- 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 ... not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid...and Remittance Advice (RA). As well, they are to review CCI or payor specific coding edits and take… more
- US Physical Therapy (Houston, TX)
- …time of growth for USPh, and we are hiring a **Patient Account Representative ** with strong technical ability and business acumen to join our expanding Houston ... Your role will be critical in our billing and claims department, and you will be asked to facilitate...in patient accounts. + Process payments and refunds. + Review and update patient insurance information. + Communicate with… more
- FirstBank (Lakewood, CO)
- …learn more and join the team! **A Brief Overview** The Card Disputes Representative is responsible for the day-to-day operations of general card dispute cases. The ... Representative collaborates with branches, internal departments and customers to...will do** + Respond to and track card dispute claims within regulatory timeframes + Evaluate dispute cases and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Professional Billing & Coding, the Billing & Collections Rep I is responsible to review and process charges via our EMR system. They are responsible to process the ... incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
- Ally (Springfield, IL)
- …liability as quickly as possible. * Negotiates settlement of subrogation claims with at fault party while following established, authorized settlement authority. ... files. * Handles all registers within the guidelines of the state's Fair Claims Practices Acts and other Regulations while also ensuring timeliness and KPIs are… more
- Caris Life Sciences (Irving, TX)
- …The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role ... and submitting required documentation to payors. **Job Responsibilities** + Review insurance denials and take appropriate action. + Check... insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical… more
- Towne Park (Kansas City, MO)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... Maintains timely rhythms and transparency with Area/District Manager. Establishes rhythms to review compliance to standards for their account. - 10% Ensures that the… more
- Basin Electric Power Cooperative (Bismarck, ND)
- …history files for policies, certificates, and invoices. + Continually perform a review of world and domestic markets and industry developments to assure BEPC, ... for use by management and the Board of Directors. + Manage the claims handling process, settlement strategy, investigative process, and reserve setting; manage the… more
- Curia (Springfield, MO)
- …and effectively documented in order to provide traceability and substantiation of any claims to be made in the investigation. This position primarily works in the ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Washington Metropolitan Area Transit Authority (Landover, MD)
- …production, and amount of work to be completed; interpretation of specifications, claims , and pending change orders; coordination of support agencies and activities; ... previously noted by Inspectors; and agreements between the Authority Representative and contractor. + Interdepartmental collaboration and coordination of work… more
- Compass Minerals America Inc. (Overland Park, KS)
- …changes. + Partner with vendors to manage day-to-day operations, including escalated claims resolution, eligibility audits, and system updates. + Support annual open ... perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. **Education &… more
- MISTRAS Group, Inc. (Princeton Junction, NJ)
- …legal and compliance activities at MISTRAS. and manage litigation, activities, draft, review and negotiate company agreements, review and monitor compliance and ... and counsel executives on risk mitigation. **Major Responsibilities/Activities:** + Draft, review , and negotiate a broad range of commercial agreements/renewals and… more
- Compass Minerals America Inc. (Ogden, UT)
- …Minerals' vision, mission, and core values. Additionally, the Human Resource Representative will collaborate with the Human Resource Business Partners and the ... (STD, LTD, FMLA, Etc.) + Manage workers' compensation and unemployment claims , respond appropriately as required + Assist with performance management, payroll… more
- GAP Solutions Inc (Herndon, VA)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... employees. Research waiver and hearing requests. + Conduct desk audits, review management requests for various position management and classification actions and… more
- Edgewell Personal Care (New York, NY)
- …benefits and copy that feels effortless and fun + Partner with Legal to review claims and product copy, ensuring the language stays true to Billie's ... across the organization to ensure all copy across all departments is representative of the brand + Continuously learn and iterate, tracking what messaging… more
- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… 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 Salary ... State NY Zip Code 12206 Duties Description Under the general supervision of a Claims Services Representative 2 responsibilities include, but are not limited to:*… more
- EquipmentShare (St. Louis, MO)
- Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting applications for a future Claims Representative in the St. ... that truly cares. We're accepting applications for a future Claims Representative role at our rental facility...on claim trends, outcomes, and customer feedback for management review . + Team Collaboration: Work closely with other departments,… more
- Sedgwick (Shreveport, LA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation | Jurisdiction: Multi State | ... or equivalent combination of education and experience or successful completion of Claims Representative training required. Jurisdiction: Multi State - 15 states… more
- Sedgwick (Fayetteville, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (REMOTE- State License Required)) Are ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF YOU** + Flexible… more
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