- Trinity Health (Farmington, MI)
- …of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates ... clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information. Performs all follow-up functions which includes the… more
- Community First Medical Center (Chicago, IL)
- …to complaints or billing issues. Ensure proper submission and adjudication on all claims submitted to third party carriers, Medicaid, Medicare . Respond to all ... and federal billing regulations. 5. Complete the follow-up of claims when an error is identified and account follow-up...| Company Paid Short-term Disability | Company Paid Life Insurance | 401(k) | Voluntary Benefits: Hospital Indemnity &… more
- Astrana Health, Inc. (El Monte, CA)
- …Annual Wellness Visit (AWV) - Gift card pick up and schedules Appointment of Representative (AOR) for Medicare Members Attorney / Third Party Vendor calls ... Customer Service Representative (Cantonese or Mandarin Speaking) Department: Ops -...all daily telephone calls from members, providers, health plans, insurance brokers, collection agents and hospitals Collect Elicit information… more
- Meduit (Charlotte, NC)
- …environment Knowledge of medical terminology, HIPAA, Medicaid, Medicare , Insurance and FDCPA Experience with medical billing/ claims processing Time ... them thrive at Meduit! As a Medical Customer Service Representative , you'll be a key point of contact, compassionately...with all federal and state laws and regulations (HIPPA, Medicare Fraud, Waste and Abuse, etc.) regarding collections policies… more
- ECMC (Buffalo, NY)
- …and correctly files correspondence requests; Monitors insurance denials; contacts insurance companies to resolve and recover denied claims ; Evaluates ... unresolved third party claims and processes appeals with insurance companies to obtain proper reimbursement; Collaborates with internal and external departments… more
- Equiliem (Livermore, CA)
- …operating systems directly related to specific job function. Initiates contact with insurance carriers regarding status on claims . Maintains accurate and ... procedures and requirements. Can work independently. Takes incoming calls from insurance carriers and patients. Contributes to team effort by accomplishing related… more
- Curant Health (Smyrna, GA)
- …monitor, and manage pharmacy claims to third-party payers, including commercial insurance , Medicare , and Medicaid. Monitor aging reports and follow up on ... continuity of operations. Responsibilities Process Insurance Claims : Submit,...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
- Los Angeles Metro (Los Angeles, CA)
- …Prepares and presents relocation related notices Reviews and processes relocation claims and payments Provides oversight on acquisition and relocation delivery ... understand English Special Conditions The physical demands described are representative of those that must be met by the...plan is included in each medical plan. Group Life Insurance - PTSC pays for an amount equal to… more
- Los Angeles Metro (Los Angeles, CA)
- …including generation of contract documents, scopes of work, change orders, claims , and task orders Theories, principles, and practices project management, including ... understand English Special Conditions The physical demands described are representative of those that must be met by the...plan is included in each medical plan. Group Life Insurance - PTSC pays for an amount equal to… more
- Beacon Health System (Elkhart, IN)
- …card(s) and driver's license or other government picture ID to confirm insurance benefits and identification. Completing the Medicare Secondary Payer ... needed. Registers patients (in order to obtain demographic, physician and insurance information in accordance with established departmental policies and procedures)… more
- ARStrat (San Antonio, TX)
- …a plus. - Familiarity with health insurance providers, Workers' Compensation, Medicare , Medicaid, and liability claims processes. - Practical or classroom ... POSITION RESPONSIBILITIES: As a Customer Service Representative at GetixHealth, you will be responsible for...of calls, addressing patient inquiries related to billing, payments, claims , benefits, and coverage. You will perform these duties… more
- Guidehouse (San Antonio, TX)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative ** is an extension of a client's business ... **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500… more
- UCLA Health (Los Angeles, CA)
- Description As a Medicare Collections Representative , you will manage a designated portfolio of inpatient and outpatient claims , ensuring effective and ... up on claims to ensure timely resolution. + Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve… more
- Sedgwick (Pasadena, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Representative | Dedicated Account | ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Chicago, IL)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Chicago, IL or Eden ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- BrightSpring Health Services (Arlington, TX)
- …in obtaining information completing necessary documentation or following up on outstanding claims + Individual with an understanding of Insurance and Medicaid ... Competitive pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance...as assigned + Achieves productivity goals with regard to calls/ claims per hour as determined by the Director and… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a required ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting all parties...1 -3 years' experience as a Workers' Comp Claim Representative , or comparable knowledge and experience with various aspects… more
- Salt Lake County (Salt Lake City, UT)
- …of Benefits Contractor on the payment of benefits and establishes an accepted Medicare Set-Aside for claims that reach settlement. + Negotiates claims ... The following duties and responsibilities are intended to be representative of the work performed by the incumbent(s) in...techniques + County, State, and Federal government structure + Insurance , compensation, and tort law + Claims … more
- Kelsey-Seybold Clinic (Pearland, TX)
- …the supervision of the Business Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front ... years' experience in a healthcare business office setting, preferably in electronic claims billing, or insurance follow up. **License(s)** Required: N/A… more
- Central Maine Medical Center (Lewiston, ME)
- …benefits eligible position. The rate of pay is $20.00 per hour. The Claims Processing Billing Representative 's responsibility is to process claims in ... other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is...billing and medical terminology * Thorough understanding of various insurance plans, government agencies, Medicare and Medicaid.… more
