• PrideStaff (Fort Myers, FL)
    …Knowledge of product claims /returns Research and investigate claims Facilitate the claim/return process to resolution Receives claims ... Returns and Claims Representative Schedule: Monday - Friday, 8a - 5p Pay Rate: $18-$19 HR (Depending on Experience) Location: Fort Myers Essential Job… more
    JobGet (03/15/24)
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  • Behavorial Health Network, Inc (Springfield, MA)
    …Health NetworkScrub claims prior to submission for errors and billing accuracy. Research and troubleshoot errors for resolution and/or escalate to proper ... utilizing appropriate methods.Follow up on all batches submitted to ensure all claims adjudicate without rejection. Research , develop, and maintain a solid… more
    JobGet (03/22/24)
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  • Claims Resolution Specialist

    Magellan Health Services (Maryland Heights, MO)
    …abandonment rate, talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required ... detailed quality and professionalism. + Assists with claim dispute resolution through research and facilitating the ...all pertinent information is recorded both for ease of resolution by the Claims Department and service… more
    Magellan Health Services (03/19/24)
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  • Customer Service Representative

    Safran (Peachtree City, GA)
    Customer Service Representative - Claims Company : Safran Aerosystems Services Job field : Customer services and support Location : Peachtree City , Georgia , ... click Any questions ? **Job Description** The Customer Service Representative - Claims is a support function...needs of our customers with timely, accurate and professional resolution of customer claims . This function supports… more
    Safran (01/27/24)
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  • Customer Service Representative

    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
    Concentrix (03/14/24)
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  • Claims Representative

    HUB International (Casper, WY)
    …to give, volunteer, engage, and serve their communities. **ABOUT THE OPPORTUNITY:** As a Claims Representative , you will obtain and gather needed claims ... claims associated with jewelers and furniture stores, and research and advise staff of claim denials. **JOB DUTIES:**...and maintain proper documentation and timely follow up for resolution with insurance companies and insureds on problems with… more
    HUB International (02/08/24)
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  • Claim Resolution Representative

    Kepro (Cheyenne, WY)
    …healthcare challenges. Our culture is fueled by passion and driven by purpose. Claim Resolution Representative + Are you an experienced Claim Resolution ... new team member! Position Overview The Adjustment & Resolutions Representative is a pivotal member of our team, tasked...ability to establish priorities effectively. + Previous experience in Claims Resolution is advantageous. + Knowledge of… more
    Kepro (02/21/24)
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  • Concierge Claims Service Executive - Hybrid

    Zurich NA (Atlanta, GA)
    …Analyze data using established tools and methods, making recommendations to support timely claims resolution . + Evaluate claims handling processes to ... issues for respective accounts, liaising with internal and external resources for resolution . At Zurich North America Claims , we prioritize work-life balance… more
    Zurich NA (03/27/24)
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  • Inbound Claims Specialist II - Remote

    2-10 Home Buyers Warranty (Chantilly, VA)
    Inbound Claims Specialist II - Remote Targeted compensation: $19-$22/hrCompensation commensurate with experience and skill set*1 year claims experience required ... a highly motivated, customer centric, and dependable individual to join our Inbound Claims Team. The ideal candidate will be organized with a strong work ethic… more
    2-10 Home Buyers Warranty (03/22/24)
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  • Claim Resolution Rep III, Hosp

    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
    University of Rochester (02/24/24)
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  • Revenue Cycle Representative

    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
    UNC Health Care (01/20/24)
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  • Workforce Absence Care Team Representative

    Sedgwick (Moline, IL)
    …Most Loved Workplace(R) Forbes Best-in-State Employer Workforce Absence Care Team Representative **PRIMARY PURPOSE** **:** To actively research , resolve, and ... plan. + Enters and adjusts payments and evaluates file interface to support payment research and resolution . + Communicates clearly with claimant and client on… more
    Sedgwick (03/27/24)
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  • Deductions Representative I

    Leviton (Melville, NY)
    …as outside salesforce, logistics, warehouse personnel, accounts receivable, and customers for resolution of claims . Chargeback and collect on invalid deductions. ... The Leviton Finance team is looking for a Deduction Representative I to join the Credit, Accounts Receivable &...salesforce, logistics, warehouse personnel, accounts receivable, and customers for resolution of claims . Chargeback and collect on… more
    Leviton (01/16/24)
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  • Revenue Cycle Representative

    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
    UNC Health Care (03/22/24)
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  • Resolution and Adjustment Specialist

    Kepro (Tallahassee, FL)
    …a vital partner for health Acentra Health is currently looking for Adjustment & Resolution Representative with experience in Claims /Billings to join our ... Tallahassee team! The Adjustment & Resolutions Representative will assist with bill-specific research to...of bills. + Make appropriate bill adjustment into the claims system according to contractual requirements and timelines +… more
    Kepro (03/07/24)
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  • Revenue Cycle Representative - Pre-Arrival…

    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
    UNC Health Care (03/20/24)
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  • Revenue Support Representative

    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
    Virginia Mason Franciscan Health (03/01/24)
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  • Network Management Representative

    Elevance Health (St. Louis, MO)
    …status questions and non-routine claim issues. How you will make an impact: + Research and resolution of provider claims issues. + Develops, maintains ... Researches, analyzes and processes demographic changes and terminations. + Coordinates prompt claims resolution through direct contact with providers and … more
    Elevance Health (03/14/24)
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  • Grievances and Appeals Representative I

    Elevance Health (Houston, TX)
    …or ask you for payment as part of consideration for employment. **Grievances and Appeals Representative I** + Job Family: Claims + Type: Full time + Date ... from CS Units, Provider Inquiry Units, members, providers and/or others for resolution or affirmation of previously processed claims . Ensures appropriate … more
    Elevance Health (03/20/24)
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  • Billing and Collections Representative

    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
    Covenant Health (03/21/24)
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