- Stanford Health Care (Palo Alto, CA)
- … Representative (PAR) is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The ... rejections, denials, and performing appeals as necessary + Electronic or hardcopy claims editing and submission to payers + Recognizing potential trends and… more
- Caris Life Sciences (Irving, TX)
- …Associate is responsible for reviewing outstanding denied claims with Medicare , Medicaid and Commercial insurance companies. This role involves following ... insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical...information. + Respond promptly and professionally to inquiries from insurance companies, patient, and client's representative with… more
- Guidehouse (Lewisville, TX)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative ** is an extension of a client's business ... Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service... Follow-up + Customer Service + Billing + UB-04 claims + Complete all business-related requests and correspondence from… more
- Select Medical (Camp Hill, PA)
- …balances. Select Medical's **Outpatient** team is seeking a ** Medicare Account Representative ** . Our team ensures that claims are transmitted electronically ... **Overview** ** Medicare Account Representative ** **Starting at $16.00/hour**...+ Work denial report to provide required information to insurance companies for claims payment. + Monitor… more
- Adecco US, Inc. (Phoenix, AZ)
- …a local client in their search to fill a **Remote Workers Compensation Claims Representative ** position **with experience in both Colorado and Arizona states.** ... or equivalent combination of education and experience or successful completion of Claims Representative training required. + Any specific skill/ certification/… more
- Sedgwick (Eden Prairie, MN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation **PRIMARY PURPOSE** : To ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** Sedgwick is an… more
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Claims Processing Representative 2 adjudicates pharmacy claims and processes pharmacy ... support assignments. Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to return,… more
- AdventHealth (Maitland, FL)
- **Account Representative Manager Billing/Collections/Denials -AdventHealth** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons to work at ... - 5:00pm **You Will Be Responsible For:** + Manages the cohesive relationship between insurance and hospital. Works with Insurance payers to ensure proper follow… more
- TEKsystems (Daytona Beach, FL)
- …+ Reliable transportation Bonus Points: + Insurance or mortgage experience + Auto claims or Medicaid/ Medicare experience Hard No's: + Job hoppers + No call ... needs) What You'll Do + Handle 40-50 inbound calls/day about homeowner insurance claims + Calm frustrated callers and provide real solutions + Navigate multiple… more
- TEKsystems (Troy, MI)
- …- at least 1 to 2 years of Call Center Experience (preferably in escalations, claims , or insurance ) - thick skin. Ability to handle difficult conversations. A ... TO HAVE: - insurance or mortgage experience - working with auto claims or any type of claims - someone who has worked for medicaid/ medicare as they are… more
- TEKsystems (Daytona Beach, FL)
- …Bonus Points If You've Got: + Insurance or mortgage experience + Experience with Medicaid/ Medicare or auto claims Not a Fit If You: + Have a history of ... What You'll Be Tackling: + 40-50 inbound calls daily about homeowner insurance claims + Navigate multiple systems to find answers fast + Calm frustrated… more
- Trinity Health (Davenport, IA)
- …the banking industry or a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, ... performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities or an equivalent combination of education… more
- Highmark Health (Pittsburgh, PA)
- …models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office ... based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value… 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
- Travelers Insurance Company (St. Paul, MN)
- …**What Is the Opportunity?** Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best… more
- Travelers Insurance Company (Richmond, VA)
- …**Target Openings** 2 **What Is the Opportunity?** Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best… more
- Sanford Health (SD)
- …Insurance Representative processes and monitors unpaid third party insurance , Medicare , Medicaid or government-assisted program accounts for proper ... Verify, create or update patient accounts for billing, prepare insurance claims forms or related documents, and...desired, leadership may require related experience to the Associate Insurance Representative at Sanford Health for internal… more
- Humana (Austin, TX)
- …agency management reporting. Engages with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them ... and help us put health first** The Agency Management Representative 3 analyzes transactions posted to the general ledger,...to the general ledger. Analyzes and interprets Center for Medicare and Medicaid Services and Department of Insurance… more
- Sharp HealthCare (San Diego, CA)
- …care to include provider services, healthcare administration, health plans and/or claims experience. + 2 Years Experience with customer relationships or account ... Requirements** + Utilizes reliable transportation and possesses adequate personal insurance coverage. Demonstrates clean driving record in accordance with… more
- Travelers Insurance Company (Indianapolis, IN)
- …under direct supervision. As a trainee, you may also be exposed to claims that could involve litigation, settlement negotiations, Medicare set asides and ... Claim team is committed to partnering with our business insurance customers to help their injured employees return to...you will handle all aspects of a workers compensation claims . In this role, you will learn how to… more
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