- St. Luke's University Health Network (Allentown, PA)
- …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to ... determination made by the government or commercial payors, or their auditor representative . + Facilitate clinical chart reviews to assist with supporting assigned… more
- Ochsner Health (New Orleans, LA)
- …make a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and ... + Must have computer skills and dexterity required for data entry and retrieval of patient information. Must be...**Job Duties** + Review and analyze denied or underpaid claims to determine appeal opportunities. + Prepare and submit… more
- Mendocino County Sheriff's Office (Ukiah, CA)
- …Must obtain accreditation by the California Department of Veterans Affairs as a Claims Representative in accordance with Title 38 Code of Federal Regulations ... such as military, medical, and legal records. + Prepares, submits, and monitors claims and appeals through appropriate federal, state, and local channels,… more
- Owens & Minor (Springfield, IL)
- … representative follows-up with insurance companies to resolve unpaid claims . **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Researches any overdue account balance ... customers on delinquent payments. + Reviews unpaid and underpaid claims . Resubmits or appeals as necessary. +...a strong ability to understand, interpret and develop spreadsheet data . **Other Skills** **PHYSICAL DEMANDS** This is a stationary… more
- SSM Health (Madison, WI)
- …and payment rules. Bills claims appropriately. + Follows up on denied claims by performing appeals and denial recovery procedures. Works denied claim lines ... or more of the following: processing insurance payments, following up on denied claims , and resolving credit balances. May work in multiple functional areas. **Job… more
- State of Colorado (Denver, CO)
- Health Care Representative Center Call Agent Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5156102) Apply Health Care Representative ... a customer service role related to health insurance, health care operations, insurance claims and billing, collections, or a field related to the work assignment… more
- Aston Carter (Nashville, TN)
- … data entry, customer support, inbound call handling, insurance, insurance claims , property and casualty, claim processing, appeals , and insurance billing. ... Job Title: Customer Service Representative 3Job Description The role of a Customer... 3Job Description The role of a Customer Service Representative 3 is to interact with customers by providing… more
- Robert Half Accountemps (Palo Alto, CA)
- …underpayments; research contracts, guidelines and resolve payment with payer. Perform appeals with payer. Performs bad debt request transfers as applicable. Performs ... and resolves edits; Reviews and resolves electronic acknowledgement payer rejections/denials; Rebills claims based on requests from Follow Up reps due to denials… more
- State of Massachusetts (Boston, MA)
- …work, available for work and looking for a job. The Job Service Representative I performs customer service and issue resolution by assisting employers or claimants ... determinations in accordance with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, and established Revenue Procedures as well as the Code of… more
- State of Colorado (Pueblo, CO)
- …Coloradans. What we do: Retail Operations provides the sale of Lottery products, claims processing, redemption of prizes, and customer service at the Pueblo, Denver, ... Grand Junction, and Ft. Collins Claims Counters, including providing customer service support to retailers,...from many levels within the organization and community. + Data Entry including: entering information into a program or… more