- Berkley (Towson, MD)
- …The company is an equal opportunity employer. Responsibilities The Workers' Compensation Claims Representative III is responsible for the analysis ... Acts in a fiduciary role on behalf of policyholders and negotiates claim settlements. Claims Representative III conducts the handling of claims in the… more
- Alameda Alliance For Health (Alameda, CA)
- …and metrics may be eligible to be promoted to a Member Services II or III role. Member Services Representative I staff may be eligible for promotion to ... Member Services Representative II or III positions once they...for members, providers and others for questions related to claims , benefits, authorizations, pharmacy, member eligibility and other questions… more
- Corvel (Cincinnati, OH)
- …customers. Primary source of quality assurance and information for MCO's Claims team. Supports management by handling quality assurance and escalated issues, ... & RESPONSIBILITIES: Conduct quality reviews/audits to ensure appropriate management of the claims and office, score the office performance, and make suggestions and… more
- SCO Family of Services (Garden City, NY)
- …records and all other HR documentation Responds to unemployment insurance claims by forwarding separation information to appropriate representative Provides ... skills Some knowledge of Human Resources or the Social Services is preferred III . RELATIONSHIP WITH OTHERS Be a team player. Have a strong sensitivity to… more
- Texas Health Resources (Dallas, TX)
- …to implement identified needs for improvement. Serves as risk management representative for committees within the Continuous Quality/Patient Safety and Risk ... Management programs. *Participates in THR claims management process by investigating and identifying events that...services and emergency medicine. Plus, we're a renowned Level III neonatal intensive care unit, a Comprehensive Stroke and… more
- University of Rochester (Albany, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for ... and routine action to resolve unpaid claims . The Claims Resolution Representative III reports to Accounts Receivable Management. **ESSENTIAL FUNCTIONS**… more
- US Tech Solutions (Asheville, NC)
- …to Perm) + Interview: Virtual + Seeking a Patient Services Rep III with EPIC experience to support front-office administrative and patient coordination functions. ... etc.) + Coordinate with coders and billing teams to ensure accurate claims submission + Administrative Support: + Answer phones, handle documentation, and maintain… more
- Elevance Health (Columbus, GA)
- **Customer Care Representative IIII** **Location:** **Onsite:** This role requires associates to work from the posted locations full-time, enabling consistent ... immediate support. Alternate locations may be considered. The **Customer Care Representative ** is responsible for responding to customer questions via telephone and… more
- United States Steel (Gary, IN)
- 13283BRJob Description:United States Steel Corporation is actively seeking a Labor Relations Representative . The Labor Relations Representative will serve as a ... for all outside legal and litigation issues + Unemployment compensation claims + Investigate employee complaints and prepare detailed responses which include… more
- University of Rochester (Rochester, NY)
- …for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and drafts for provider signature. ... + Manages provider(s) documentation and information. + Composes and types of non-routine correspondence providing factual information. + Arranges travel, conference registration, and hotel accommodations. + Interfaces with organizations, hospitals, and others… more
- University of Rochester (Rochester, NY)
- …routine and non-routine letters of correspondence related to appeals on denied claims , billing and patient communications. + This includes compiling all necessary ... information and drafts for provider signature and ensuring best practices and following University polices and guidelines. + Obtains hospital medical records for information requested by physicians, insurance companies, and attorneys. + Master Scheduling:… more
- US Tech Solutions (Asheville, NC)
- …office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work closely with practice coder in resolution process. Respond ... to requests from practice Revenue Cycle Advocate. Serve as resource for front desk registration to ensure accuracy on insurance information. Resolve patient billing concerns. Assist providers in charge capture when necessary. + Teamwork and Communication: Work… more
- Adecco US, Inc. (Jacksonville, FL)
- …abandoned account information, handling statutory due diligence mailings and client claims , and completing regulatory unclaimed property reporting This role involved ... contact with clients, branch office personnel and external US State/Territory unclaimed property employees with a focused goal of reuniting clients with their assets. The primary function of this position is to address client inquiries and requests via inbound… more
- University of Rochester (Rochester, NY)
- …Payer Website link (EPIC Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not paid. + Determines steps ... been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes necessary to collect… more
- Bayer (IA)
- …and diverse minds to make a real difference, there's only one choice.** **Field Sales Rep III Seed** The Sales Representative III position will reside in a ... Iowa territory. As a Field Sales Representative III you will create demand for...for key accounts and assigned areas; + Manage area claims per Bayer Crop Science policy and process through… more
- State of Colorado (Denver, CO)
- Regional Field Manager - EPCS III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4995589) Apply Regional Field Manager - EPCS III Salary ... + Review of files for documentation and appropriateness of claims and activities funded by PHEP. Maintain Situational Awareness...In the event of an activation, serve as a representative between the response management structure (Ie public health… more
- Amentum (Washington, DC)
- …Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as ... information about the VCF can be found at https://www.vcf.gov/. Claims Reviewers works with DOJ claim review leadership to...claim review leadership to perform the initial review of claims for eligibility and/or compensation, with a focus on… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: This position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. The incumbent's analyses include ... that meet our cost and quality management needs. Level III (in addition to Level II Accountabilities) * Independently...initiatives, and changes to process flows. * Reviews complex claims , financial models, test results, and trends with providers… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Pharmacy Access Representative III (PAR) is responsible for the overall financial ... to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and… more
- The County of Los Angeles (Los Angeles, CA)
- SUPERVISING CLINICAL LABORATORY SCIENTIST III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2918845) Apply SUPERVISING CLINICAL LABORATORY ... SCIENTIST III Salary $117,356.88 - $176,293.20 Annually Location Los Angeles...may be noted. + Serves as the laboratory organization's representative or liaison with other hospital / ambulatory care… more
