- Rady Children's Hospital San Diego (San Diego, CA)
- …of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing ... system and from electronic claim vendor processing , They are to correct all errors or warning...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1 /Trainee 1 /2 - NYHELPS Occupational Category Other Professional Careers ... Disability Benefits including Paid Family Leave claimsFor Appointment to Claims Services Representative 1 , SG-18:*...Services Representative 1 DB, Underwriter 1 ; OR* Six years of experience* processing … more
- Humana (San Juan, PR)
- …documentation and communications. + Exceptional attention to detail and accuracy in reviewing and processing claims . + Ability to quickly adapt to and learn new ... caring community and help us put health first** The Claims Review Representative makes appropriate claim decision...systems and technologies relevant to claims processing . + Strong organizational skills with… more
- Texas Veterans Commission (Borger, TX)
- …of Veteran Affairs. . Knowledge of laws, rules, and regulations applicable to the processing of veterans' claims ; and of assessment techniques. . Fluent in ... solving. . Ability to interpret laws, rules, and regulations applicable to the processing of veterans' claims . . Ability to communicate effectively both orally… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Casualty Claims Intake Representative I **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** ... solutions **Qualifications:** **Minimum Qualifications:** + High School Diploma/GED with up to 1 year of experience in Human Resources, Claims , Insurance,… more
- Sedgwick (Rochester, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are ... distance to Syracuse, NY** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate and… more
- Humana (San Juan, PR)
- …assistance. See _Additional Information_ on testing. **Preferred Qualifications** + Prior claims processing experience. + Knowledge of healthcare terminology. ... first** Join Humana's dynamic Puerto Rico team as a Claims Research & Resolution Representative and make...Qualifications** + Must currently reside in Puerto Rico. + 1 year of claims or customer service… more
- NTT DATA North America (Plano, TX)
- …**Required Skills/Experience** + 1 + year(s) hands-on experience in **Healthcare Claims Processing ** + **Previously performing - in P&Q work environment; ... sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in...DATA only. **Role Responsibilities** **- Pay rate is $18.00** - Processing of Professional claim forms files by provider -Reviewing… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** OSD/Cargo Claims Intake Representative I **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** ... **Qualifications:** **Minimum Qualifications:** + High School Diploma/GED with less than 1 year of experience in Transportation/Logistics, Claims , Insurance,… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... globally expanding, industry-leading organization. We are looking forCall Center Claims Representativesto support inbound customer service, help desk, and… more
- Kelly Services (Myrtle Beach, SC)
- …and possess 2 years of customer service experience, including 1 year of claims or appeals processing ; or a Bachelor's Degree in lieu of work experience. ... here in your backyard. Kelly(R) is looking for a Claims Customer Service Representative to work at...based on organizational policies and procedures. + Identifying and processing adjustments for incorrectly processed claims according… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …time to time. 1 . Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the claims ... Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND… more
- Access Dubuque (Dubuque, IA)
- …& Butler/ SISCO Client Service Representative Cottingham & Butler/ SISCO Claims Representative Cottingham & Butler/ SISCO Service Representative Express ... Disability Representative Sr. **Sedgwick** 1 Positions ID:...do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise,… more
- CDPHP (Latham, NY)
- …setting is required. + High school diploma or GED required. + Minimum of ( 1 ) year claims examining procedural review experience utilizing CPT-4, HCPCS, and ICD-9 ... be a part of that experience. The Document Service Representative shall assume full responsibility for the completion of...the completion of the necessary activities related to the processing of incoming mail for the entire organization, as… more
- Travelers Insurance Company (Franklin, TN)
- …us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and ... incentive awards. **Salary Range** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** Be the Hero in...guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating… more
- Black & Veatch (Austin, TX)
- **Construction Project Representative - Water - Loudoun County 1 ** Date: Dec 10, 2025 Location: Dallas, TX, US TX, US Company: Black & Veatch Family of Companies ... control, start up and decommissioning and field engineering. Be the day-to-day on-site representative of the Owner(s) and look out for their best interest. Be the… more
- Select Medical (Canonsburg, PA)
- …to work independently with minimal supervision. + Familiarity with medical billing, insurance claims processing , or indemnity insurance practices is a plus! + ... one year of experience in high-volume computer work, medical billing, or insurance claims processing is preferred. **Additional Data** **A Workplace That Cares… more
- State of Massachusetts (Boston, MA)
- …job. Incumbent of this position is expected to have knowledge of wage processing functions. Supervises and coordinates the work of staff responsible for completing ... benefit amounts, monetary eligibility, reviewing wages/earnings and issues on current claims to determine claimant eligibility on the new claim. Also responsible… more
- State of Massachusetts (Boston, MA)
- …work, available for work and looking for a job. The Job Service Representative I performs customer service and issue resolution by assisting employers or claimants ... determinations in accordance with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, and established Revenue Procedures as well as the Code of… more
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