- Travelers Insurance Company (Buffalo, NY)
- … Intermediate + Value Determination- Intermediate + Settlement Techniques- Intermediate + Medical Knowledge- Intermediate **What is a Must ... and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Walnut Creek, CA)
- … Intermediate + Value Determination - Intermediate + Settlement Techniques - Intermediate + Legal Knowledge - Basic + Medical Knowledge - Intermediate ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Diamond Bar, CA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature… more
- Travelers Insurance Company (Irvine, CA)
- …- Advanced + Settlement Techniques - Advanced + Legal Knowledge - Advanced + Medical Knowledge - Intermediate **What is a Must Have?** + High School ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- TEKsystems (Tempe, AZ)
- *TEKsystems in partnership with One Medical * Overview This is an inbound healthcare contact center representative role working for a nationwide primary care ... navigating or learning all things healthcare, including but not limited to medical records, authorizations, referrals, and coordinating care among our members' care… more
- CDM Smith (Miami, FL)
- …for possible construction contract modifications. Reviewing construction contractor proposals and claims for any additional cost and/or time. Ensuring all aspects of ... and performed by the construction contractors. **Job Title:** Construction Representative 4 (Contract Compliance Manager) **Group:** CEI **Employment Type:** Regular… more
- Garnet Health (Middletown, NY)
- … Representative on our Patient Financial Services team at/in Garnet Health Medical Center-Middletown. Responsibilities Files insurance claims to all payers in ... timely and accurate manner. Representative serves as primary contact for patient reimbursement issues...or equivalent required, Associates degree preferred in a related medical field or business. Must be proficient in computer… more
- Humana (Helena, MT)
- …time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** **This is a remote role and ... of our caring community and help us put health first** The Appeals Representative 4 Investigates and resolves member and practitioner issues. manages client denials… more
- Nucor Steel Auburn, Inc. (Phoenix, AZ)
- …communities we serve. Nucor supports its teammates with top-tier benefits like Medical , Dental, Vision, and Disability Insurance, 401K and Roth accounts, Profit ... Profit Share 5-year Average: 20.17% A full benefits package, including Medical /Dental/Vision insurances; Life Insurance, Paid Vacation and Holidays; 401k and Stock… more
- The Cigna Group (Bloomfield, CT)
- …points of their lives, to join our team. The Call Center Customer Service Representative represents the company, and our people make all the difference in our ... + Answer inbound calls from health care providerswith Dental Benefit, Eligibility and Claims inquiries. + An average of 50+ calls are expected daily. + Take… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …and rated A++ by AM Best. We are looking for a Agency Billing Representative to join our team! Summary: Establish and maintain service relationship with agents and ... years or more Accounts Receivable experience + Customer Service experience + Intermediate excel skills + Strong written and verbal communication skills EEO… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …and rated A++ by AM Best. We are looking for a Sr. Billing Representative to join our team! Summary: Establish and maintain service relationship with assigned ... 3 years of Accounts Receivable experience + Customer Service experience + Intermediate excel skills + Strong written and verbal communication skills EEO Statement:… more
- UNC Health Care (Smithfield, NC)
- …carrier denial of claim is valid and if not, abstracts information from medical records to support appeal of denial. Works in conjunction with appropriate resources ... and quarterly Credit Balance reports. 6. Payor Audits & Pro-Active Medical Records Requests: Oversee and document all submissions pertaining to payor-generated… more
- Banner Health (CO)
- …after orientation. **Ideal Candidate:** + **Minimum of 1 year experience in Medical Insurance AR** **clearly** **reflected in uploaded resume** **;** + **Minimum of ... 1 year experience** EOB and posting error experience **;** + ** Intermediate to Advanced skill level in Microsoft Excel.** This can be a remote position if you live… more
- Houston Methodist (Houston, TX)
- …providing guidance to internal clients and acting as the organization's corporate representative in litigation and claims management. This position provides ... Methodist, the Senior Risk Attorney position is responsible for risk, claims , and litigation management involving high-exposure and high-profile matters. **This… more
- Superior Ambulance Service (Elmhurst, IL)
- …Ambulance Service is the largest independent, locally owned and operated Emergency Medical Service provider in Northern Illinois and Northwest Indiana, Michigan and ... exceptional, compassionate customer service provided by our employees. Insurance Follow-up Representative The primary purpose of the Accounts Receivable team is to… 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 ... review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, administrative… more
- Brighton Health Plan Solutions, LLC (TX)
- …with or without notice. Primary Responsibilities + Handle inbound calls from members, medical providers, and others. + Adjust claims accurately, if needed. + ... About The Role The Customer Service Representative , Bilingual, assists members, physicians, hospitals, revenue agencies...call center, experience with claims inquiry and claims review procedures, knowledge of medical specialties,… more
- UIC Government Services and the Bowhead Family of Companies (Houston, TX)
- …Government Contracting Officer (CO), contract level Contracting Officer's Representative (COR), Government management personnel, and customer agency representatives. ... + Serves as senior corporate representative responsible for overall contract performance. + Relies on...oral communications abilities commensurate with this supervisory role. + Intermediate to advanced level skills in Microsoft Office software… more
- UIC Government Services and the Bowhead Family of Companies (Langley AFB, VA)
- …with the Government Contracting Officer (CO) and the contract level Contracting Officer's Representative (COR). + Has full authority to negotiate, act and commit for ... written and oral communications abilities commensurate with this management role. + Intermediate to advanced level skills in Microsoft Office software suite - Word,… more