- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... and resolution of claims . The Claims Research & Resolution Representative 2 performs varied activities and moderately complex administrative /… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- HCA Healthcare (Augusta, GA)
- …**Introduction** Do you have the career opportunities as an Medical Insurance Claims Follow up representative you want with your current employer? ... **Job Summary and Qualifications** As an **Insurance Follow up Representative ** , you will be responsible for processing insurance...issues and thereby affect payment and/or bringing them to resolution . **What you will do in this role:** +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Financial Representative - Oncology Claims Follow-Up/Billing Corporate Full-Time Days** Analyses accounts and billing(s) to ensure accurate ... a timely manner, to immediate supervisor for handling or resolution + Utilizes trial balance and other reports to...of Health funding and in the 99th percentile in research dollars per investigator according to the Association of… more
- The County of Los Angeles (Los Angeles, CA)
- …obtain a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal ... of tasks on a variety of consumer matters, including real estate, small claims court, mediation, dispute resolution , and other programs. Incumbents learn to… more
- UNC Health Care (Rocky Mount, NC)
- …related denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Timely resolution of credit balances. ... 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
- Travelers Insurance Company (Irvine, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Diamond Bar, CA)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- R1 RCM (Oklahoma City, OK)
- …As our Billing Representative II, you will work to bring accounts to resolution by tracking claims through the billing process to identify problem areas to ... and determine best course of action to resolve aging claims . * Interact with third parties representative ... process. * Responsible for the follow-up on A/R research projects; review status of accounts, action taken, and… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- UNC Health Care (Chapel Hill, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works ... physician claims ("professional billing"). + Maintains A/R at acceptable aging...through charge corrections, payment corrections, write-offs, other methods. + Research medical records to gather information and substantiate medical… more
- University of Virginia (Charlottesville, VA)
- …processed and followed up to meet the CBO Revenue Cycle performance metrics & representative Facility specific goals. They will also research and answer all ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing...from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and… more
- Access Dubuque (Dubuque, IA)
- …is a positive experience. 4. Utilize various systems to track calls and research information for claims /benefits. **What We're Looking For:** + Strong ... Customer Service Representative **Cottingham & Butler/ SISCO** 1 Positions ID:...plans. The ideal candidate will utilize various systems to research inquiries and accurately document customer interactions. **Essential Functions:**… more
- Saint Luke's (Kansas City, MO)
- …errors * Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage denials. * Research and outline documentation ... **Job Description** The Patient Account Representative will be responsible for reviewing and auditing...* Identify problem trends * Communicate with payors for resolution to complications with claims * Responsible… more
- CHS (Clearwater, FL)
- …mandate a high level of service, including telephone service, accuracy, call resolution and satisfaction. TheMember and Provider Service Representative (MPSR) is ... **Overview** ** ** **Medical Insurance Call Center Representative | Member and Provider Services Representative...Supervisor. + For any calls or correspondence where additional research is necessary, clearly explaining to the caller the… more
- University of Virginia (Charlottesville, VA)
- The Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure that Medical Center receives correct ... insurance companies. They are responsible of ensuring that all claims billed are in compliance with all federal and...Aging Account percentages and Cash goals. They will also research and answer all questions and complaints regarding patient… more
- Independent Health (Buffalo, NY)
- …questions, billing and payment questions, and EOB explanations. The Provider Relations Representative will focus on first call resolution and navigate various ... paid time off (PTO), including company paid holidays. The Provider Relations Representative position offers an opportunity to begin a career at Independent Health.… more
- Mass Markets (Killeen, TX)
- POSITION OVERVIEW CALL CENTER REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for call center representatives to support inbound and ... Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other… more
- Fairview Health Services (St. Paul, MN)
- …the billing and insurance processing of their healthcare services. The CSC Representative will counsel patients on financial solutions available to them either ... payment plans, or screening for qualification for assistance programs. The CSC Representative will manage both hospital and physician accounts in all systems and… more
- Mass Markets (Savannah, GA)
- …the industry. We are looking for a dedicated and enthusiastic Technical Support Representative to join our team. In this role, you will provide outstanding customer ... contacts in a courteous, timely, and professional manner + Ensure first call resolution through problems solving and effective call handling + Research systems… more