- Providence (Renton, WA)
- …caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer reporting, applicable laws, insurance regulations, and other ... claim payments and write-offs and serve as our mandatory reporting authorized representative + Facilitate monthly claims files internal audits including monthly… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …the supervision of the Business Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front ... years' experience in a healthcare business office setting, preferably in electronic claims billing, or insurance follow up. **License(s)** Required: N/A… more
- Central Maine Medical Center (Lewiston, ME)
- …benefits eligible position. The rate of pay is $20.00 per hour. The Claims Processing Billing Representative 's responsibility is to process claims in ... other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is...billing and medical terminology * Thorough understanding of various insurance plans, government agencies, Medicare and Medicaid.… 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 (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
- Travelers Insurance Company (Albuquerque, NM)
- …to relocate at their own expense to New Mexico. 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
- Surgery Care Affiliates (Boise, ID)
- …& Accounts Receivable: + Bill and re-bill primary, secondary, and tertiary insurance claims daily. + Maintain knowledge of third-party billing requirements ... join our team, they will. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient...insurance providers to resolve issues. + Denials and Claims : + Handle denials and corrected claims … more
- Surgery Care Affiliates (Englewood Cliffs, NJ)
- …standard for exceptional patient care in a brand-new environment. The Associate Insurance Verification Representative will: + Verify that sufficient information ... for Primary insurance . + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …or health plan insurance environment. Knowledge of health Care and insurance and the ability to Interpret/Apply Medicare Prescription Drug Benefits, Medical ... to administrative issues related to health plan operations including claims resolution, premium billing, medical benefit interpretation, organization and coverage… more
- Travelers Insurance Company (Diamond Bar, CA)
- …under direct supervision. As a trainee, you may also be exposed to claims that could involve litigation, settlement negotiations, Medicare set asides and ... Claim team is committed to partnering with our business insurance customers to help their injured employees return to...you will handle all aspects of a workers compensation claims . In this role, you will learn how to… more