- WCG Clinical (Cary, NC)
- Data Analytics & Insights (DAI) Product Solutions, Associate Director ( Remote ) **General Information** **Location:** Cary, NC, Remote **Organization:** ... essential duty and responsibility satisfactorily. The accountabilities listed below are representative of the knowledge, skills, and/or ability required. + Serves as… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …and access to grow your career **POSITION PURPOSE** Resolves benefit and claims inquiries received via the telephone, in person, or other acceptable receipt ... SUPERVISOR, CUSTOMER SERVICE + Necessary Contacts: Enrollment & Billing, Claims , Provider Relations, Benefit Operations, Network Administration, Sales/Marketing, Accounting,… more
- CareFirst (Baltimore, MD)
- …functions of initiatives. Serve as the subject matter expert and representative for the clinical products team across corporate initiatives and enterprise-wide ... projects as needed. Maintain a strong working knowledge of the FACETS claims -to-authorization matching workflow and utilize this knowledge to identify and resolve… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …recommending tailored solutions to protect their financial interests. This is role is remote ; however, it will require travel and in person meetings with health ... Collaborate with cross-functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management solutions. Contribute… more
- AUI Partners (TX)
- …in daily time and quantities reporting * Assist with resolving potential claims with subcontractors/suppliers * Assist and prepare pending change orders * Interprets ... Physical Demands - The physical demands described here are representative of those that must be met by an...Environment - The work environment characteristics described here are representative of those an employee encounters while performing the… more
- The Cigna Group (Newburyport, MA)
- …patients' dreams of having a family come true! As a **Customer Service Representative - Refill Pharmacy Technician** at Freedom Fertility, you'll use your empathy ... insurance, and payment information. + _Be a team player_ - Escalate complex claims to the Sr. Billing & Reimbursement Specialists for appropriate action. **Why join… more
- National Express (Worcester, MA)
- …for any missing or incorrect information that would prevent warrantable claims from being paid such as: missing Complaint/Cause/Correction comments, missing parts, ... _At National Express our goal is to be a diverse workforce that is representative of the communities we serve. All employment decisions are based on business needs,… more
- University of Rochester (Albany, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working ... place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United...process taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative … 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 ... independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain… more
- Ross Stores, Inc. (Dublin, CA)
- …of the Employment Law team primarily assessing, handling, and managing employment claims including defending Ross in agency hearings and in arbitrations\. This ... primarily working on optimal litigation results \(agency, individual, and representative actions\) with the potential for future work on...other employment law team members on the handling of claims and other tasks as assigned\. The base salary… more