- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist) On-Site Job Description The Customer Service Representative ( Claims Specialist) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist/Customer Service Representative position at Concentrix...Utilize standard procedures when dealing with problems or performing research ; may need to use judgment to select from… more
- Travelers Insurance Company (Hunt Valley, MD)
- …We are looking for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team. As a Claim Representative Trainee, you will start ... how to apply that knowledge to the handling and resolution of complex liability claims . We provide...and peer mentors for guidance and feedback. + Coverage Research and Analysis - Learn how to research… more
- Travelers Insurance Company (Hunt Valley, MD)
- …We are looking for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team. As a Claim Representative , you will help navigate ... Will You Do?** + In the handling of small to mostly moderate exposure claims , your responsibilities may include: + Coverage Research and Analysis - Responsible… more
- Kelly Services (Columbia, SC)
- Job Summary: We are seeking a motivated and detail-oriented Customer Service Representative to join our team. As a Customer Service Representative , you will be ... responsible for responding to customer inquiries, reviewing and adjudicating claims and appeals, and ensuring effective customer relations. This position requires… more
- Truist (Naples, FL)
- …matters for clients and prospects. May also provide support for solving complex claims or leading claim consulting teams in specialized industry verticals. Must be ... enterprise wide. 2. Manage workflow of the claim teams including Claim Representatives, Claims Consultants, and Claims Account Executives. 3. Resolve unique or… more
- University of Rochester (Rochester, NY)
- …payment date from the payer. + Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim based on fee schedule, APC or ... companies and other third party payers to obtain payments, research and resubmit rejected claims to primary...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… 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. ... and well-being of the unique communities we serve. Summary: The Revenue Cycle Representative is responsible for performing a variety of complex duties, including but… 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
- Children's Hospital Boston (Boston, MA)
- …and denial reports in an effective and timely manner. Ensures prompt resolution of outstanding insurance claims . Identifies trends, denials, issues impacting ... Accept, reject, and reconcile claim runs daily. Ensure prompt resolution of outstanding insurance claims + Effectively...insurance issues when needed + Provide documentation to have claims processed and paid. Research , prepare, and… more
- UNC Health Care (Chapel Hill, NC)
- …of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having received ... denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Review credit balances for possible reallocation or… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …scan lock box cash applications in search of checks. - COLLECTION ASSISTANT a. Research and file bankruptcy claims . b. Open and distribute incoming mail, bundle ... as outlined in one of the following areas: Medical Claims Support Rep, Support Specialist (PAS), Mail Clerk, Collection...carriers. - SENIOR SUPPORT SPECIALIST (PAS) a. Identify and research outstanding accounts that may be subject to probate… 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 ... and commitment to diversity and inclusion. **Overview** The Provider Relations Representative is responsible for assisting our provider constituents and providing… more
- Surgery Care Affiliates (Boise, ID)
- …Accounts Representative Billing Office demonstrates the ability to process claims using multiple systems; organize and handle details with ease; ability to ... representatives, co-workers, other hospital personnel and patients; answer telephones; research information; ability to update and input data into computer;… more
- Beth Israel Lahey Health (Burlington, MA)
- …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 3. Establishes relationships ... within the Central Billing Office. 17. Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals and credits. 18. Completes… more
- US Tech Solutions (Columbia, SC)
- …Handles situations which may require adaptation of response or extensive research . Identifies incorrectly processed claims and processes adjustments and ... non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims… 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** ** ** **Customer Service | Member and Provider Services Representative ** **Clearwater, FL** ** ** **PART-TIME - M-F; 2:00PM TO 6:00PM** **Member and… more
- Covenant Health (Lubbock, TX)
- **Description** This is a combined posting for Associate Billing and Collections Representative , Billing and Collections Representative and Senior Billing and ... supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible for ensuring correct coding initiatives are met for… more
- UNC Health Care (Chapel Hill, NC)
- …+ Review and analysis of registration: Understanding how to term, add, research and fix coverages at registration, edit claims (Coverage Changes, ... insurance companies to obtain information necessary for invoice or account resolution . Verify claims adjudication utilizing appropriate resources and… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Accounts Receivable Representative will be responsible for achieving accurate and timely accounting of all Physician Billing accounts receivable ... accounting system, review outgoing data and correct errors, review and resolution with insurance companies and patients of outstanding accounts receivable.… more
- Mass Markets (Wichita, KS)
- POSITION OVERVIEW BILINGUAL CONTACT CENTER REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for bilingual contact center representatives ... / hour POSITION RESPONSIBILITIES WHAT DOES A BILINGUAL CONTACT CENTER REPRESENTATIVE DO? This position supports customer service and sales oriented interactions… more