- Sedgwick (Minneapolis, MN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Richfield, MN PRIMARY PURPOSE ... equivalent combination of education and experience or successful completion of Claims Representative training required. Skills & Knowledge Developing knowledge… more
- Mindlance (Concord, CA)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to ... for an experienced examiner to handle a heavy complex claims desk with mainly litigated claims . I...someone who is reliable and has good references. Self Insurance Plans Certificate. PRIMARY PURPOSE: To analyze complex or… 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
- 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
- UnitedHealth Group (Dallas, TX)
- …cycle experience (billing, collections, or A/R) Experience working with denied healthcare claims Experience working with insurance companies to verify the status ... zone) based on business need Preferred Qualifications: Experience working with Medicare Advantage payers Telecommuting Requirements: Ability to keep all company… more
- Spurwink Services (Portland, ME)
- … Representative will work to resolve outstanding accounts for Medicare , MaineCare and multiple Commercial/third party funders. This includes follow ups, ... Spurwink's Finance department is seeking an experienced Senior Collections Representative with a minimum of five years medical/behavioral health...corrections and resubmissions of claims for all denials. Develop tools to measure trends… 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
- UHS (Philadelphia, PA)
- …systems, Medicare billing experience, cash posting experience, and paper insurance billing claims follow-up preferred. EEO Statement All UHS subsidiaries ... Representative is responsible for billing and collections of all HIPAA compliant claims to insurance companies for payment of all patient related charges and… more
- Guardian Pharmacy, LLC (Marietta, GA)
- …then this is the place for you. Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with ... and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/ insurance information… more
- UHS (Riverside, CA)
- …of decisions, initial notifications, and written notifications following the Centers for Medicare and Medicaid Services (CMS), the Department of Health Care Services ... (UM) program and processes and ensures timely audit submissions for UM, Claims , Credentialing, and other delegated functions. Collaborates with, takes part in, or… more
- Vivie (Alexandria, MN)
- …for Home & Community based divisions of Vivie & affiliates. Coordinate the Medicare , Medicaid, Insurance and private billing process with customers, clinical ... Generate resident charges, prepare and print monthly statements, submit claims to primary and secondary payers, and other third...strong understanding of the state and federal laws concerning Medicare , Medicaid, and Insurance . Ability to meet,… more
- San Bernardino Superior Court (San Bernardino, CA)
- …litigants on matters including, but not limited to, family law, small claims , landlord-tenant and guardianship. Employees in this class typically report to a ... with code requirements; conducts legal research; reviews/assesses factual matters and claims related to cases. Provides information and educational materials to the… 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
- Trinity Health (Farmington Hills, 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
- 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
- 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 (Las Vegas, NV)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation - Las Vegas, NV ... or equivalent combination of education and experience or successful completion of Claims Representative training required. Sedgwick is an Equal Opportunity… 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
