- Penske (Reading, PA)
- …audits, including negotiating with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims . -The position will require the ability ... and efficiencies are met. -The ability to query, analyze data , and map detailed processes coupled with analytical skills...Requirements:** -The physical and mental demands described here are representative of those that must be met by an… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for working across ... collection. Responsibilities include but are not limited to researching, correcting, resubmitting claims , submitting appeals and taking timely and routine action… more
- Virtua Health (Mount Laurel, NJ)
- …insurances on a monthly basis and maintains records of declined claims requiring appeals .Position Qualifications Required / Experience Required:1-3 years ... codes, insurance information) and enters into database.Identifies and resolves denied claims , escalating accounts as necessary to ensure timely payment of … more
- TEKsystems (Philadelphia, PA)
- …Core Experience: + AR Follow Up Experience (2-5 years) + EPIC + Working Denials + Claims Appeals + Home Health Claims *huge plus* Pay and Benefits The ... As the AR Follow Up Representative If you're ready to explore the next...no response. Reviewing denied claims or underpaid claims and resolving the denial and filing appeals… more
- Fairview Health Services (St. Paul, MN)
- …process. + Daily work queues are at zero + Correspondence worked daily + Timely claims processing and timely appeals Demonstrate a high degree of proficiency in ... issue resolution. Mentors and trains staff in the PFS Representative 1 and 2 positions. Maintains the best practice...and PFS management in user acceptance testing. + Screens claims on-line or on paper for accuracy and obtain… more
- UNC Health Care (Chapel Hill, NC)
- …**Job Responsibilities:** + Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials, and ... payer, system or escalated account issues. + May maintain data tables for systems that support PB Claims... data tables for systems that support PB Claims operations. + Evaluate carrier and departmental information and… more
- Sacramento County (Sacramento, CA)
- Utility Billing Services Representative Level I/II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4919510) Apply Utility Billing Services ... Representative Level I/II Salary $45,518.40 - $62,744.40 Annually Location...and practices + Current office practices, procedures, and basic data processing principles, including the use of word processing,… more
- Virtua Health (Mount Laurel, NJ)
- …on assigned insurances on a monthly basis and maintains records of declined claims requiring appeals . Position Qualifications Required / Experience Required: 1-3 ... codes, insurance information) and enters into database. Identifies and resolves denied claims , escalating accounts as necessary to ensure timely payment of claims… more
- Owens & Minor (Columbus, OH)
- … representative follows-up with insurance companies to resolve unpaid claims . **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Researches any overdue account balance ... customers on delinquent payments. + Reviews unpaid and underpaid claims . Resubmits or appeals as necessary. +...a strong ability to understand, interpret and develop spreadsheet data . **Other Skills** **PHYSICAL DEMANDS** This is a stationary… more
- TEKsystems (Philadelphia, PA)
- …Reviewing claims with no response. Reviewing denied claims or underpaid claims and resolving the denial and filing appeals , as necessary. Ensuring all ... could be assigned to hospital, professional or home care claims . -Submits timely, accurate claims to insurance...and escalation to management team as deemed necessary. -Reviewing data sets CPT-codes, IDC-10 codes, HCPCS codes, coordination of… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A Hospital in Los Angeles is in need of a Patient Account Representative . The Patient Account Representative will be responsible to manage patients' ... healthcare providers. - Perform billing and collection activities including insurance claims processing. - Respond to patient inquiries regarding billing, insurance… more
- Robert Half Office Team (Minneapolis, MN)
- …* Accurately process patient data , including appointments, authorizations, claims , invoices, eligibility benefits, and appeals * Provide exceptional ... offering a long term contract employment opportunity for a Customer Service Representative . This role is remote and primarily functions within Pacific Time Zones.… more
- Banner Health (AZ)
- …Office programs, edge, Banner Systems (MS4, CERNER, Finthrive collections(web based), nthrive claims **Monday - Friday: 8 hours shifts - AZ Time - Occasional ... the billing process to the payor, working with the payor through claims processing, ensuring reimbursement to the facility. Provides leadership to the patient… more
- Banner Health (AZ)
- …Microsoft Office programs, edge, Banner Systems (MS4, CERNER, Finthrive collections(web based), nthrive claims **Monday - Friday 8am - 5:00pm AZ Time** **This can be ... activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a… more
- Banner Health (Glendale, AZ)
- …epilepsy, spinal disorders and many other conditions As an **Imaging Authorization Representative ** for our new clinic, you will obtain authorization for all imaging ... will be part of a team that ensures clean claims and excellent customer service, to our patients, and...patient demographic information, codes, dates of service, and clinical data . Re-certifies services when necessary. 2. Authorizes and schedules… more
- University of Rochester (Rochester, NY)
- …edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
- TEKsystems (Harrisburg, PA)
- Description Responsibilities include answering incoming calls related to eligibility, benefits, claims , and authorization of services from members or providers. - ... or inform them of claim investigation outcomes. - Refer unresolved grievances, appeals , and claim resolutions to appropriate departments. - Maintain records of… more
- MyFlorida (Fort Lauderdale, FL)
- …(relocation benefits are not available for this position) OPS Employment Security Representative II This position will be used for multiple vacancies. OPEN ... issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through… more
- MyFlorida (Orlando, FL)
- …(relocation benefits are not available for this position) OPS Employment Security Representative II This position will be used for multiple vacancies OPEN ... The Work You Will Do: This is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment… more
- MyFlorida (Tallahassee, FL)
- …(relocation benefits are not available for this position) OPS Employment Security Representative II This position will be used for multiple vacancies OPEN ... The Work You Will Do: This is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment… more
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