- Elevance Health (Mason, OH)
- **Title: Claims Representative I ( Health & Dental) - FEP** **Mason, OH** **Location:** This role enables associates to work virtually full-time, with the ... Friday during training; 9 AM - 5:30 PM EST after training.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Elevance Health (Latham, NY)
- **Title: Claims Representative I ( Health & Dental) - FEP** **Latham, NY** **Location:** This role enables associates to work virtually full-time, with the ... 7/7/2025.** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Independent Health (Buffalo, NY)
- …certificate and/or college degree preferred. + Six (6) months of medical claims processing /medical billing experience, customer service experience preferably in ... written, verbal and interpersonal communication with other departments within Independent Health to resolve problems related to claims payment. **Immigration… more
- Highmark Health (Frankfort, KY)
- …**Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health ... activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS ( Health Now… more
- Magellan Health Services (Maryland Heights, MO)
- …responsible for accurate and timely research of all claim dispute types, timely processing of adjustments and acts as liaison between members, providers and internal ... claims departments. If a recalculation is warranted and modification...timeframes. + Acts as a troubleshooter to resolve claim processing problems among internal departments, including authorization issues. +… more
- Robert Half Office Team (Minnetonka, MN)
- …+ Claims System Management + Learn and navigate 3-4 screens within the claims processing system. + Utilize an additional system to manage and prioritize a ... coordination of benefits (COB) letters and ensure the smooth processing of claims . The role requires attention...+ Minimum 1 year of experience in provider billing, health insurance, or a related industry. + Familiarity with… more
- UMB Bank (Kansas City, MO)
- …resolution, and weekly reporting. Assisting with ongoing monthly audit and reporting of vendor claims processing to ensure compliance with Reg E and Reg Z ... & Skills** _MINIMUM:_ + Demonstrates in-depth knowledge of back-office card fraud and non-fraud claims processing . + Demonstrate knowledge of Reg E and Reg Z… more
- State of Minnesota (St. Paul, MN)
- …will be considered for this position.** One (1) year* of experience processing claims and/or appeals. *Associate's degree in Business Administration, Public ... due to a qualifying condition, such as a severe health condition that prevents them from working, or when...adapt to changes in policies, procedures, or legislation impacting claims processing . **Preferred Qualifications** + Knowledge of… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution...as a part of a team + Basic word processing proficiency. This includes the ability to: insert tables ... FTE (40 hours per week) and works a Monday-Friday, day shift. The Claims Resolution Specialist is responsible for researching and resolving complex facility and… more
- Adecco US, Inc. (Joliet, IL)
- …or Equivalent . 4 years' experience in medical billing or coding industry. . Electronic Health Records and claims processing software. . 1 year experience as ... for service revenue through training, problem solving, advanced knowledge of health service, billing, payroll requirements, and implementation of quality assurance… more
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