- Novo Nordisk Inc. (Plainsboro, NJ)
- …transfers of value, price reporting, disclosure requirements, sharp/drug takebacks), Representative and Organizational licensure (eg, OR rep licensure), NNI ... minimum of 8 years experience if accompanied by an advanced degree or certification (MBA, JD, PMP, etc) Demonstrates functional knowledge and understanding of the… more
- Adelante (Phoenix, AZ)
- …+ Demonstrated experience as an Advocate for Health Care or Human Rights + Certification as Revenue Cycle Representative (CRCR,HFMA) + Certification as ... Accounts Receivable Representative II Job Details Job Location Adelante Healthcare...reductions, fee schedule calculations and comparisons, and review of claims for correct payment + Prioritization and multi-task skills… more
- Surgery Care Affiliates (Boise, ID)
- …Accounts Representative Billing Office demonstrates the ability to process claims using multiple systems; organize and handle details with ease; ability to ... manner that decreases conflict. Qualifications Billing Specialist/ Patient Accounts Representative Requirements: + CPC Certification preferred. +...CPT and HCPC codes and the ability to create claims and assess and resolve claim denials.… more
- Randstad US (El Dorado Hills, CA)
- …professional who has a minimum of 4 years of California Workers' Compensation Claims Representative experience and is looking for a 3-month plus work-from-home ... remote-ca claims workers comp claim adjuster. +...Claims experience; ideally, you will also possess your Claims Adjuster CA certification . Accountabilities include: +… more
- HUB International (Memphis, TN)
- …community support and involvement through HUB Gives** **SUMMARY:** The Claims Representative II is responsible for claim consulting and management service to ... including escalated claims issues, carrier relationships and auditing of the claim handling process as well as the overall agency loss financials. **ESSENTIAL… more
- Sedgwick (Sun Prairie, WI)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Liability **PRIMARY PURPOSE** **:** To process low ... claims ' action plans to resolution, return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines benefits… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Consumer Claims Representative **PRIMARY PURPOSE** **:** To analyze reports ... underwriter/client on high value and complex cases. + Handles high volume of claims , phone calls and correspondence ensuring claim files are properly documented;… more
- Sedgwick (Kansas City, MO)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process complex ... FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly… more
- HCA Healthcare (Denver, CO)
- …integrity. We care like family! Jump-start your career as a Medical Insurance Claims Representative today with HCA Healthcare. **_*This position is Full-time ... for benefits may vary by location._** Come join our team as a Medical Insurance Claims Representative . We care for our community! Just last year, HCA Healthcare… more
- Guardian Life (Holmdel, NJ)
- …here with Guardian in the role of **Senior** **Financial Analyst - Disability Claims ** where you will use your knowledge and experience to resolve complex financial ... into the future. **You will** + Work closely with Claims Examiners and Managers to support the analysis of...non-financial staff on key financial concepts related to disability claim analysis. **You have ** + Bachelor's degree in… more
- UNC Health Care (Goldsboro, NC)
- …WAYNE Other information: Education High School diploma or GED required. Licensure/ Certification CRCR (Certified Revenue Cycle Representative ) certification ... Revenue Cycle Director in maintaining accounts receivables at appropriate levels. Submits insurance claims to the appropriate payers on a daily basis in adherence to… more
- Tidelands Health (Pawleys Island, SC)
- …leadership including billing, follow-up, cash management and denials management. **LICENSURE/ CERTIFICATION ** : Certified Revenue Cycle Representative or ... performance in back-end revenue cycle metrics (AR Days, Final Denial Rate, Clean Claims rate, etc.) + Foster a culture of continuous improvement in revenue cycle… more
- UNC Health Care (Chapel Hill, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having ... through charge corrections, payment corrections, writeoffs, refunds or other methods. Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope… more
- Children's Hospital Boston (Boston, MA)
- …offices, service sites and ancillary departments. Prepares and submits accurate insurance claims to payer within proper timeframes. Works payer scrubber and denial ... effective and timely manner. Ensures prompt resolution of outstanding insurance claims . Identifies trends, denials, issues impacting account resolution or workload… more
- Tidelands Health (Georgetown, SC)
- …of the Revenue Cycle Manager, the Billing and Follow Up Representative applies professional administrative knowledge and skill while providing accountable oversight ... Receivable assets of Tidelands Health facilities by Billing & Collecting Insurance Claim Balance(s) and will be responsible for the following: + Ensure accurate… more
- UNC Health Care (Chapel Hill, NC)
- …registration, calling insurance carriers to obtain policy information, working outstanding insurance claims having no response from payors, having claim edits, ... Understanding how to term, add, research and fix coverages at registration, edit claims (Coverage Changes, Registration updates and Claim Edits) within scope of… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Accounts Receivable Representative will be responsible for achieving accurate and timely accounting of all Physician Billing accounts receivable ... written and phone), interpersonal and positive customer relations skills required. Certification : N/A High School Diploma or Equivalent required. Associate's degree… more
- Carle (Urbana, IL)
- …of insurance claims by validating coverage, resolving charge review edits, claim edits and front end clearinghouse and payer rejections. In addition, follows up ... Accounts Receivable Representative + Department: Patient Financial Services + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment Type:… more
- Beth Israel Lahey Health (Burlington, MA)
- …and maintains open communication with third party payor representatives in order to resolve claims issues. 4. Reviews claim forms for the accuracy of procedures, ... and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts,… more
- HSS (New York, NY)
- …be part of our transformation across the enterprise Accounts Receivable Representative Full-Time GENERAL SUMMARY OF DUTIES: Accounts Receivable addresses the denied ... claims and follows up with insurance companies regarding unpaid claims . Once insurance has paid, patient responsibility is addressed with the patient. The goal… more
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