• Utilization Management Intake…

    Monroe Plan for Medical Care (Rochester, NY)
    Utilization Management Intake Representative II Summary Title:Utilization Management Intake Representative II ID:UM 42 (ROC) Location:Rochester, Buffalo, ... federal, state, and local pay equity laws. POSITION SUMMARY The UM Intake Representative II provides and processes information to Monroe Plan's contracted… more
    Monroe Plan for Medical Care (07/25/25)
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  • Member Services Representative II

    Kelsey-Seybold Clinic (TX)
    …and to determine disenrollment reasons.. **Job Title: Member Services Representative II -KSPA** **Location: Pearland Administrative Office** **Department:** ... **Responsibilities** Member Service Representatives II -KSPA provide Concierge Service to members of the health plan which include providing a high level of service… more
    Kelsey-Seybold Clinic (08/08/25)
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  • Network Management Representative II

    Elevance Health (Los Angeles, CA)
    **Network Management Representative II ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... 10:00 AM to 6:00 PM, CST** The **Network Management Representative II ** is responsible for providing comprehensive...issues and appeals for prompt resolution. + Coordinates prompt claims resolution through direct contact with providers and … more
    Elevance Health (08/02/25)
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  • Customer Care Representative II

    Elevance Health (Houston, TX)
    **Title: Customer Care Representative II ** **Houston, TX** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... between 8am and 8pm EST, possible weekend OT as needed As a **Customer Care Representative II ** you will be responsible for responding to customer questions via… more
    Elevance Health (07/25/25)
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  • Patient Accounts Representative II

    Community Health Systems (Vicksburg, MS)
    …coding claims for payor and patient accounts. Patient Accounts Representative II ensures patient registration during check-in/check-out services, monitors ... **Job Summary** The Patient Accounts Representative II serves as a subject matter expert in ensuring timely review, collection, data entry for billing and… more
    Community Health Systems (07/15/25)
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  • Admissions Representative II

    Montana Tech (Butte, MT)
    Admissions Representative II Department : Admissions Employment Detail: Full-Time Salary: $20.00/ hour THIS POSITION IS NOT ELIGIBLE FOR REMOTE WORK Montana ... Montana Technological University seeks an organized and energetic Admissions Representative to engage prospective students, families, and organizations; recruiting… more
    Montana Tech (07/16/25)
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  • Customer Service Representative II

    Elevance Health (Mason, OH)
    **Customer Care Representative II ** **Location:** **Onsite:** This role requires associates to work from the posted locations full-time, enabling consistent ... EST during training and post-graduation.** As a Customer Care Representative , you will act as a trusted advisor and...providers with their healthcare needs by explaining benefits, solving claim concerns, helping find a doctor via telephone calls,… more
    Elevance Health (08/01/25)
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  • Employee Services Representative II

    Ryder System (Nashville, TN)
    …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Employee Services Representative II is responsible for second level ... to areas such as: I-9 compliance, Pre-employment services, Unemployment Insurance claims , Immigration Services, Leave Administration, Drug and Alcohol program, HR… more
    Ryder System (07/24/25)
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  • Patient Accounts Representative II

    Truman Medical Centers (Kansas City, MO)
    …(http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Patient Accounts Representative II (Hybrid) 101 Truman Medical Center **Job ... reimbursement, I manage the full life cycle of insurance claims and account resolution-keeping our revenue cycle healthy and...and critical thinking** to tackle billing puzzles and resolve claim hiccups before they become major issues. + Act… more
    Truman Medical Centers (08/08/25)
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  • Insurance Follow-up Representative

    Novant Health (NC)
    Job Summary Insurance Follow-Up Representative II Core Responsibilities: + Claims Investigation: Contact insurance payers to determine the cause of claim ... ensuring timely resolution and payment. + Root Cause Analysis: Research and analyze claims to identify trends or patterns contributing to denials or non-responses. +… more
    Novant Health (08/08/25)
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