- Integra Partners (Troy, MI)
- …Integra Partners from our provider/plan partners. Responsible for the review of DME claims for billing accuracy. Responsible for the investigation of root cause and ... for delivering a solution to our clients in a succinct, professional, and timely manner. Must maintain appropriate documentation and account records and ensure all work is in compliance with all legal, regulatory, and internal Integra policies and procedures,… more
- Zurich NA (Topeka, KS)
- Claims Call Center Representative 127686 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include ... everything you'll need to get started. Responsibilities include: + Manage incoming inquiry calls of different levels of complexity, ensuring a positive customer… more
- Travelers Insurance Company (Meridian, ID)
- …Is the Opportunity?** Applicants who are licensed to handle Workers Compensation Claims in Arizona state are strongly preferred. The selected candidate must reside ... Boise, ID area. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements...ability to take statements. Follows a logical sequence of inquiry with a goal of arriving at an accurate… more
- Travelers Insurance Company (Richmond, VA)
- …**Target Openings** 2 **What Is the Opportunity?** Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...ability to take statements. Follows a logical sequence of inquiry with a goal of arriving at an accurate… more
- Elevance Health (San Juan, PR)
- **Position Title:** Customer Care Representative - Bilingual (English/Spanish) (Hybrid) and Customer Care Representative **Location: Hybrid:** This role requires ... and business operations services for health plans. The Customer Care Representative is responsible for successfully completing the required basic training. Able… more
- Penn Medicine (Philadelphia, PA)
- …Are you living your life's work? **Job Title:** Financial Service Representative **Department:** Surgery Outpatient EA Chair PTS Finance **Location:** Perelman ... **Hours:** Mon-Fri office hours **Summary:** + The position of Financial Services Representative is responsible for a broad range of complex billing activities… more
- Elevance Health (Houston, TX)
- Customer Care Representative **Location:** **Hybrid:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... an accommodation is granted as required by law. The Customer Care Representative is responsible for successfully completing the required basic training. Able to… more
- Elevance Health (East Syracuse, NY)
- **SCA Customer Care Representative I** **Location** : **East** **Syracuse, NY** **;** **Harrisburg, PA; Denison, TX.** This role enables associates to work virtually ... through Friday, 10:35 AM to 7:05 PM EST** The **SCA Customer Care Representative I** is responsible for handling or responding to customer service issues. **How… more
- Elevance Health (New York, NY)
- **Position Title:** Customer Care Representative I **Location: Virtual:** This role enables associates to work virtually full-time, with the exception of required ... essential face-to-face onboarding and skill development. The Customer Care Representative is responsible for successfully completing the required basic training.… more
- Elevance Health (Columbus, GA)
- **Title: Customer Care Representative II** **Columbus, Georgia** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... am - 6:30 pm EST As a Customer Care Representative II, you will be responsible for responding to...written correspondence regarding insurance benefits, provider contracts, eligibility, and claims . In addition to being proficient in all basic… more
- Aston Carter (Canonsburg, PA)
- …(###@astoncarter.com along with your interview availability! Job Opening: Customer Service Representative - Canonsburg, PA Join a dynamic team supporting landowners ... 6-week in-person training About the Role We're seeking a Customer Service Representative to support landowners across various business areas. This role involves… more
- Elevance Health (Des Moines, IA)
- **Customer Care Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training ... 7 AM to 8 PM. Some holidays will be required. The **Customer Care Representative I** is responsible for successfully completing the required basic training. Able to… more
- Martin's Point Health Care (Portland, ME)
- …"Great Place to Work" since 2015. Position Summary The Provider Service Representative I's major responsibility is to professionally respond to telephone inquiries ... but not limited to benefits, eligibility, plan coverage, enrollment status, claims adjudication process, billing, and payments for Martin's Point USFHP Program… more
- LogixHealth (Dania Beach, FL)
- …voice messages from mail box and return patient calls within 24 hours; research inquiry if needed + Respond to patient requests by telephone, fax or email; review ... to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may… more
- Highmark Health (Tallahassee, FL)
- …ULTRA and Dental Provider File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** ... of experience + Experience in Provider Data Management, Customer Services or Claims . + Microsoft office experience (ie Word, Excel, PowerPoint, etc.) **Preferred** +… more
- US Tech Solutions (Columbia, SC)
- …interfaces/transactions/functions as required by insurance laws (such as support of claims , remit advices, inquiry /response for claims status/eligibility, ... enrollment, premium payment etc.), support of all current formats/transactions required by law/ lines of business. *40% Responsible for the setup of all electronic transactions submission by processing enrollment applications, updating associated system files,… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry , claim reconsiderations and appeals. The Customer Service ... candidate will have experience in a high-volume call center, experience with claims inquiry and claims review procedures, knowledge of medical specialties,… more
- University of Rochester (Rochester, NY)
- …not limited to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Microsoft Word, Excel, ... (EPIC Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not paid. + Determines steps necessary to secure… more
- Marion Independent School District (Marion, IA)
- …to the correct accounts. + Maintain and process biannual nonpublic transportation claims in accordance with state and Department of Education guidelines. + Utilize ... other duties as assigned. PHYSICAL REQUIREMENTS:The physical demands described here are representative of those that must be met by an employee to successfully… more
- Benton Community School District (Van Horne, IA)
- …Iowa, 52346, or by telephoning ###. Inquiries related to sex discrimination, including claims of sexual harassmentpursuant to Title IX, should be directed to Phillip ... E. 14th Street, Des Moines, Iowa 50309-1004, ### or ###, http://www.iowa.gov/government/crc/. This inquiry or complaint to the federal office may be done instead of,… more