- University of Rochester (Albany, NY)
- …pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates with ... of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for working across the… more
- ICW Group (TX)
- …Workers' Compensation Claims Administration (WCCA) and Workers' Compensation Claim Professional (WCCP) certifications preferred . _All other jurisdictions:_ ... and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims ...preferred . Minimum of 2-3 years of insurance or claims related experience, or equivalent combination of education and… more
- Covenant Health Inc. (Knoxville, TN)
- … preferred . Computer experience is required. Knowledge of medical terminology, claims submission, customer service is preferred . Expected to perform ... knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This...for the Medical Biller I for solving complex medical claim issues. This position demonstrates the ability to accurately… more
- Allied Universal (South Farmingdale, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Covenant Health Inc. (Knoxville, TN)
- …between other Covenant departments in order to correct any issues with billed claims to ensure correct billing and proper claim processing. Position Summary: ... Overview Patient Account Representative - Insurance Claim Follow-Up Full Time , 80 Hours Per.... Computer experience is required. Knowledge of medical terminology, claims submission, customer service is preferred . Expected… more
- Hartford HealthCare (Newington, CT)
- …Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor , assure timely and accurate submission of claims ... or overpayments via payer portal, payer chat or payer customer service, analyze claim adjustment reason codes, analyze remittance advice remark codes and any revenue… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Robert Half Accountemps (Rochester, NY)
- …by effectively and accurately managing receivables. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve ... to improve a complex business process. Key Responsibilities: Review and accurately process claim edits in a system work queue. Accurately handle claim … more
- NJM Insurance (Trenton, NJ)
- …and expense payment audits as needed. Required Skills and Experience: + WC Claims experience or prior compliance experience preferred . + Strong understanding of ... + Bachelor's degree and/or proven insurance related experience. + Insurance designation preferred + Regional Workers' Compensation claims handling experience a… more
- Hartford HealthCare (Farmington, CT)
- …Specialists in their efforts to review and resolve issues related to insurance claim denials, no response claims and payment variances including underpayments ... *_Position Summary:_* Responsible for assisting the Accounts Receivable (AR) Follow Up/Denials Supervisor , in the day-to-day operations of the AR Follow Up & Denials… more