- Trinity Health (Farmington Hills, MI)
- …refer claims to appropriate colleagues to ensure timely and accurate claim resolution . Proactively follow up on delayed payments by contacting patients ... Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** 100% Work Onsite in Livonia, Michigan (Pay Range: $16.4877-$24.7316) Performs day-to-day billing… more
- Travelers Insurance Company (Irvine, CA)
- …deep technical expertise to assist in the resolution of highly complex claims . Mentor other Claim Professionals + Participate in Telephonic and/or onsite ... collaboration with specialty resources (ie medical and legal) to proactively pursue claim resolution opportunities, (ie return to work, structured settlement,… more
- University of Rochester (Rochester, NY)
- …the payer. + Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim based on fee schedule, APC or APG grouper, ... the process conforms to federal and state regulations. The Claim Resolution Rep III will represent the...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… more
- Travelers Insurance Company (Albuquerque, NM)
- …contact with appropriate parties. + Develop and manage litigation strategy with Hearing Representative or Defense Counsel on litigated claims . + Engage specialty ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...resolution strategies in order to negotiate and settle Claims . + Apply knowledge to determine causal relatedness of… more
- Travelers Insurance Company (Hartford, CT)
- …medical providers, and legal counsel. + Investigate, develop, and evaluate action plans for claim resolution . Assess coverage and determine if a claim is ... for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim … more
- The Cigna Group (El Paso, TX)
- …resolve claims issues in a timely + Perform root cause analyses and resolution related to provider concerns, grievances, claims and care delivery. + Provide ... CareAllies Provider Engagement Internal Representative (Provider Data Senior Associate) Band 2 **Where...departments, including but not limited to Health Services, Finance, Claims , and Coding in order to facilitate Provider engagement… more
- Martin's Point Health Care (Portland, ME)
- …bonus * Paid Parental Leave * Pet Insurance * Employee Assistance Program * Onsite gym in Portland, annual gym reimbursement for other locations * Annual bonus based ... not fully remote position. Job Description The Member Service Representative will interact and support our Health Plan members...for support when needed, as well as coordinates the resolution of inquiries with other departments at Martin's Point.… more
- Conduent (Chesapeake, VA)
- …is noticed and valued every day. **Job Description:** **Benefits Call Center Representative ** ** ONSITE Chesapeake, VA** $15/hr in training $16/hr in production ... day 1 of work! **About the Benefits call center Representative role:** As a member of the Benefits call...office duties, such as, but not limited to, processing claims , filing paperwork, etc. Our call center associates are… more
- UNC Health Care (Rocky Mount, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payers, having claim edits, and/or having ... at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Timely resolution...payment corrections, writeoffs, refunds or other methods. 3. Edit claims (DNB, Coverage Changes, Claim Edits, Stop… more
- Surgery Care Affiliates (Boise, ID)
- …and phone inquiries. + Meets and surpasses productivity requirements including timely claim resolution , audits, and follow-up. + Demonstrates initiative to ... Accounts Representative Billing Office demonstrates the ability to process claims using multiple systems; organize and handle details with ease; ability to… more
- TEKsystems (Salem, OR)
- …the best healthcare plans and coverages is looking to add a Customer Service Representative to their team, ONSITE , in Salem, Oregon. Position Description: + ... all Medicare Advantage members. + Assist with coverage and claims related questions. + Accurately interpret benefits and policy...all products. + Conduct research and follow-up for prompt resolution . + Work efficiently in a high volume call… more
- TEKsystems (Medford, OR)
- TEKsystems is hiring a Call Center Representative to join a leading healthcare organization in Medford, OR! Job Description + Answer calls from providers and assist ... with claim status and updates + Investigate claim ...all Medicare Advantage members. + Assist with coverage and claims related questions. + Accurately interpret benefits and policy… more
- Surgery Care Affiliates (Meridian, ID)
- …support SCA Values, SCA Vision and SCA Mission. This is a full time, onsite position located in Boise. Patient Account Representative (PAR) Responsibilities: + ... + Employee Wellness Program with quarterly incentives + FSA/HSA Accounts + Onsite cafe with discounted employee meals + Employee teambuilding events year round… more
- Elevance Health (Mendota Heights, MN)
- …+ Researches and resolves the more complex provider issues and appeals for prompt resolution . + Coordinates prompt claims resolution through direct contact ... ask you for payment as part of consideration for employment. **Network Management Representative II** + Job Family: PND > Provider Relationship Account Mgmt + Type:… more
- UNC Health Care (Durham, NC)
- …in system tables 5. May serve as a lead worker to provide problem resolution and assistance to lower level positions. 6. Obtain information from patients to verify ... billing issues, credit balances, sequencing of charges, and non-payment of claims . Contact patients, physicians and insurance companies to obtain information… more
- Tennessee Valley Authority (Drakesboro, KY)
- Business Support Representative -Multi Functional - 516544 Job ID:516544Location:Drakesboro, KYRegular/Temporary: External - Posting Description Business Support ... Representative -Multi Functional - 516544 Organization: Chief Operating Officer Department:...PM EST Salary: Competitive JOB SUMMARY: This is an Onsite Role. Substantial Power Operations BSR experience preferred &… more
- Stanley Black and Decker (Downingtown, PA)
- **Inside Sales Representative , Downington, PA, United States - On-site** **Come make the world and accelerate your success.** It takes great people to achieve ... CADET(R), and HUSTLER(R). The Job: As an **Inside Sales Representative ** , you'll be part of our Industrial joining...our Industrial joining systems and solutions team as an Onsite employee. Responsible for selling and promoting company's products… more
- Erickson Living (Pompton Plains, NJ)
- …with administrative issues related to their Plan membership, including facilitating the resolution of claims , premium billing, and enrollment issues in ... and health care with campuses in 11 states-and growing. The Member Services Representative supports the Erickson Advantage Plan as a member service liaison and… more
- University of Rochester (Rochester, NY)
- …the payer. + Research and calculate underpaid or overpaid claims ; determine final resolution . + Re-calculate claim based on fee schedule, APC or APG grouper, ... status on appropriate payer systems or contact an insurance representative to obtain information as to why claims...for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** Up to 10% **Clearance Required** **:** None **What You Will Do** **:** The **Patient ... Account Representative ** is expected to perform specific areas of billing,...to perform specific areas of billing, follow up, account resolution , adjustment posting, adjustment refunds and scanning as required.… more