- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
- UNC Health Care (Chapel Hill, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works ... physician claims ("professional billing"). + Maintains A/R at acceptable aging...through charge corrections, payment corrections, write-offs, other methods. + Research medical records to gather information and substantiate medical… more
- UNC Health Care (Durham, NC)
- …to obtain authorizations and referral approvals for services and procedures. Research medical records to gather information and substantiate medical justification ... May serve as a lead worker to provide problem resolution and assistance to lower level positions. 6. Obtain...Post payments and denials to patient accounts, reconcile accounts, research and resolve a variety of problems relating to… more
- Mass Markets (NC)
- …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
- Mass Markets (NC)
- …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 (NC)
- …video, and voice (VoIP Phone) service disruptions with a focus on first call resolution by problem solving and effective call handling + Ownership of resolving the ... reason for contacting Tech Support + Leverage multiple systems to research and troubleshoot service disruptions; coordinate with other departments to resolve… more
- UNC Health Care (Chapel Hill, NC)
- …to drive improvements in preventing denials or resolving aging accounts. 9. Research & Transplant: performs charge reviews, follow-up and payment allocations for HB ... & PB Transplant Services. Reviews and corrects billing issues with Research Accounts to ensure proper billing. 10. Other: Responsible for processing Part B split … more
- UNC Health Care (Goldsboro, NC)
- …submitting and resolving assigned insurance accounts to an appropriate financial resolution in accordance with regulatory, legal, and compliance guidelines Processes ... with a goal of bringing the accounts to an appropriate financial resolution in accordance with regulatory, legal, and compliance guidelines. Follows rules for… more
- Truist (Greensboro, NC)
- …to applicable operating rules and regulatory guidelines. 2. Independently analyze, research , and support electronic payment cases/ claims /inquiries escalated by ... internal departments and client service centers to resolution . Claims /inquiries related to Regulation E are met in accordance with the CFPB (Consumer Finance… more