- HonorHealth (AZ)
- …to reduce the A/R Submit appeal letters on unpaid and underpaid claims Participate in accounts receivable collections projects as needed to meet department ... Work the electronic denial file (835b) to ensure clean claim submission Review Charge review work queues as assigned...specialty specific limitation or payer expectations Process the electronic claims batch daily and initiate the printing of paper… more
- Emanate Health (Covina, CA)
- …customer service, compliant billing and collections, correspondence management, claim follow-up, accurate payment and adjustment reconciliation, correspondence ... review within departmental standards. Provide training support to individuals as needed with new processes, or new implementations. Assist with projects as necessary to help assist with staying within Business Office standards. **Job Requirements** a. Minimum… more
- Trinity Health (Farmington Hills, MI)
- …or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service ... activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Previous service/call center experience with the ability to respond to customer inquiries and expectations in a highly efficient and… more
- Novant Health (Mount Pleasant, SC)
- What We Offer Provide accurate and timely billing of medical claims . Qualifications + Education: High School Diploma or GED, required. + Experience: One year ... experience, preferred. + Additional Skills (required): Knowledge of medical office software for the following: updating patient demographic information, posting charges, and collecting payments. Requires understanding of CPT and ICD10CM coding processes.… more
- NJM Insurance (Parsippany, NJ)
- …a top-rated insurance company, is looking for a Personal Injury Protection Representative who has excellent communication skills as well as strong organizational and ... as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and...communication with involved parties during the course of the claim , via written and/or verbal communication, to provide relevant… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II | Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II ...and others in eliciting ail necessary information to issue claim determinations. * Ability to exercise strong technical knowledge… more
- MyFlorida (Tallahassee, FL)
- …(relocation benefits are not available for this position) OPS Employment Security Representative II This position will be used for multiple vacancies. ... claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. +...You Will Do: This is an OPS Employment Security Representative II - Employment Review Specialist position in… more
- University of Rochester (Rochester, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for ... routine action to resolve unpaid claims . The Claims Resolution Representative II reports..., identifies problems, and takes appropriate action to assure claim resolution. 20% + Responds to all billing-related inquiries… more
- BJC HealthCare (St. Louis, MO)
- …**Additional Information About the Role** BJC HealthCare is seeking a Patient Accounts Representative II for our refunds team! If you have a background ... schools in the country. **Preferred Qualifications** **Role Purpose** The Patient Accounts Representative II serves as a subject matter expert in ensuring… more
- Elevance Health (Columbus, GA)
- **Title: Customer Care Representative II ** **Columbus, Georgia** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... am - 6:30 pm EST As a Customer Care Representative II , you will be responsible for...written correspondence regarding insurance benefits, provider contracts, eligibility, and claims . In addition to being proficient in all basic… more