- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
- Intermountain Health (Washington, DC)
- …payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance ... procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any...additional items received from insurance to patient accounts + Research and follow-up on missing information, such as EOB… more
- CareFirst (Baltimore, MD)
- …in the value of our programs in support of positive member interactions. **ISSUE RESOLUTION :** + Provides research , resolution and support for escalated ... Health Services and across the company. Provides communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted in-network… more
- CareFirst (Baltimore, MD)
- …outcomes in support of corporate initiatives and positive member interactions. **ISSUE RESOLUTION :** + Provides research , resolution , and support for ... Services and across the company to provide communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted, in-network… more
- Point32Health (Washington, DC)
- …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
- System One (Baltimore, MD)
- …practices to ensure Tier One service delivery and operational excellence. + Conduct research , analysis, and resolution for special projects, ensuring timely and ... $35/HR Contractor Work Model: Mostly Remote The Provider Relations Representative is responsible for developing and maintaining positive relationships with… more