- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... and resolution of claims . The Claims Research & Resolution Representative 2 performs varied activities and moderately complex administrative /… more
- State of Massachusetts (Boston, MA)
- …to Job Service Representatives I and Job Specialists III on fact-finding, the resolution of nonmonetary issues and the claims filing process. * Interpret ... work and looking for a job. The Job Service Representative II (JSR II) assists the unit manager in...unit manager in the operations of the Adjustment and Claims units within the Unemployment Insurance Telephone Claims… more
- Intermountain Health (Boston, MA)
- …Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. ... and resolves claims submission, disputes or complaints to resolution , as needed. Resolves billing/insurance issues and ensures compliance with departmental… more
- Point32Health (Canton, MA)
- …regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint ... works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation… more
- Fallon Health (Worcester, MA)
- …ancillary provider inquiries and requests for services associated with the resolution of provider complaints relating to operational concerns, policy and procedures ... and subsidiaries. Understand Fallon Health policies and facilitate and the research required to resolve provider issues. Work collaboratively with internal… more
- Fresenius Medical Center (Lexington, MA)
- …and/or liability oriented questions or issues to multiple divisions of FME. Litigates claims . + Develops and directs overall case management and strategy from intake ... The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions… more