- 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
- Kelly Services (Avon, CT)
- …via phone and email with empathy, patience, and professionalism + Assist members with insurance claims , Medicare & Part D questions, and prescription issues ... **Now Hiring: Customer Service Representative ( Medicare Focused) | Temp-to-Hire Opportunity**...Excellent verbal and written communication + Working knowledge of insurance / Medicare terminology + Proficiency in Outlook, Word,… more
- McLaren Health Care (Flint, MI)
- We are looking for a Medicare Customer Service Representative to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... be responsible for assisting providers with eligibility, benefit, and resolution of claims issues. **This position supports our Medicare population. Healthcare… more
- Sedgwick (Ontario, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative Workers Compensation **PRIMARY PURPOSE** : To ... not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to… more
- Sedgwick (Naperville, IL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Dedicated Account | Hybrid - Naperville, ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Humana (Helena, MT)
- …community and help us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with claims adjudication to ... up and maintaining hospice/facility/pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services)… more
- Elevance Health (Miami, FL)
- **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Virtual** : This role enables associates to work virtually full-time, with ... provide our members with only the best service and experience possible. The ** Claims Representative III** is responsible for keying, processing and/or adjusting… more
- Humana (Tallahassee, FL)
- …for and against the organization. The Claims Research & Resolution Representative 2 manages intakes with insurance companies, providers, members, and ... caring community and help us put health first** The Claims Research and Resolution Representative 2 manages...Health Savings Accounts + Flex Spending Accounts + Life Insurance + 401(k) + PTO including 9 paid holidays,… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …(Palmetto GBA) and CMS web sites + Understanding of the CMS Publication: 100-4 ( Medicare Claims Processing Manual) + Ensures claim information is complete and ... The Medicare Billing and Follow-up Representative are...limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both… 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 ... in our West Trenton or Hammonton 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
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