- Humana (Columbus, OH)
- …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
- Intermountain Health (Columbus, OH)
- …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
- Molina Healthcare (OH)
- …member/provider impact and engagement including: Appeals and Grievances, Problem Research and Resolution , and the development/maintenance of Member/Provider ... of the call/ issue and following it through to resolution , on behalf of the customer, in real time...wide variety of inquiries and assistance involving their benefits, claims , premiums, and other areas including very complex issues.… more
- CVS Health (Columbus, OH)
- …member ID numbers, and monitor retro Medicaid reinstatements for downstream impact on claims . + Serve as health plan representative for enrollment revenue ... to ensure the accuracy of CME assignments. + Daily review of enrollment reports to research and resolve errors in eligibility coverage breaks, correct duplicate… more
- Robert Half Office Team (Westerville, OH)
- Description We are looking for a dedicated Medical Customer Service Representative to join our team in Westerville, Ohio. In this contract position, you will serve ... approach to handling inquiries and transactions. Responsibilities: * Facilitate the resolution of patient account balances with a focus on delivering a… more