patients. This includes making… more
- IQVIA (Tampa, FL)
- …for a 100% remote (work from home-WFH) contract **Pharmacy Support Call Center Representative ** to join our team. In this position, you will provide payment ... such as co-pay cards or vouchers. The **Pharmacy Support Call Center Representative ** is primarily responsible for fielding requests such as: card activation,… more
- 1-800 Water Damage (Miami Gardens, FL)
- Sales Representative Full Time * Hybrid - US Company Overview 1-800 WATER DAMAGE is a trusted property restoration company serving customer across the nation. With ... matters health and safety. Our team is fully vetted, IICRC- certified , and insured for your safety. Job Summary The...insured for your safety. Job Summary The ideal Sales Representative should have mold remediation and water damage experience,… more
- Trinity Health (Ann Arbor, MI)
- …too.** **General Summary** Under general supervision, The Patient Access Representative is responsible for performing the Patient Access Process components ... well as prevailing regulatory and 3rd party requirements. **Patient Access Representative Essential Duties and Responsibilities** + Interviews patients and physician… more
- Martin's Point Health Care (Portland, ME)
- …life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary Job Description + The ... Provider Service Representative I's major responsibility is to professionally respond to...not limited to benefits, eligibility, plan coverage, enrollment status, claims adjudication process, billing, and payments for Martin's Point… more
- Elevance Health (San Antonio, TX)
- …support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** Onsite at 4751 Hamilton ... **Build the Possibilities. Make an extraordinary impact.** The Utilization Management Representative II - Prior Authorization is responsible for managing incoming… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Patient Services Representative is responsible for performing patient check in/check out functions and appointment scheduling to facilitate ... the patient visit experience. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. Other… more
- Houston Methodist (Cypress, 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
- Providence (Portland, OR)
- **Description** The Community Resource Representative (CRR) will be responsible for: 1) obtaining prescriptions; 2) prosthesis, bra and compression garment fittings; ... 3) submitting insurance claims to the Business Office; 4) supervising volunteers. The...certification, license or registration requirement. + ABC or BOC Certified Mastectomy Fitter, or equivalent experience and ability to… more
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