- Excellus BlueCross BlueShield (Rochester, NY)
- …Interacts with Operations, Enrollment and Billing, Customer Care, Claims , Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments ... and improvement for process review. * Attends meetings and/or trainings as a representative of the Account Service Team and shares the information learned with the… more
- UNC Health Care (Morrisville, NC)
- …: Investigation and resolution of teammate relations: Maintain a representative caseload involving variety of complex teammate relations issues, including ... Develop appropriate teammate relations plans and interventions. Effectively investigate claims /charges, review all pertinent facts and information without expanding… more
- HUB International (Oxford, MS)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... judgment to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Responsible for overall retention of accounts in… more
- Acosta Group (Hartford, CT)
- …tasks as directed by management. Responsibilities With Regard to Workers' Compensation Claims : You are responsible for reporting any employment related injury you ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Granville Health System (Oxford, NC)
- …Make corrections as needed to the patient#s electronic record so that future insurance claims and statements are accurate. # Prioritize high volumes of work and make ... # # # # When needed, will also cross-function as a patient services representative and cashier. # # QUALIFICATIONS# # High school diploma or GED equivalent required.… more
- The Cigna Group (Newburyport, MA)
- …patients' dreams of having a family come true! As a **Customer Service Representative - Refill Pharmacy Technician** at Freedom Fertility, you'll use your empathy ... insurance, and payment information. + _Be a team player_ - Escalate complex claims to the Sr. Billing & Reimbursement Specialists for appropriate action. **Why join… more
- Access Dubuque (Dubuque, IA)
- …Engineer - Civil (Direct Hire) Sedona Staffing Services Care Team Representative Sedgwick Account Executive (Sales) Kunkel & Associates, Inc. Account Manager ... comprehensive nursing services, resource consulting, safety and loss control management, and claims management. **Work with us, not for us.** At Kunkel & Associates,… more
- Polson School District 23 (Polson, MT)
- …compose a variety of materials such as letters, memoranda, bulletins, requisitions, claims , reports, and statistical data from rough drafts or oral instructions + ... work-environment characteristics, and mental/motor demands described within this job description are representative of those that must be met by an employee to… more
- Gilead Sciences, Inc. (Baltimore, MD)
- …and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office ... each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Mohawk Valley Health System (Utica, NY)
- …Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a contact when necessary to resolve ... outstanding issue on claims . + Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per Diem, or Fee Schedule. Initiates an… more