- The Cigna Group (Bloomfield, CT)
- …complexity of contracts for pricing accuracy **Qualifications:** + 1 year of Payer Solutions claim processing technical knowledge and application + Customer ... Acceptable for This Position ** **Responsibilities:** + Researches, analyzes and calculates claims in accordance with provider contracts + Works with internal matrix… more
- Fairview Health Services (St. Paul, MN)
- …billing and collection practices. + Works with multiple payer 's provider representative on issue resolution including claim resolution projects and process ... behind the scenes, or supporting those who do, your work matters. This lead position is responsible for supporting/assisting management in the billing and collection… more
- Truman Medical Centers (Kansas City, MO)
- …billing, Medicare/Medicaid reimbursement, financial assistance programs, and all the latest in payer regulations. + ** Lead by example** : Become the go-to ... for positions and apply.** Oral and Maxillofacial Surgery Prior Authorization Representative 101 Truman Medical Center **Job Location** University Health 4 (UH4)… more
- General Dynamics Information Technology (Las Cruces, NM)
- …respond to questions from customers regarding Coordination of Benefits, Medicare Secondary Payer claims , and billing questions within a fast-paced call center ... Frequent internal contacts with Customer Service Managers, Call Center Supervisors, Lead Training Specialist, Operations Representative , other Customer Service… more
- Covenant Health Inc. (Knoxville, TN)
- …between other Covenant departments in order to correct any issues with billed claims to ensure correct billing and proper claim processing. Position Summary: ... Overview Patient Account Representative , Rev Integrity and Util Full Time ,...departments in order to correct any issues with billed claims to ensure correct billing and proper claim… more
- University of Miami (North Miami, FL)
- …non-contracted HMO payers and refers to proper managing department. + Serves as a lead Insurance Verification Representative and assists in training new staff. + ... SoLe Mia has an exciting opportunity for a Sr. Insurance Verification Representative The Sr. Insurance Verification Representative (H) verifies insurance… more
- Elevance Health (San Antonio, TX)
- …support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** TX-SAN ANTONIO, 4751 ... the Possibilities. Make an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization** is responsible for managing incoming… more
- University of Miami (North Miami, FL)
- …non-contracted HMO payers and refers to proper managing department. + Serves as a lead Insurance Verification Representative and assists in training new staff. + ... UHealth/SoLe Mia has an exciting opportunity for a full-time Sr. Insurance Verification Representative (H) with a target hire in 6/30/2025. Be part of the UHealth… more
- University of Rochester (Albany, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working ... and closure. Responsibilities include, but are not limited to, independent research, claim correction and resubmission, handling payer specific appeal process… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Representative - Insurance Claim Follow-Up Full Time , 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is ... for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible...departments in order to correct any issues with billed claims to ensure correct billing and proper claim… more