- Optum (San Juan, PR)
- …Growing together. Primary Responsibilities: Authorizes the appropriate payment or refers claims to investigators for further review Conducts data entry and ... claims processing/issues Handling issues within turnaround standards Ability to...purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin… more
- Optum (San Juan, PR)
- …support to providers through live chat, to give updates on their member's eligibility status or claims status and validates state specific requirements for ... the type of assistance the provider needs (EG. benefit and eligibility , billing and payments, authorizations for treatment, explanation of benefits) Provides… more
- Eisai, Inc (Nutley, NJ)
- …pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code ... and FDA regulatory guidelines.Serves as the legal representative for market access materials on promotional review committees.Proactively informs assigned business… more
- Marriott International (Bethesda, MD)
- Job Description JOB SUMMARY The Claims Representative is responsible for the administration and disposition of medical only (MO) workers compensation (WC) ... claims . Caseload will be exclusively WC claims ...wellness benefits. Benefits may be subject to generally applicable eligibility , waiting period, contribution, and other requirements and conditions.… more
- Gallagher (Oklahoma City, OK)
- …match, we encourage you to apply. Overview We are currently looking for a Claims Medical Only Representative who has a passion to provide outstanding ... to make decisions and resolve issues inherent in handling claims . About You REQUIRED QUALIFICATIONS : - High School...inclusion and diversity Click Here to review our US Eligibility Requirements and Pay Disclosure Statement Inclusion and diversity… more
- Mitchell Martin (Linden, NJ)
- One of our client is seeking for a Orthopedic Medical Billing Representative (Ancillary Services) Type : Perm Schedule: Mon-Fri, 8am-4:30pm Location : Linden, NJ ... Description: Medical Billing Representative specializing in ancillary orthopedic care such as Physical Therapy, DME and Viscosupplementation while ensuring… more
- Hire Reactor (Folsom, CA)
- … verification, request prior authorizations and resolve billing discrepancies Experience in eligibility , benefits and claims is preferred but not required ... Responsible for providing excellent customer service, insurance and billing support Excellent verbal and written communication skills Highly pro-active, goal oriented and motivated attitude Ability to enunciate and speak clearly High work ethics, common sense… more
- Chubb (Walnut Creek, CA)
- …relations are maintained throughout the process. Review and assess new medical-only claims to determine eligibility and coverage under workers' compensation ... Examiner for our West Coast/Pacific region. The successful applicant will be handling claims from California. The position will report and reside in our Los Angeles,… more
- TEKsystems (Brookfield, WI)
- Member Experience Representative - Healthcare Customer Service Remote (First 90 Days)Hybrid in Brookfield or Menasha, WI Are you passionate about helping others ... in a fast-paced, service-driven environment? Job Description As a Member Experience Representative , you'll be the first point of contact for members, providers, and… more
- ASK Staffing (Hartford, CT)
- …enterprise third-party vendor for contingent work. Role Overview: 33751697 Data Entry Representative This position is responsible for Data Entry for a Coordination ... Competitive Intelligence Team. Knowledge with how to read and interpret medical claims , forms and Explanation of Benefits is required. Knowledge and understanding of… more
- Ohio Department of Aging (Columbus, OH)
- The Ohio Attorney General's Office is currently seeking candidates for multiple Claims Account Representative 1 positions in the Collections Enforcement Section. ... Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11… more
- Summit Business Group (Erlanger, KY)
- Company: Summit Business Group Position: Direct Sales Representative Number Of Openings: 1 Territory Sales About Us: Summit Business Group is a rapidly growing ... a focus on excellence and leadership, we are seeking an enthusiastic Direct Sales Representative to join our dynamic and competitive team. The Day To Day Role: As… more
- MMC Group (Austin, TX)
- …and clients. The CSR provides clear, unbiased assistance with questions regarding eligibility , medical claims status, and other program-related topics. Key ... persons hired will be required to verify identity and eligibility to work in the United States and to...Job Requirements Job Title: Contact Call Center Customer Support Representative - Medicaid Support Work Location: Onsite - Austin,… more
- A-Line Staffing Solutions (San Diego, CA)
- … Claims , CSR, Call Center, Inbound Calls, Customer Service Representative , Healthcare, Inbound, Outbound, Benefits, Medical Terminology, Patients, Healthcare Call ... hiring for a Remote Benefits Customer Service (Call Center) Representative in San Diego! If interested in the Remote...full-time employees with 1 year of service on our eligibility dates Benefits Customer Service Rep Responsibilities : Quickly… more
- A-Line Staffing Solutions (Indianapolis, IN)
- …Management Department for authorization of services. - May assist providers with eligibility , benefit, and resolution of claims issues. - Essential Functions ... Description **Job Title:** Temp to Perm - Non-Clinical - Customer Service Representative (Days) **Address:** Indianapolis, IN **Hours:** Day Shift: M-F, 8:00am -… more
- Graybar (Norcross, GA)
- Are you ready? As an Outside Sales Representative for Commerical End User, you will develop new prospects and maintain contacts with established customers for the ... policies Handle customer complaints promptly and effectively, and report potential claims . Keep management informed of local competition and market conditions Carry… more
- VHA Central Office - Integrated Veteran Care (Denver, CO)
- …Networks (IEN), Customer Service. The primary function of the Lead Contact Representative is advising, counseling, reviewing applications and claims , and ... Representative position is advising, counseling, reviewing applications and claims , and responding to requests regarding business processes for all health… more
- Recruit Monitor (Indianapolis, IN)
- …providers, and other affiliated representatives or groups regarding TRICARE eligibility , benefit determinations, and claims adjudication questions or ... Will Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility , benefits determinations, and claims adjudication questions or billing… more
- Optum (San Juan, PR)
- …by identifying waste and error in provider billing practices. The Appeals Representative is responsible for determining the accuracy of the bill submitted by ... accuracy. They must demonstrate an ability to maneuver through all applicable claims applications (COSMOS, UNET, Facets, Pulse, etc.), and over 19 internal… more
- Jamie Grayem (Madison, WI)
- …Match/Contributions, Education Assistance, Bonus Plan Eligibility , Parental Leave Senior Property Claims Representative to join our field claims team. ... SR FIELD PROPERTY CLAIMS ADJUSTER / REMOTE (Must Live in WI)...You'll be providing a consistent, positive, and satisfying claims experience for our clients through the proper investigation,… more
