- Humana (San Juan, PR)
- …us put health first** Join Humana's dynamic Puerto Rico team as a Claims Research & Resolution Representative and make a meaningful impact every day! In ... and third-party collection services to facilitate timely and accurate resolution of complex medical claims . + Utilizes...claims , call center, and provider associates to conduct research and analysis on pending claims issues.… more
- Humana (San Juan, PR)
- …and help us put health first** Join Humana's dynamic team as a Claims Research & Resolution Representative and make a meaningful impact every day! In ... and third-party collection services to facilitate timely and accurate resolution of complex medical claims . + Comprised of a group of calls/ claims /provider… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in **for a remote position** . This ... complete compliance training of NTT Data/Client -Work independently to research , review and act on the claims ...above 98.5% PA and 99.75% FA. -Timely response and resolution of claims received via emails as… 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
- 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 General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (San Diego, 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
- TEKsystems (Farmington, CT)
- …operations Required Qualifications + Minimum 3+ years of Hospital Billing (HB) claims follow‑up and denials resolution experience + Experience with Commercial, ... Insurance Follow‑Up Representative (Hybrid) Shift: 7:30 am - 4:00 pm...hospital billing operations. This role focuses on resolving medical claims denials, conducting detailed follow-up with insurance payors, and… 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 ... Luke's in Kansas City is seeking a Patient Accounts Representative to join our team. This role will give...* Identify problem trends * Communicate with payors for resolution to complications with claims * Responsible… more
- CHS (Clearwater, FL)
- …call resolution and satisfaction. The Member and Provider Service Representative (MPSR) is critical to PAS' success, effectively and efficiently handling calls ... **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
- The County of Los Angeles (Los Angeles, CA)
- …and others on consumer laws, labor laws, real estate matters, small claims court procedures, dispute resolution , housing and tenant protection, immigration, ... CONSUMER AND BUSINESS AFFAIRS REPRESENTATIVE I/EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5133631) Apply … more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW TECHNICAL SUPPORT REPRESENTATIVE (FULL-TIME) As a technical support representative , you will handle blended inbound phone interactions with ... contacts in a courteous, timely, and professional manner + Ensure first call resolution through problems solving and effective call handling + Research systems… more
- TEKsystems (Dallas, TX)
- …entire revenue cycle-from account creation to payment resolution . You will research accounts, follow up on claims , review remittances, and resolve disputed ... Patient Account Representative Location: Remote (Must reside in CST time...a thorough understanding of insurance processes. Key Responsibilities + Research patient accounts using internal systems and online resources.… more
- Mass Markets (Wichita, KS)
- POSITION OVERVIEW CALL CENTER REPRESENTATIVE (FULL-TIME) We are looking for full-time call center representatives to support inbound and outbound customer service ... wide variety of clients. In this role, you will identify customers' needs, research every issue, provide solutions, and upsell customers on new products and… more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW CALL CENTER REPRESENTATIVE (FULL-TIME) We are looking for full-time call center representatives to support inbound and outbound customer service ... wide variety of clients. In this role, you will identify customers' needs, research every issue, provide solutions, and upsell customers on new products and… more
- Kelly Services (Fresno, CA)
- …The Customer Support Representative I provides analytical, support, and problem- resolution services related to customer claims , feedback, and inquiries. The ... **Job Title:** Customer Support Representative I (Analyst 1 - Customer Service) **Pay...detail, strong communication skills, and the ability to efficiently research , analyze, and resolve issues across mis-shipments, damaged products,… more
- Mass Markets (Wichita, KS)
- POSITION OVERVIEW ENERGY CUSTOMER CARE REPRESENTATIVE (FULL-TIME) Here at MCI, we keep things light. We believe our customer service representatives are at their ... Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other… more
- Mass Markets (Dallas, TX)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...customer issues to the appropriate staff and managerial for resolution as needed. + Ensure first call resolution… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Service Representative , you will resolve telephone and written Provider claims -related service inquiries. The Provider Services Representative responds to ... with an unparalleled consumer experience. As a Provider Service Representative , you will be at the heart of the...to corporate policies and guidelines, timely filing, account receivables, claims processing, etc. You'll be able to represent the… more
- Mass Markets (Killeen, TX)
- …and professional manner + Resolve customer issues effectively, aiming for first call resolution + Research internal systems to retrieve missing information and ... expanding, industry-leading organization. We're seeking skilled and dependableContact Center Representative (Level II) to support a variety of inbound and outbound… more
- Mass Markets (Killeen, TX)
- …service provider (ISP). In this role, you will identify customers' needs, research every issue, provide solutions, and deliver a world class customer service ... video, and voice (VoIP Phone) service disruptions with a focus on first call resolution by problem solving and effective call handling + Ownership of resolving the… more