- The Travelers Indemnity Company (Downers Grove, IL)
- …apply Medicare Set Asides and allocations. Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for ... $107,600.00 Target Openings 2 What Is the Opportunity? Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate… more
- Ellis Medicine (Schenectady, NY)
- …ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. Claims in dispute with payers are ... The Accounts Receivable Representative will be responsible for achieving accurate and...slips. Review Billing Exception Report for Revenue Management, the Medicare system (FISS), and the claims scrubber… more
- Catholic Health Services (Fort Lauderdale, FL)
- …in payment delays, underpayments, lost revenue, etc. Billing and follow-up for Medicare co- insurance billing to Medicaid and/or Medicaid MMC/MMA payers for ... billing and timely follow up of all assigned Medicaid claims for Nursing Home and Hospital in a cost...agencies (ie, DCF). Essential Functions Billing of all Medicaid claims via the SSI software (and when appropriate web… more
- UnitedHealth Group (Ontario, CA)
- …some tough challenges. Primary Responsibilities: Assist in end-to-end provider contracting claims and helpline onboarding management Assist in the design and ... Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings… more
- Strategic Health Partners (Kennesaw, GA)
- …resolving appeals with third-party payers. Research and resolve payer rejected/denied claims and analyze accounts for insurance payment accuracy/completeness and ... The Accounts Receivable representative is responsible for ensuring all eligible accounts...Medicare , Medicaid, VA, Tricare and Worker's Comp payers. Insurance Follow-up required and Billing knowledge is a plus.… more
- Hoag Memorial - Red Hill Clinic (Costa Mesa, CA)
- …8 am-4:30 pm; 100% onsite. Job Summary The Collector serves as the account representative for the Client in working with insurance companies, government payors, ... within assigned work queues. *Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool… more
- Elevance Health (San Juan, PR)
- …Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims . Analyzes ... gathering and troubleshooting. Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims . Seeks, understands… more
- Los Angeles Metro (Los Angeles, CA)
- …including generation of contract documents, scopes of work, change orders, claims , and task orders Theories, principles, and practices project management, including ... understand English Special Conditions The physical demands described are representative of those that must be met by the...plan is included in each medical plan. Group Life Insurance - PTSC pays for an amount equal to… 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
- 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 (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
- Sedgwick (Denver, CO)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation - Remote CO **PRIMARY ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… 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
- Salt Lake County (Salt Lake City, UT)
- …of Benefits Contractor on the payment of benefits and establishes an accepted Medicare Set-Aside for claims that reach settlement. + Negotiates claims ... The following duties and responsibilities are intended to be representative of the work performed by the incumbent(s) in...techniques + County, State, and Federal government structure + Insurance , compensation, and tort law + Claims … more
- Kelsey-Seybold Clinic (Pearland, TX)
- …the supervision of the Business Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front ... years' experience in a healthcare business office setting, preferably in electronic claims billing, or insurance follow up. **License(s)** Required: N/A… more
- Central Maine Medical Center (Lewiston, ME)
- …benefits eligible position. The rate of pay is $20.00 per hour. The Claims Processing Billing Representative 's responsibility is to process claims in ... other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is...billing and medical terminology * Thorough understanding of various insurance plans, government agencies, Medicare and Medicaid.… more
- Muckleshoot Indian Tribe (Auburn, WA)
- …is responsible for assuming dual responsibility for processing routine and complex health claims as well as providing customer service for assigned accounts and for ... assuming primary responsibility for processing routine complex health claims on multiple assigned accounts. Acts as a resource for client's/community members and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of Experience Required: 2+ years of claim processing experience with a Medicaid/ Medicare Health Plan. Preferred: Experience in health insurance product ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
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