- Trinity Health (Farmington Hills, MI)
- …refer claims to appropriate colleagues to ensure timely and accurate claim resolution . Proactively follow up on delayed payments by contacting patients ... Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** 100% Work Onsite in Livonia, Michigan (Pay Range: $16.4877-$24.7316) Performs day-to-day billing… more
- University of Rochester (Rochester, NY)
- …the payer. + Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim based on fee schedule, APC or APG grouper, ... the process conforms to federal and state regulations. The Claim Resolution Rep III will represent the...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… more
- Travelers Insurance Company (Irvine, CA)
- …deep technical expertise to assist in the resolution of highly complex claims . Mentor other Claim Professionals + Participate in Telephonic and/or onsite ... collaboration with specialty resources (ie medical and legal) to proactively pursue claim resolution opportunities, (ie return to work, structured settlement,… more
- Travelers Insurance Company (Albuquerque, NM)
- …contact with appropriate parties. + Develop and manage litigation strategy with Hearing Representative or Defense Counsel on litigated claims . + Engage specialty ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...resolution strategies in order to negotiate and settle Claims . + Apply knowledge to determine causal relatedness of… more
- Travelers Insurance Company (Centennial, CO)
- …medical providers, and legal counsel. + Investigate, develop, and evaluate action plans for claim resolution . Assess coverage and determine if a claim is ... for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim … more
- Conduent (Chesapeake, VA)
- …where individuality is noticed and valued every day. **Benefits Call Center Representative ** ** ONSITE Chesapeake, VA** Schedules: Monday - Friday 8:30am-5:30pm ... day 1 of work! **About the Benefits call center Representative role:** As a member of the Benefits call...office duties, such as, but not limited to, processing claims , filing paperwork, etc. Our call center associates are… more
- Martin's Point Health Care (ME)
- …bonus * Paid Parental Leave * Pet Insurance * Employee Assistance Program * Onsite gym in Portland, annual gym reimbursement for other locations * Annual bonus based ... not fully remote position. Job Description The Member Service Representative will interact and support our Health Plan members...for support when needed, as well as coordinates the resolution of inquiries with other departments at Martin's Point.… more
- UNC Health Care (Rocky Mount, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payers, having claim edits, and/or having ... at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Timely resolution...payment corrections, writeoffs, refunds or other methods. 3. Edit claims (DNB, Coverage Changes, Claim Edits, Stop… more
- Surgery Care Affiliates (Boise, ID)
- …and phone inquiries. + Meets and surpasses productivity requirements including timely claim resolution , audits, and follow-up. + Demonstrates initiative to ... Accounts Representative Billing Office demonstrates the ability to process claims using multiple systems; organize and handle details with ease; ability to… more
- US Tech Solutions (Columbia, SC)
- …according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct ... 12 months contract(Possible Extension)** **Job Description:** + Training 6 weeks onsite . No option for Remote. + Medical background, office experience, customer… more
- University of Rochester (Rochester, NY)
- …the payer. + Research and calculate underpaid or overpaid claims ; determine final resolution . + Re-calculate claim based on fee schedule, APC or APG grouper, ... status on appropriate payer systems or contact an insurance representative to obtain information as to why claims...for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a… more
- University of Rochester (Rochester, NY)
- …accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the ... to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- UNC Health Care (Smithfield, NC)
- …all 3rd party appeals including researching and determining if carrier denial of claim is valid and if not, abstracts information from medical records to support ... ensure proper billing. 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the pertinent collection or follow-up activity… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** Up to 10% **Clearance Required** **:** None **What You Will Do** **:** The **Patient ... Account Representative ** is expected to perform specific areas of billing,...to perform specific areas of billing, follow up, account resolution , adjustment posting, adjustment refunds and scanning as required.… more
- Bombardier (Windsor Locks, CT)
- …plan + Employee Assistance Program **In your role, you will** Title : Field Service Representative , BAS based in Hartford In your role, you will: + Provide onsite ... with ownership of issues or potential issues and ensure resolution is achieved to the satisfaction of the customer...and Bombardier in the determination and processing of warranty claims on green aircraft, completion and vendor warrantable issues… more
- Elevance Health (Altamonte Springs, FL)
- …the Possibilities. Make an Extraordinary Impact.** **Position Title:** Enrollment Representative - Benefit Investigation **Location** : Candidates must reside within ... commute each way from **370 Northlake Blvd. Altamonte Springs, FL 32701** **Schedule:** Monday-Friday ** ONSITE ** **Available Shift** : 11 AM - 8 PM EST Hours may be… more
- Conduent (Guaynabo, PR)
- …individuality is noticed and valued every day. **Bilingual Fraud Customer Service Representative ** (ERP) ** Onsite Guaynabo, PR** $12.10 HR Opportunity to earn ... Benefits and Paid Training!** **Summary:** As a **Bilingual Fraud Customer Service Representative ,** you will be responsible for the resolution of multi-product… more
- Crawford & Company (Asheville, NC)
- …of property. Responsibilities + Uses knowledge of property and construction to conduct onsite inspections of property damage and photograph claim sites to depict ... for moderately complex to highly complex residential and commercial property claims by conducting thorough field investigations to evaluate damages and determine… more
- TEKsystems (Solon, OH)
- Description: Training (about 3 weeks) will be from 9:30am-6:00pm onsite M-F Shift then transitions to 11:30am-8pm M-F WFH: Monday, Tuesday, and Fridays Onsite : ... with product and service information. -Process insurance documents and claims -Identify and immediately service or escalate high-priority issues...-Strive for each call to be a "one call resolution " to the issue at hand -Respond to letters/calls… more
- ManpowerGroup (Austin, TX)
- Bilingual onsite Call Center Positions in Austin, TX (Spanish). Two plus years of Call Center experience needed. Must be available for any 8-hour shift from 7 am to ... 30 miles from Austin, TX and able to work onsite each day at customer location. Must be bilingual...assistance to Medicaid clients with questions regarding eligibility, medical claims status, and other program questions in English and… more