- Humana (Augusta, ME)
- …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 (Augusta, ME)
- …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
- Martin's Point Health Care (Portland, ME)
- …or resolution . This should be completed within the timeframes outlined in Representative Expectations document. + Collaborates with PI Research team and or ... + Ability to work efficiently and independently. + Analytical skills in research and problem resolution . + Strong computer skills (keyboard proficient,… more
- Point32Health (ME)
- …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