- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that ... resolution of claims . The Bilingual Claims Research & Resolution Representative 2 performs varied activities and moderately complex administrative… more
- 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
- 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
- Humana (Columbus, OH)
- …workflow and success of the Call Center * Assist Customer Service team with claims research / resolution *Assist with new hires training **Location: Remote ... vs. FFS) from hospice to hospice * Assist Customer Service team with claims research / resolution via dispensing systems, PBM systems and fax systems *… more
- HUB International (Jackson Hole, 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
- 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
- Magellan Health Services (Hodge, LA)
- …BS. 5-7 years' claims experience. Minimum 1 year experience of complex claims research and/or issue resolution or analysis of reimbursement methodologies ... The Claims Internal Resolution Analyst is responsible...It has come to our attention that a false representative is contacting potential candidates and offering them work… more
- Guardian Life (Pittsfield, MA)
- …experiences for you to grow and enrich your career and future as a Claims Business Systems Analyst. We believe in your aspirations for purpose, leadership, and ... gathering and completion + Production Support - Ensures successful resolution of open items which includes acting as point...areas and outside vendors on projects relating to the research , analysis, and implementation of new technology. + Ensure… 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
- Travelers Insurance Company (Rancho Cordova, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving, assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- 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
- 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
- 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
- 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
- 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
- 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