- Guidehouse (San Antonio, TX)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative ** is an extension of a client's business ... **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500… more
- Adecco US, Inc. (Phoenix, AZ)
- …is currently assisting one of its clients in their search for a ** Claims Representative ** **Pay range: $35 - $40/hr.** **Shift availability:** Remote within ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** . Developing… more
- Sedgwick (Glendale, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative | Glendale, CA (In-Office) ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Trinity Health (Davenport, IA)
- …the banking industry or a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, ... performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities or an equivalent combination of education… more
- Highmark Health (Charleston, WV)
- …models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office ... based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a required ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting all parties...1 -3 years' experience as a Workers' Comp Claim Representative , or comparable knowledge and experience with various aspects… more
- Travelers Insurance Company (Walnut Creek, CA)
- …**What Is the Opportunity?** Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of Experience Required: 2+ years of claim processing experience with a Medicaid/ Medicare Health Plan. Preferred: Experience in health insurance product ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Travelers Insurance Company (Richmond, VA)
- …**Target Openings** 2 **What Is the Opportunity?** Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best… more
- Sanford Health (MN)
- …Insurance Representative processes and monitors unpaid third party insurance , Medicare , Medicaid or government-assisted program accounts for proper ... reimbursement; primarily but not limited to prebilled accounts. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical… more