- Guidehouse (Lewisville, 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
- Kelly Services (Avon, CT)
- …via phone and email with empathy, patience, and professionalism + Assist members with insurance claims , Medicare & Part D questions, and prescription issues ... **Now Hiring: Customer Service Representative ( Medicare Focused) | Temp-to-Hire Opportunity**...Excellent verbal and written communication + Working knowledge of insurance / Medicare terminology + Proficiency in Outlook, Word,… more
- McLaren Health Care (Flint, MI)
- We are looking for a Medicare Customer Service Representative to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... be responsible for assisting providers with eligibility, benefit, and resolution of claims issues. **This position supports our Medicare population. Healthcare… more
- Sedgwick (Ontario, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative Workers Compensation **PRIMARY PURPOSE** : To ... not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to… more
- Sedgwick (Eden Prairie, MN)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Eden Prairie, MN - Hybrid ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… 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 (Las Vegas, NV)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation - Las Vegas, NV ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** Sedgwick is an… more
- Elevance Health (Miami, FL)
- **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Virtual** : This role enables associates to work virtually full-time, with ... provide our members with only the best service and experience possible. The ** Claims Representative III** is responsible for keying, processing and/or adjusting… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …(Palmetto GBA) and CMS web sites + Understanding of the CMS Publication: 100-4 ( Medicare Claims Processing Manual) + Ensures claim information is complete and ... The Medicare Billing and Follow-up Representative are...limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both… 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 ... in our West Trenton or Hammonton 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
- Providence (Renton, WA)
- …caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer reporting, applicable laws, insurance regulations, and other ... claim payments and write-offs and serve as our mandatory reporting authorized representative + Facilitate monthly claims files internal audits including monthly… 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
- 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 (Walnut Creek, CA)
- …**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 (Brookfield, WI)
- …**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
- Surgery Care Affiliates (Boise, ID)
- …& Accounts Receivable: + Bill and re-bill primary, secondary, and tertiary insurance claims daily. + Maintain knowledge of third-party billing requirements ... join our team, they will. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient...insurance providers to resolve issues. + Denials and Claims : + Handle denials and corrected claims … more
- Ascension Health (Wichita, KS)
- …of the daily claims reconciliation process. + Prepare and complete claims for commercial insurance companies, third party organizations and/or government or ... + **Location:** Wichita, KS **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans… more
- Surgery Care Affiliates (Englewood Cliffs, NJ)
- …standard for exceptional patient care in a brand-new environment. The Associate Insurance Verification Representative will: + Verify that sufficient information ... for Primary insurance . + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …or health plan insurance environment. Knowledge of health Care and insurance and the ability to Interpret/Apply Medicare Prescription Drug Benefits, Medical ... to administrative issues related to health plan operations including claims resolution, premium billing, medical benefit interpretation, organization and coverage… more
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