- University of Rochester (Albany, NY)
- …qualifications, expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is ... routine action to resolve unpaid claims . The Claims Resolution Representative III...claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution… more
- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. + Follows up on unpaid accounts working claims . + Reviews reasons for claim denial. + Reviews payer website or contacts ... payment and completes and documents follow up by resubmitting claim or deferring tasks. + Researches and calculates under...deferring tasks. + Researches and calculates under or overpaid claims ; determines final resolution . + Contacts payers… more
- University of Rochester (Rochester, NY)
- …insurance accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent ... to the attention of billing Manager and Supervisor. The Claim Resolution Rep III...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. Follows up on unpaid accounts working claims . Reviews reasons for claim denial. Reviews payer website or contacts payer ... claim or deferring tasks. Researches and calculates under or overpaid claims ; determines final resolution . Contacts payers on incorrectly paid claims… more
- Primary Health Care (Des Moines, IA)
- …We currently have locations in Ames, Des Moines, & Marshalltown. As a Billing Representative III , you will be is responsible for timely and accurate submission, ... payment posting and follow up of medical and/or dental claims on behalf of PHC. Provides work direction and...Delegates specific tasks forwarded by COS/HBS staff for immediate resolution . + Works effectively to maintain billing rejects to… more
- Molina Healthcare (GA)
- …and engagement including: Appeals and Grievances, Problem Research and Resolution , and the development/maintenance of Member/Provider Materials. **Job Duties** * ... of the call/ issue and following it through to resolution , on behalf of the customer, in real time...wide variety of inquiries and assistance involving their benefits, claims , premiums, and other areas including very complex issues.… more
- Horizon Services, Inc. (Hayward, CA)
- POSITION DESCRIPTION TITLE: Human Resources III CLASSIFICATION: TBD REPORTS TO: Sr. HR. Manager of Human Resources PROGRAM OR DEPT: Administration JOB SUMMARY: As a ... work environment to our dedicated team. The Human Resources III is an integral part of the Human Resources...employees with health, dental, life and other related benefit claims . + Coordinate workers' compensation claims with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Interacts with Operations, Enrollment and Billing, Customer Care, Claims , Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments ... business needs while taking ownership and accountability for issue identification and resolution . Level II (in addition to Level I Accountabilities) * Assists with… more
- State of Colorado (Pueblo, CO)
- House Lead - Health Care Tech III - Pueblo Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5192150) Apply House Lead - Health ... Care Tech III - Pueblo Regional Center Salary $1,769.60 - $1,867.20...education and mandatory training requirements. + Reports abuse allegations, claims of harassment/workplace violence immediately to the Emergency On… more
- City of Boise (Boise, ID)
- Attorney III - Municipal Print (https://www.governmentjobs.com/careers/boiseid/jobs/newprint/5182869) Apply Attorney III - Municipal Salary $94,556.80 - ... Statement The City of Boise is hiring an Attorney III - Municipal! Whether you are an experienced civil...Areas of emphasis may include contract, code, ordinance and resolution writing; real property transactions; legal research and writing… more
- Sarasota County Government (Sarasota, FL)
- …and material submittals, and permit requirements. + Make recommendations for the resolution of project-related issues. + Review and tabulate quantities for the ... monthly cut-off meeting. + Provide utility coordination. + Provide claim negotiation. + Provide contract status reports for internal...pm About You To thrive in the Project Manager III role, you must have: + Bachelor's degree in… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …departments including sales, medical, operations and network management. As a key representative of the corporation, this position is expected to maintain strong ... order to facilitate workflows and coordinate appropriate resources for problem resolution for providers. Identifies and communicates trends that impact provider… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Patient Services Representative is responsible for performing patient check in/check out functions and appointment scheduling to ... and mentor to less experienced staff. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions.… more
- The County of Los Angeles (Los Angeles, CA)
- …program through the review of reports, coordination of work, and the resolution of problems. + Interprets, clarifies, and resolves problems of field staff ... technical area of environmental health by serving as a health agency representative to various local, State, and Federal technical committees or boards and… more
- Entergy (Lafayette, LA)
- …Lafayette, LA area and may be filled as a Right-of-Way (ROW) Agent I, II, III or Sr. depending on the qualifications and or the experience of the candidate.** **JOB ... system + Boundary Survey Development + Comparable Sales/Market Analysis Report/ Representative Appraisals + Develop initial compensation offers + Preparation of… more
- EMCOR Group (Raleigh, NC)
- …critical and/or sensitive issues to the executive team with recommendation for resolution .** + **Perform additional assignments as required by Safety Director or as ... and financial software a plus. + The requirements listed below are representative of characteristics and demonstrated capabilities sought to perform this job… more
- Houston Methodist (Sugar Land, TX)
- …and verifying eligibility for care. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. ... or in a specialty discipline to include patient services representative experience. **LICENSES AND CERTIFICATIONS** **Required** + Certified Medical Assistant… more
- State of Colorado (Pueblo, CO)
- …and curriculum developed by the MHC II and CoT Clinical Trainers (HP II, HP III ); must have competencies signed off by the MHC II and/or Clinical Educator or ... + Ensures all required training is current per CMHHP policies. + Reports any claims of harassment or workplace violence to public safety, CoT supervisor or the CoT… more
- WM (Houston, TX)
- …US and Canada. + Manages the company's response to all unemployment claims and verifications. Maintains the working relationship with the company's outside service ... state tax laws, including annual filings and specific item investigation and resolution . + Collaborate with other functional payroll managers to ensure the reliable… more