- CoxHealth (Springfield, MO)
- …please click here: Benefits | CoxHealth Job Summary The Member Service Representative (MSR) will support multiple lines of business for benefit interpretation, ... claims , authorizations and membership inquiries. The MSR’s primary focus...be proficient in multiple lines of business, for example Medicare , group, and Individual Marketplace, translating health care related… more
- Guidehouse (Lewisville, TX)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative ** is an extension of a client's business ... **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500… more
- UCLA Health (Los Angeles, CA)
- Description As a Medicare Collections Representative , you will manage a designated portfolio of inpatient and outpatient claims , ensuring effective and ... up on claims to ensure timely resolution. + Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve… more
- ManpowerGroup (Marquette, MI)
- Our client, a leader in the healthcare industry, is seeking a Claims Service Representative to join their team. As a Claims Service Representative , you ... which will align successfully in the organization. **Job Title:** Temporary Claims Service Representative **Location:** Marquette, MI **Pay Range:** $16.32… more
- Sedgwick (Richfield, MN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto and Property Damage **PRIMARY PURPOSE** ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Corewell Health (Grand Rapids, MI)
- …plan benefits with accessing services, facilitating and resolving problems, understanding claims , billing and coding, along with other questions. Consistently create ... member information to other departments as needed. + Facilitates claims resolution through follow-up on member calls and correspondence...more! + Optional identity theft protection, home and auto insurance , pet insurance + Traditional and Roth… more
- Trinity Health (Davenport, IA)
- …the banking industry or a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, ... performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities or an equivalent combination of education… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a required ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting all parties...1 -3 years' experience as a Workers' Comp Claim Representative , or comparable knowledge and experience with various aspects… more
- Travelers Insurance Company (Walnut Creek, CA)
- …**What Is the Opportunity?** Under general supervision, 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...losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of Experience Required: 2+ years of claim processing experience with a Medicaid/ Medicare Health Plan. Preferred: Experience in health insurance product ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Sanford Health (Hillsboro, ND)
- …Insurance Representative processes and monitors unpaid third party insurance , Medicare , Medicaid or government-assisted program accounts for proper ... reimbursement; primarily but not limited to prebilled accounts. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical… more
- Robert Half Office Team (Long Beach, CA)
- …documented prior to medical services being rendered. + Resolving discrepancies with insurance claims and quickly addressing any issues related to denied ... Description We are currently seeking a detail-oriented and proactive Insurance Verification Representative to join our dynamic team and support patients by… more
- Travelers Insurance Company (Walnut Creek, CA)
- …under direct supervision. As a trainee, you may also be exposed to claims that could involve litigation, settlement negotiations, Medicare set asides and ... Claim team is committed to partnering with our business insurance customers to help their injured employees return to...you will handle all aspects of a workers compensation claims . In this role, you will learn how to… more
- Surgery Care Affiliates (Bonita Springs, FL)
- …for Primary insurance . + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or ... guidelines and the process of collecting over the counter payments/deductibles/copay/co- insurance . Knowledge of payer contracts including Medicare , Medicaid… more
- Truman Medical Centers (Kansas City, MO)
- …experience in a hospital, clinic, or billing office doing what you do best: working insurance claims Deep knowledge of Medicare , Medicaid, and commercial ... In this role, you'll be the go-to pro for insurance billing and claims follow-up - from commercial carriers to Medicare , Medicaid, and everything in between.… more
- Adecco US, Inc. (Wausau, WI)
- …information. + Process and resolve billing inquiries, returned mail, and death claims . + Provide accurate cost estimates and Medicare eligibility information. ... Adecco is assisting a local client recruiting for Billing Representative opportunities in Wausau, WI. This is an excellent opportunity to join a winning culture and… more
- Ellis Medicine (Schenectady, NY)
- …outgoing data is accurate. + Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are ... The Accounts Receivable Representative will be responsible for achieving accurate and...+ Review Billing Exception Report for Revenue Management, the Medicare system (FISS), and the claims scrubber… more
- Elevance Health (WV)
- …make an impact:** + Responds to customer questions via telephone regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems ... Customer Care Representative **Location:** **Virtual MUST Reside in West Virginia**...and troubleshooting. Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims . Seeks,… more
- Elevance Health (Denison, TX)
- **SCA Customer Care Representative I** **Location** : **East** **Syracuse, NY** **;** **Harrisburg, PA; Denison, TX.** This role enables associates to work virtually ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...AM to 7:05 PM EST** The **SCA Customer Care Representative I** is responsible for handling or responding to… more
- Cardinal Health (Columbia, SC)
- …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and...or third party policy. + Updates patient files for insurance information, Medicare status, and other changes… more
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