- Sutter Health (Emeryville, CA)
- …the billing and collections activities including preparation and mailing of all claims , making phone calls to insurance companies and performing physician billing. ... and procedure. Gains confidence and cooperation from the patient, their family/ support group, and other healthcare providers through competent job performance,… more
- TEKsystems (Austin, TX)
- …to assist callers with understanding and using their employee benefits - Support benefit enrollment and explain coverage details - Communicate with provider offices ... to clarify benefits, claims , and eligibility - Use our intuitive system to "say what you see." - no memorization or spreadsheets required - Handle approximately 10… more
- South Jersey Industries (Atlantic City, NJ)
- …Summary A career in Customer Service will provide the opportunity to support customer inquiries. This typically includes ensuring that good customer relations are ... maintained, and customer claims and complaints are resolved fairly and effectively, in a timely manner and in accordance with the consumer laws. Roles within… more
- University of Rochester (Rochester, NY)
- …Payer Website link (EPIC Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not paid. + Determines steps ... which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes… more
- Amentum (Washington, DC)
- …reauthorized permanently. More information about the VCF can be found at https://www.vcf.gov/ . The Claim Review Support Team works with VCF and claim review ... leadership to support all aspects of claim review team work, with a particular emphasis on...leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs… more
- Travelers Insurance Company (Middleboro, MA)
- …ongoing continuing education credits as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills outlined ... + Utilizes technical expertise and information gathered to accurately determine physical claim value of claims using company recognized resources, estimating and… more
- Mass Markets (Killeen, TX)
- …passionate about helping others? Join our team as a Customer Service Representative , where you'll provide support across customer service, technical assistance, ... + Use internal systems to manage accounts and process claims accurately. + Follow established scripts, policies, and procedures...we offer a variety of benefits and incentives to support and reward our team members. What You Can… more
- B&H Photo (New York, NY)
- …environment. Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our ... to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers… more
- Robert Half Finance & Accounting (Edison, NJ)
- …and warranty replacement orders using internal systems. * Address and resolve representative inquiries to support issue resolution. * Review and release ... finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …to prevent fraud and ensure compliance with policy terms. + Resolve Rejected Claims : + Calculate benefit payments and approve claim settlements based on ... SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize… more
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