- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... + The initial 120 days of employment as a Claims Research & Resolution Representative 2 constitute an appraisal period. This Appraisal Period is… more
- Community Health Systems (Sarasota, FL)
- …and local billing requirements. + Utilizes electronic billing systems to analyze, research , and transmit claims , ensuring proper documentation of actions taken ... with payers, facility representatives, and internal teams, ensuring efficient issue resolution and proper follow-up on outstanding claims . + Performs… more
- TEKsystems (Daytona Beach, FL)
- …United States Responsibilities: + Responsible for handling inbound calls pertaining to new homeowners' claims or existing claims (will be handling about 40 to 50 ... + Navigate between multiple systems to find the answer. Research through the claim tool to be able to...everything is documented and updated + Problem-solving and problem resolution skills are required, as well as the ability… more
- Intermountain Health (Tallahassee, FL)
- …payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance ... procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any...additional items received from insurance to patient accounts + Research and follow-up on missing information, such as EOB… more
- CHS (Clearwater, FL)
- …mandate a high level of service, including telephone service, accuracy, call resolution and satisfaction. TheMember and Provider Service Representative (MPSR) is ... **Overview** ** ** **Medical Insurance Call Center Representative | Member and Provider Services Representative...Supervisor. + For any calls or correspondence where additional research is necessary, clearly explaining to the caller the… more
- AdventHealth (Tampa, FL)
- …in the payment for services that have been provided. The Patient Account Representative will respond to questions, research discrepancies and insurance denials ... position certifications **The role you'll contribute:** The Patient Account Representative is responsible for maintaining patient accounts by assisting Physician… more
- Mass Markets (FL)
- …contacts in a courteous, timely, and professional manner + Ensure first call resolution through problems solving and effective call handling + Research systems ... issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and...customer issues to the appropriate staff and managerial for resolution as needed + Attend meetings and training and… more
- Mass Markets (FL)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...customer issues to the appropriate staff and managerial for resolution as needed. + Ensure first call resolution… more
- Mass Markets (Tampa, FL)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...customer issues to the appropriate staff and managerial for resolution as needed. + Ensure first call resolution… more
- Mass Markets (FL)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information; coordinate with other departments to resolve ... information + Escalate customer issues to the appropriate staff and managerial for resolution as needed + Attend meetings and training and review all new training… more