- University of Rochester (Rochester, NY)
- …will make independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing ... as well as contact payer representatives to research/resubmit rejected claims to obtain and verify insurance coverage.... Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- UNC Health Care (Goldsboro, NC)
- …Assists Revenue Cycle Director in maintaining accounts receivables at appropriate levels. Submits insurance claims to the appropriate payers on a daily basis in ... claims , response to denials, and re-bills of insurance claims , and all aspects of ...will supersede this requirement. Licensure/Certification CRCR (Certified Revenue Cycle Representative ) certification from HFMA within one year of hire.… more
- HCA Healthcare (Austin, TX)
- …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... Do you want to join an organization that invests in you as an Insurance Collections Specialist? At Surgery Ventures, you come first. HCA Healthcare has committed up… more
- HCA Healthcare (Overland Park, KS)
- …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... Hours: 7:30AM-4:00PM** **Introduction** Do you have the career opportunities as an Insurance Specialist you want with your current employer? We have an exciting… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …+ Manage and Identify Claims Portfolio: + Review and evaluate insurance claims to determine the extent of the insurer's liability, adhering ... SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize… more
- NJM Insurance (Trenton, NJ)
- …first point of contact for policyholders, claimants or other parties reporting claims . They are responsible for addressing customer inquiries concerning the claim ... to accurately and efficiently establish new Auto, Property and Commercial claims . Schedule: Monday to Saturday (10:45am-7:00pm). Includes one weekday and Sundays… more
- Iowa Department of Administrative Services (Dubuque, IA)
- …public contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit ... public contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit… more
- UPMC (Pittsburgh, PA)
- …prescribing and utilization to identify potential clinical care issues; prepayment review of claims , and prepayment review of unlisted codes. Claims analysis and ... and monitor for potential FWA. + Review and analyze claims , medical records and associated processes related to the...solutions and facilitate resolution. + Serve as an SIU representative at internal and external meetings, document and present… more
- Banner Health (AZ)
- …Banner Health the best place to work and receive care. The **PFS Insurance Follow-Up Representative (Ambulatory Denials)** is responsible for following up with ... patients and all types of provider specialties. Experience within medical insurance accounts receivable (AR) and physician fee-for-service billing is ideal.**… more
- LATICRETE International (Bethany, CT)
- …in addition to paid vacation and sick time + Flexible spending + Life Insurance , AD&D and Supplemental Insurance The Benefits Specialist is a hands-on position ... the day to day administration of employee benefit programs such as health insurance , wellness, disability insurance , FMLA Administration, life and AD&D … more