- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or ... specialty claims , submitted via paper. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer… more
- Humana (Harrisburg, PA)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages...(Spanish / English) (see Language Proficiency Testing below)** + ** 1 or more years of Call Center or Telephonic… more
- Humana (Harrisburg, PA)
- …Previous inbound call center or related customer service experience o Previous experience processing medical claims o Bilingual (English and Spanish); with the ... help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting...and speak English and Spanish o Experience with the Claims Administration System (CAS) o Experience working with MHK… more
- Aston Carter (Leola, PA)
- Job Title: Customer Service RepresentativeJob Description The Customer Service Representative (CSR) is the first point of contact for homeowners, retailers, and ... responsible for providing exceptional customer support by answering questions, processing service requests, resolving issues, and ensuring positive customer… more
- Travelers Insurance Company (Pittsburgh, PA)
- …us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and ... beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to… more
- Ryder System (Harrisburg, PA)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- CVS Health (Harrisburg, PA)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic claim ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Banner Health (PA)
- … 1 . May be assigned to process payments, adjustments, claims , correspondence, refunds, denials, financial/charity applications, and/or payment plans in an ... the best place to work and receive care. **The PFS Insurance Follow-Up Representative (Ambulatory Denials)** is responsible for following up with assigned payer for… more
- Fresenius Medical Center (Malvern, PA)
- …location _within the United States_ PURPOSE AND SCOPE: The Insurance Representative provides general administrative support in the insurance collections process ... within the assigned function(s). + Review, investigate and resolve outstanding claims in coordination with cross-divisional teams and/or vendors to obtain the… more