- US Tech Solutions, Inc. (Hamilton Township, NJ)
- Job Title: Claims Resolution Representative Location: Onsite at Hamilton Township, NJ 08619 Duration: 12+ Months (Contract to Hire/possible of extension) ... Job Description: . Looking for candidates as Claims Resolution Representative who can...established for final processing. * Resolves claims resolution and/or adjustments/voids. * Processes claim adjustments… more
- Rose International (Greenville, NC)
- …Hiring Organization: Rose International Position Number: 462958 Job Title: Account Representative Job Location: Greenville, NC, USA, 27858 Work Model: Onsite ... 18 months Positions: 2 Location: Greenville NC 27858 Account Services Representative Qualifications * Prior office experience, time management, attention to detail… more
- Trinity Health (Farmington Hills, MI)
- …refer claims to appropriate colleagues to ensure timely and accurate claim resolution . Proactively follow up on delayed payments by contacting patients ... Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** 100% Work Onsite in Livonia, Michigan (Pay Range: $16.4877-$24.7316) Performs day-to-day billing… more
- Travelers Insurance Company (Irvine, CA)
- …deep technical expertise to assist in the resolution of highly complex claims . Mentor other Claim Professionals + Participate in Telephonic and/or onsite ... collaboration with specialty resources (ie medical and legal) to proactively pursue claim resolution opportunities, (ie return to work, structured settlement,… more
- University of Rochester (Rochester, NY)
- …the payer. + Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim based on fee schedule, APC or APG grouper, ... the process conforms to federal and state regulations. The Claim Resolution Rep III will represent the...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… more
- Travelers Insurance Company (Albuquerque, NM)
- …contact with appropriate parties. + Develop and manage litigation strategy with Hearing Representative or Defense Counsel on litigated claims . + Engage specialty ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...resolution strategies in order to negotiate and settle Claims . + Apply knowledge to determine causal relatedness of… more
- Travelers Insurance Company (Bedford, NH)
- …medical providers, and legal counsel. + Investigate, develop, and evaluate action plans for claim resolution . Assess coverage and determine if a claim is ... for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim … more
- Fiserv (Coral Springs, FL)
- …an impact on a global scale, come make a difference at Fiserv. **Job Title** Onsite Claims Customer Service Associate **What does a successful Claims ... years of experience in a back-office administrative environment involving research and issue resolution , claims , and/or disputes + 2+ years of experience working… more
- Martin's Point Health Care (ME)
- …bonus * Paid Parental Leave * Pet Insurance * Employee Assistance Program * Onsite gym in Portland, annual gym reimbursement for other locations * Annual bonus based ... not fully remote position. Job Description The Member Service Representative will interact and support our Health Plan members...for support when needed, as well as coordinates the resolution of inquiries with other departments at Martin's Point.… more
- Conduent (Chesapeake, VA)
- …is noticed and valued every day. **Job Description:** **Benefits Call Center Representative ** ** ONSITE Chesapeake, VA** $15/hr in training $16/hr in production ... day 1 of work! **About the Benefits call center Representative role:** As a member of the Benefits call...office duties, such as, but not limited to, processing claims , filing paperwork, etc. Our call center associates are… more
- TEKsystems (Salem, OR)
- …the best healthcare plans and coverages is looking to add a Customer Service Representative to their team, ONSITE , in Salem, Oregon. Position Description: + ... all Medicare Advantage members. + Assist with coverage and claims related questions. + Accurately interpret benefits and policy...all products. + Conduct research and follow-up for prompt resolution . + Work efficiently in a high volume call… more
- UNC Health Care (Durham, NC)
- …in system tables 5. May serve as a lead worker to provide problem resolution and assistance to lower level positions. 6. Obtain information from patients to verify ... billing issues, credit balances, sequencing of charges, and non-payment of claims . Contact patients, physicians and insurance companies to obtain information… more
- Humana (Indianapolis, IN)
- …claims systems, adjudication, submission processes, coding, and/or dispute resolution . + Proficiency in analyzing, understanding, and communicating complex ... claims systems, adjudication, submission processes, coding, and/or dispute resolution . **Work at Home Requirements** + At minimum, a...Remote but may vary due to travel and occasional onsite work at the Humana Healthy Horizons office in… more
- Erickson Living (Pompton Plains, NJ)
- …with administrative issues related to their Plan membership, including facilitating the resolution of claims , premium billing, and enrollment issues in ... and health care with campuses in 11 states-and growing. The Member Services Representative supports the Erickson Advantage Plan as a member service liaison and… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** Up to 10% **Clearance Required** **:** None **What You Will Do** **:** The **Patient ... Account Representative ** is expected to perform specific areas of billing,...to perform specific areas of billing, follow up, account resolution , adjustment posting, adjustment refunds and scanning as required.… more
- University of Rochester (Rochester, NY)
- …the payer. + Research and calculate underpaid or overpaid claims ; determine final resolution . + Re-calculate claim based on fee schedule, APC or APG grouper, ... status on appropriate payer systems or contact an insurance representative to obtain information as to why claims...for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a… more
- Bombardier (Windsor Locks, CT)
- …plan + Employee Assistance Program **In your role, you will** Title : Field Service Representative , BAS based in Hartford In your role, you will: + Provide onsite ... with ownership of issues or potential issues and ensure resolution is achieved to the satisfaction of the customer...and Bombardier in the determination and processing of warranty claims on green aircraft, completion and vendor warrantable issues… more
- University of Rochester (Rochester, NY)
- …accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the ... to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- Conduent (Guaynabo, PR)
- …individuality is noticed and valued every day. **Bilingual Fraud Customer Service Representative ** (ERP) ** Onsite Guaynabo, PR** $12.10 HR Opportunity to earn ... Benefits and Paid Training!** **Summary:** As a **Bilingual Fraud Customer Service Representative ,** you will be responsible for the resolution of multi-product… more
- Intermountain Health (Taylorsville, UT)
- …and contacts in working with various payer types to ensure timely billing and claim resolution . + Performs account analysis for claim acceptance, rejection, ... + Various insurance options through Select Health, Intermountain's insurance company + Onsite fitness centers and discounts to local gyms + LiVe Well caregiver… more
