• Patient Account Representative

    Guidehouse (Lewisville, 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
    Guidehouse (10/02/25)
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  • Medicare Inbound Contacts…

    Humana (San Juan, PR)
    …our caring community and help us put health first** The Provider Group Medicare Inbound Contacts Representative 2 represents the company by addressing incoming ... ATTACH YOUR RESUME TO YOUR APPLICATION The Provider Group Medicare Inbound Contact Representative 2 addresses customer...calls daily from providers to check on members and claims in a fast-paced inbound call center environment.** +… more
    Humana (10/03/25)
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  • Workers Compensation Claims

    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
    Sedgwick (09/16/25)
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  • Claims Representative I (Health…

    Elevance Health (San Juan, PR)
    Claims Representative I **Location Hybrid 1:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while ... **Office Location: 654 Avenue Luis Munoz Rivera, San Juan, 00918** The ** Claims Representative I** responsible for successfully completing the required basic… more
    Elevance Health (09/27/25)
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  • Billing and Follow-up Representative -II…

    Trinity Health (Farmington Hills, MI)
    …and decisions. Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part ... and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting,… more
    Trinity Health (10/10/25)
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  • Payment Posting Representative -I (Medical…

    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
    Trinity Health (09/09/25)
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  • Medicare Advantage Quality Consultant

    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
    Highmark Health (09/22/25)
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  • Account Manager Medicare

    AdventHealth (Maitland, FL)
    **Account Representative Manager Billing/Collections/Denials -AdventHealth** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons to work at ... - 5:00pm **You Will Be Responsible For:** + Manages the cohesive relationship between insurance and hospital. Works with Insurance payers to ensure proper follow… more
    AdventHealth (10/03/25)
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  • Claims Auditor

    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
    Centers Plan for Healthy Living (07/15/25)
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  • Workers Compensation Senior Claim…

    Travelers Insurance Company (Meridian, ID)
    …Is the Opportunity?** Applicants who are licensed to handle Workers Compensation Claims in Arizona state are strongly preferred. The selected candidate must reside ... to the Boise, ID area. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to… more
    Travelers Insurance Company (09/25/25)
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