- University of Rochester (Rochester, NY)
- …and regulations to ensure that the process conforms to federal and state regulations. The Claim Resolution Rep III will represent the department and ... at all times. **Supervision and Direction Exercised** **:** The Claim Resolution Rep III...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… more
- University of Rochester (Rochester, NY)
- …insurance accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent ... to the attention of billing Manager and Supervisor. The Claim Resolution Rep III...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- University of Rochester (Rochester, NY)
- …accounts from the beginning of the billing period through the accurate resolution of the account. Collection activities will focus on self pay accounts. ... process conforms to federal and state regulations. The Collections Representative will represent the department and Strong Memorial Hospital...include but are not limited to: + Unbilled Cash Claims + Self Pay plans not final billed +… more
- University of Rochester (Rochester, NY)
- …providers and various depts to resolve issues and process unresolved claims for reimbursement. **RESPONSIBILITIES:** + Resolves unpaid insurance accounts, including ... a timely period and that are impeding the prompt resolution /collection of AIR. Contacts are via correspondence, telephone, websites...which affect NR, so as to rebill and appeal claims accurately and timely. Responds to written and verbal… more
- University of Rochester (Rochester, NY)
- …system edits, unpaid and denied insurance/client accounts, resulting in payment or resolution of the outstanding claim . Utilizes billing software and adheres ... Responsibilities **General Purpose** Handles all functions associated with the resolution of an exclusive set of complex, specialty accounts. Researches, retains and… more
- Stanford Health Care (Palo Alto, CA)
- …America) **This is a Stanford Health Care job.** **A Brief Overview** The Patient Account Representative III (PAR III ) is responsible for the timely and ... operations including Charge entry and charge batch balancing, Electronic and hardcopy claims editing and submission to various payers (Government, Managed Care, and… more
- LA Care Health Plan (Los Angeles, CA)
- …Solution Center, Call Center, the Customer Solution Center Service Representative III handles provider inquiries and issue resolution of Level One (1) ... Customer Solution Center Service Representative III Job Category: Customer Service...steps. Escalate Level Two (2) provider concerns to the Claims Department for resolution (eg Provider Disputes,… more
- 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...in the program to ensure high quality and timely resolution + Prepare complete and accurate work including appropriately… more
- State of Colorado (Lakewood, CO)
- Analyst III - Sales Tax Accounting Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4456138) Apply Analyst III - Sales Tax Accounting ... serving as specialists in specific industries and are assigned claims which are significant in size and data from...and customer service. The Typical Day of an Analyst III : The unit is actively seeking an Analyst… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …preferred for all positions. **Grade 5** **POSITION PURPOSE** The Enrollment and Billing Specialist III is able to perform the duties of both the E&B Specialist I ... accurate and up-to-date membership records to ensure correct premium billing and claim processing within contract limits. Calculate and process refunds in FACETS and… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Senior Engineer III Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4338367) Apply Senior Engineer III Salary $79,786.51 - ... Works and Environmental Services (DPWES) seeks a Senior Engineer III with construction management experience in who will be...With your keen eye for detail, you'll avoid potential claims and tackle any contract disputes that may arise… more
- State of Colorado (Denver, CO)
- HR Generalist (HR Spec III ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4477351) Apply HR Generalist (HR Spec III ) Salary $4,669.00 - ... but is not limited to, receiving and processing applications; monitoring claims , leave balances, timelines and light duty assignments; overseeing reporting,… more
- Sarasota County Government (Sarasota, FL)
- …with responsibilities of a Project Manager tier level I, II, or III . General Responsibilities include: + Contract administration and oversight of contractor ... reports and material submittals and permit requirements. + Make recommendations for resolution of project related issues. + Review and tabulate quantities for the… more
- Methodist Health System (Dallas, TX)
- …management system modules including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and ... profitability. Also depending upon assigned role you may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and… more
- Montana State University (Bozeman, MT)
- …contact: Adam Edelman, ###@montana.edu, ### Classification Title Net Sys/Comm Analyst III Working Title Director of Network Services Brief Position Overview The ... coordination, customer service analysis, preparation of special reports, conflict resolution , and problem solving. + Major fiscal and administrative responsibilities… more
- State of Colorado (Lakewood, CO)
- …a result of return errors and/or adjustments and issuing refunds when a claim for refund is not required. The unit analyzes historical sales distributions comparing ... must be submitted on the official appeal form, signed by you or your representative . This form must be delivered to the State Personnel Board by email… more
- Centers for Disease Control and Prevention (IN)
- …modifications, negotiation of changes, exercise of options, investigation and resolution of contractor performance problems, appraisal of contractor performance, ... disposition of claims and similar matters through final audit, terminations, close-out...2023, current workforce members certified at Levels I, II, III will automatically be certified in the FAC-C (Professional).… more