- Alameda Alliance For Health (Alameda, CA)
- …and metrics may be eligible to be promoted to a Member Services II or III role. Member Services Representative I staff may be eligible for promotion to ... Member Services Representative II or III positions once they...of assistance the caller needs such as benefits, eligibility, claims , behavioral health , and care coordination. Answer… more
- Corvel (Cincinnati, OH)
- …customers. Primary source of quality assurance and information for MCO's Claims team. Supports management by handling quality assurance and escalated issues, ... & RESPONSIBILITIES: Conduct quality reviews/audits to ensure appropriate management of the claims and office, score the office performance, and make suggestions and… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Service Representative III Job Category: Customer Service Department: Customer Solution Call Center Location: Los Angeles, CA, US, 90017 ... (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...Solution Center, Call Center, the Customer Solution Center Service Representative III handles provider inquiries and issue… more
- Elevance Health (Columbus, GA)
- **Customer Care Representative IIII** **Location:** **Onsite:** This role requires associates to work from the posted locations full-time, enabling consistent ... immediate support. Alternate locations may be considered. The **Customer Care Representative ** is responsible for responding to customer questions via telephone and… more
- University of Rochester (Rochester, NY)
- …routine and non-routine letters of correspondence related to appeals on denied claims , billing and patient communications. + This includes compiling all necessary ... world ever better. If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your… more
- University of Rochester (Albany, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for ... routine action to resolve unpaid claims . The Claims Resolution Representative III reports...you're looking for a career in higher education or health care, the University of Rochester may offer the… more
- University of Rochester (Rochester, NY)
- …Payer Website link (EPIC Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not paid. + Determines steps ... been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes necessary to collect… more
- State of Colorado (Denver, CO)
- …as a representative between the response management structure (Ie public health emergency manager, incident commander or IMT) and the State in providing ... and procedures, and state/federal resource. + When designated, serve as the ESF 8 representative to an IMT. Assist local public health agencies in largescale… more
- Bayer (IA)
- …and diverse minds to make a real difference, there's only one choice.** **Field Sales Rep III Seed** The Sales Representative III position will reside in a ... world's toughest challenges and striving for a world where ' Health for all Hunger for none' is no longer...Iowa territory. As a Field Sales Representative III you will create demand for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: This position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. The incumbent's analyses include ... that meet our cost and quality management needs. Level III (in addition to Level II Accountabilities) * Independently...initiatives, and changes to process flows. * Reviews complex claims , financial models, test results, and trends with providers… more
- Amentum (Washington, DC)
- …Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as ... from 2001- 2004. In 2011, the James Zadroga 9/11 Health and Compensation Act of 2010 was signed into...information about the VCF can be found at https://www.vcf.gov/. Claims Reviewers works with DOJ claim review leadership to… more
- The County of Los Angeles (Los Angeles, CA)
- SUPERVISING CLINICAL LABORATORY SCIENTIST III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2918845) Apply SUPERVISING CLINICAL LABORATORY ... SCIENTIST III Salary $117,356.88 - $176,293.20 Annually Location Los Angeles...CA Job Type Full time Job Number Y4905J Department HEALTH SERVICES Opening Date 12/24/2020 + Description + Benefits… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Pharmacy Access Representative III (PAR) is responsible for the overall financial ... to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and… more
- Bayer (IA)
- …minds to make a real difference, there's only one choice.** **Field Sales Rep III CP** **Field Service Representative - Crop Protection-** The Crop Protection ... world's toughest challenges and striving for a world where ' Health for all Hunger for none' is no longer...(CP)/Seeds & Traits (S&T) Field Sales Representative is responsible for growing the market share of… more
- Bayer (MN)
- …minds to make a real difference, there's only one choice.** **Field Sales Rep III Seed** This DEKALB/Asgrow Field Sales Representative IV position in Minnesota ... world's toughest challenges and striving for a world where ' Health for all Hunger for none' is no longer...and NE Iowa. As a Field Sales Representative IV you will create demand for Bayer seed… more
- Trustmark (Augusta, ME)
- …our colleagues, clients and communities. **About the role** The Case Underwriter III is responsible for providing timely and accurate underwriting offers, while ... necessary. + Learns to underwrite pending files received for review and contestable claims files for underwriting. + Works with reinsurer on cases that require… more
- University of Rochester (Rochester, NY)
- …that the process conforms to federal and state regulations. The Collections Representative will represent the department and Strong Memorial Hospital (SMH) in a ... reports include but are not limited to:** Unbilled Cash Claims ** Self-Pay plans not final billed** Hold Bill Worklists**...you're looking for a career in higher education or health care, the University of Rochester may offer the… more
- ZOLL Medical Corporation (Knoxville, TN)
- …and other ZOLL products such as our portfolio of cardiac diagnostic services to Health Care Professionals in the hospital and out of hospital setting. This includes ... intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all times… more
- Methodist Health System (Dallas, TX)
- …few months: Provides education to physicians and office personnel on the health plan contracts, fee schedules, claims processes, and regulatory requirements. ... Job Description: The purpose of the **Associate Provider Services Representative ** is multifaceted; it requires excellent interpersonal and communication skills,… more
- Percepta (Melbourne, FL)
- …role or equivalent training. * Minimum 1 year of experience as a Technical Service Representative III . * Diesel and Gas engine diagnosis and repair experience. * ... service across each market we support. As a **ESP Prior Approval Technical Representative IV** in **Melbourne, Florida** , you'll be a part of creating and… more
