- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking a*RCM Representative Senior *to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely ... Knowledge of applicable federal and state regulations **Title:** *RCM Representative Senior , Third-Party Claims -HB&PB* **Location:** *MN-Minneapolis-Downtown… more
- Elevance Health (Mason, OH)
- …health, long term services and supports, and psychosocial needs._ **Network Education Representative Senior - LTSS** **Location:** This position is based in ... and adaptable workplace. Alternate locations may be considered. The **Network Education Representative Senior - LTSS** is responsible for enhancing and… more
- The Cigna Group (Newburyport, MA)
- …help your patients' dreams of having a family come true! As a Pharmacy Technician Senior Representative , you will use your data entry skills to ensure patients ... shipping, insurance, and payment details. + Be a team player - Escalate complex claims to the appropriate team for further action. Why join us? + Health coverage… more
- The Hartford (Lake Mary, FL)
- …Join our team as we help shape the future. The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior ... Sr Representative Claims - CH08BESr Representative...a plus This position may be filled as a Senior Claim Representative or Consultant… more
- Aston Carter (Irving, TX)
- Job Title: Senior Collections Representative Job Description We are seeking a Senior Collections Representative with expertise in business-to-business ... transactions, lien experience, and claims management to handle collections duties for accounts receivable...plus. + Knowledge of mechanic statutes and payment bond claim procedures. + Attention to detail and strong organizational… more
- Penske (Las Vegas, NV)
- **Position Summary:** A Penske Senior Rental Representative demands a confident individual with customer service orientation, strong interpersonal and telephone ... to respond to inquiries or to notify them of claim investigation results and any planned adjustments. * Refer...Requirements:** -The physical and mental demands described here are representative of those that must be met by an… more
- Molina Healthcare (Santa Fe, NM)
- …troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes ... subject matter expertise to successfully engage high priority providers, including senior leaders and physicians, to ensure provider satisfaction, education on key… more
- Fallon Health (Worcester, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose:** The Senior Provider Relations Representative serves as primary liaison for operational ... physicians/providers, hospitals, and ancillary providers within an assigned territory. The Senior Provider Representative is responsible for building and… more
- The Hartford (CA)
- …pipeline ahead of immediate demand and in anticipation of future vacancies. As a Senior Workers' Compensation Claim Representative , you are at the front ... Sr Representative Clms CA - CH08AN We're determined to...Plan, recommend, and execute the investigation and disposition of claims consistent with corporate claim standards policies… more
- The Hartford (Las Vegas, NV)
- Claims Representative - CH09CNSr Representative ...shape the future. This position can be filled as a Claim Representative or Sr. Claim ... Representative based on experience. The Workers' Compensation Claim / Sr. Claim Representative ...planning, recommending, and executing the investigation of workers' compensation claims . Our dynamic team of claim professionals… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Patient Services Representative is responsible for performing patient check in/check out functions and appointment scheduling to ... and mentor to less experienced staff. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions.… more
- Graybar (Fresno, CA)
- Are you ready? As a Senior Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of ... policies + Handle customer complaints promptly and effectively, and report potential claims + Keep management informed of local competition and market conditions +… more
- UPMC (Pittsburgh, PA)
- **Purpose:** The Account Representative , Senior is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all ... monies owed by both insurers and patients. Account Representatives, Senior are responsible to: ensure claims are...high dollar accounts on a regular basis. The Account Representative , Senior is expected to identify recurring… more
- Molina Healthcare (UT)
- …party administrators. + Performs enrollment functions to include call tracking, claims workflow, and encounter requests for verification and updates, PCP assignment ... activity, enrollment record error reports, enrollment/ disenrollment activity + Displays initiative to complete assigned tasks timely and accurately and balances workload to assist peers and leadership team. + Strong knowledge of Enrollment processing for… more
- CHS (Clearwater, FL)
- …Adhering to Team standards for escalation via transfer of calls to a more senior Representative or Supervisor. + For any calls or correspondence where additional ... **Overview** ** ** **Medical Insurance Call Center Representative | Member and Provider Services Representative...graduate or equivalent. + Knowledge of medical terminology, billing, claims and the health insurance industry is preferred but… more
- Ascension Health (Hoffman Estates, IL)
- …the patient account record of all billing activities. + Maintain documentation of claims processed as part of the daily claims reconciliation process. ... and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything… more
- Molina Healthcare (Los Angeles, CA)
- …troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes ... skills to successfully engage high volume, high visibility providers, including senior leaders and physicians, to ensure provider satisfaction, education on key… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** **Fairview Health Services has an opportunity for a Senior Patient Financial Services Representative to be working on site at our Midway Campus ... all revenue cycle processes: insurance verification, acquiring prior authorizations, billing, claim follow up, and denial management. This position is approved for… more
- The Cigna Group (Bloomfield, CT)
- **Pharmacy Prior Authorization Senior Representative - Remote AZ - Remote IL - Remote MA** The job profile for this position is Pharmacy Prior Authorization ... Senior Representative , which is a Band 2...Senior Representative , which is a Band 2 Professional Career Track...systems: + Accurately enter prescriptions into our system, adjudicate claims and work rejections. Use the knowledge you gain… more
- Travelers Insurance Company (Walnut Creek, CA)
- …appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of ... expertise to assist in the resolution of highly complex claims . Mentor other Claim Professionals + Participate in Telephonic and/or onsite File Reviews.… more
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