- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Claims Research and Resolution Representative 2 manages claims operations that ... of both for and against the organization. The Claims Research & Resolution Representative 2 manages intakes with insurance companies, providers, members,… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Humana (Helena, MT)
- …workflow and success of the Call Center * Assist Customer Service team with claims research / resolution *Assist with new hires training **Billing:** . Assist ... us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with ...hospice to hospice . Assist Customer Service team with claims research / resolution via dispensing systems,… more
- Do it Best Corp. (Fort Wayne, IN)
- Claims Representative Location: Fort Wayne, IN...errors. + Maintain thorough and accurate records of all claims and communications. + Research of ... Position: Director of Warehouse Operations About the Role: The Claims Representative is responsible for processing members'...to work well within a team atmosphere + Drive resolution to problems + Investigate and deep dive problems… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Financial Representative - Oncology Claims Follow-Up/Billing Corporate Full-Time Days** Analyses accounts and billing(s) to ensure accurate ... a timely manner, to immediate supervisor for handling or resolution + Utilizes trial balance and other reports to...of Health funding and in the 99th percentile in research dollars per investigator according to the Association of… more
- R1 RCM (Oklahoma City, OK)
- …As our Billing Representative II, you will work to bring accounts to resolution by tracking claims through the billing process to identify problem areas to ... and determine best course of action to resolve aging claims . * Interact with third parties representative ... process. * Responsible for the follow-up on A/R research projects; review status of accounts, action taken, and… more
- HCA Healthcare (Miami, FL)
- …you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a part of...**Job Summary and Qualifications** As an **Insurance Follow up Representative ** , you will be responsible for processing insurance… more
- Intermountain Health (Austin, TX)
- …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
- The County of Los Angeles (Los Angeles, CA)
- …obtain a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal ... of tasks on a variety of consumer matters, including real estate, small claims court, mediation, dispute resolution , and other programs. Incumbents learn to… more
- UNC Health Care (Rocky Mount, NC)
- …related denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Timely resolution of credit balances. ... impact on our community's health and wellbeing. Summary: The Revenue Cycle Representative is responsible for performing a variety of complex duties, including but… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- Saint-Gobain (Jackson, MI)
- …inquiry calls about products, codes, installation, **-** Process Defective Material Warranty Claims : 45% + Receive, research , document and process warranty ... files. Schedule field inspections, as needed. **-** Call Center Representative : 45% + Handle a considerable volume of calls...communication to customers. + Determine and communicate final claim resolution to all involved + Update claims … more
- Travelers Insurance Company (Rancho Cordova, CA)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- University of Virginia (Charlottesville, VA)
- …processed and followed up to meet the CBO Revenue Cycle performance metrics & representative Facility specific goals. They will also research and answer all ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing...from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and… more
- Saint Luke's (Kansas City, MO)
- …errors * Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage denials. * Research and outline documentation ... **Job Description** The Patient Account Representative will be responsible for reviewing and auditing...* Identify problem trends * Communicate with payors for resolution to complications with claims * Responsible… more
- CHS (Clearwater, FL)
- …mandate a high level of service, including telephone service, accuracy, call resolution and satisfaction. TheMember and Provider Service Representative (MPSR) is ... **Overview** ** ** **Medical Insurance Call Center Representative | Member and Provider Services Representative...Supervisor. + For any calls or correspondence where additional research is necessary, clearly explaining to the caller the… more
- Fairview Health Services (St. Paul, MN)
- …provide data or information needed to facilitate timely and accurate account resolution to expedite outcomes. Customer Service Representative : Maintains the best ... has an opportunity for a Senior Patient Financial Services Representative to be working on site at our Midway...by identifying ways to fully resolve accounts through single-touch resolution when possible. + Understands revenue cycle and the… more
- Travelers Insurance Company (Exton, PA)
- …Claim Rep, you will fulfill the Bond and Specialty Insurance (BSI) Claims mission by conducting thorough investigations, analyses, evaluations, and dispositions of ... claims as well as providing superior customer service in...assess claim exposures and develop effective strategies for claim resolution . Interact and collaborate with internal departments as needed.… more
- University of Virginia (Charlottesville, VA)
- The Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure that Medical Center receives correct ... insurance companies. They are responsible of ensuring that all claims billed are in compliance with all federal and...Aging Account percentages and Cash goals. They will also research and answer all questions and complaints regarding patient… more
- Mass Markets (Killeen, TX)
- POSITION OVERVIEW CALL CENTER REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for call center representatives to support inbound and ... Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other… more