- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Claims Review Representative 3 makes appropriate claim decision based on ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3...and state and federal legislation. The Claims Review Representative 3 performs advanced… more
- Sedgwick (Milwaukee, WI)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...adjusting licenses as required for the position. **Experience** Three ( 3 ) years of personal line or commercial line property… more
- Select Medical (Canonsburg, PA)
- **Overview** **Patient Account Representative (Managed Care Medicaid Claims )** **- Join Our Team at Select Medical!** **Starting Pay:** $17.00 per Hour (DOE) ... under applicable law._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/286405/patient-account- representative -%28managed-care-medicaid- claims %29/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job… more
- Guidehouse (Lewisville, TX)
- …San Antonio office and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...You Will Need** **:** + High School Diploma/GED or 3 years of relevant equivalent experience in lieu of… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Patient Account ... Representative (PAR)** is expected to perform specific billing processes,...follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …the supervision of the Business Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front ... to resolve the claim issue. The Claim Edit Follow-Up Representative will be expected to review and...claims follow up specialist. **Experience** Required: Minimum of 3 years billing experience, knowledge of healthcare business office… more
- CRC Insurance Services, Inc. (NY)
- …Three years of Claims handling experience and commercial and multi-line knowledge 3 . Ability to critically review a claim file for relevant information, ... **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between… more
- Central Maine Medical Center (Lewiston, ME)
- …leave program for Parental Leaves + Comprehensive Wellness Program + Essential Duties: Review claims using electronic claims software -compliance products, ... The rate of pay is $20.00 per hour. The Claims Processing Billing Representative 's responsibility is to...editing and transmitting. 2. Completes processing for claims received on a daily basis. 3 .… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …English (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Process claims , which includes ... Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If...attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3 .… more
- The County of Los Angeles (Los Angeles, CA)
- CONSUMER AND BUSINESS AFFAIRS REPRESENTATIVE I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4580006) CONSUMER AND BUSINESS AFFAIRS ... REPRESENTATIVE I Salary $52,664.88 - $70,977.84 Annually Location Los...fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal… more
- Truist (Arlington, TX)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Responsible for incoming calls for routine ... business, requiring use of one specialty (eg business care, card, loan servicing). 3 . Utilize a consultative approach to resolve client issues through educating the… more
- The Hartford (San Antonio, TX)
- Consultant Claims - CH08CESr Representative Claims - CH08BE We're determined to make a difference and are proud to be an insurance company that goes well ... our team as we help shape the future. COMPLEX CLAIMS UNIT CONSTRUCTION DEFECT- SR. CLAIM REPRESENTATIVE ...inquiries from customers and provide superior customer service; + Review and analyze multiple complex policies and coverage parts;… more
- UNC Health Care (Rocky Mount, NC)
- …discrepancies through charge corrections, payment corrections, writeoffs, refunds or other methods. 3 . Edit claims (DNB, Coverage Changes, Claim Edits, Stop ... impact on our community's health and wellbeing. Summary: The Revenue Cycle Representative is responsible for performing a variety of complex duties, including but… more
- Sedgwick (Irving, TX)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... is preferred or may be required based on state regulations. **Experience** Three ( 3 ) years of benefits or disability case/ claims management experience or… more
- Sedgwick (Orlando, FL)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... is preferred or may be required based on state regulations. **Experience** Three ( 3 ) years of benefits or disability case/ claims management experience or… more
- Humana (Tampa, FL)
- …Entry Representative 1 works with internal ancillary teams and external vendors to review and report misrouted claims . + Reroute claims to delegated ... community and help us put health first** Data Entry Representative 1 sorts, validates, and inputs a variety of...return mail + Delete claims from the claims processing platform + Review incoming … more
- St. Mary's Healthcare (Amsterdam, NY)
- …procedures to guide and educate insurance teams. . Collaborate with the Senior Claims Analyst to review issues, adjust workflows, and reduce unnecessary ... inform patients and/or practitioners of any non-authorized services. . Review , monitor and bill Episode of Care claims...High school diploma or GED required. Minimum of three ( 3 ) years relevant experience required. . Certified Revenue Cycle… more
- NJM Insurance (Hammonton, NJ)
- Reporting to the immediate designated PIP Supervisor, the PIP claims representative is responsible and accountable for conducting complete and thorough ... skills + Decision-making and multi-tasking capabilities Preferred Qualifications: + Bachelor's degree + 3 -5 years of claims handling experience + 5-7 years of … more
- Travelers Insurance Company (Rancho Cordova, CA)
- …performance-based cash incentive awards. **Salary Range** $83,300.00 - $137,400.00 **Target Openings** 3 **What Is the Opportunity?** This position is hybrid ( 3 ... and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Diamond Bar, CA)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more