- Humana (Atlanta, GA)
- …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
- Humana (Madison, WI)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 3 manages claims operations that involve ... for and against the organization. The Claims Research & Resolution Representative 3 performs advanced administrative/operational/customer support duties… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in **for a remote position** . This ... complete compliance training of NTT Data/Client -Work independently to research , review and act on the claims ...above 98.5% PA and 99.75% FA. -Timely response and resolution of claims received via emails as… more
- Intermountain Health (Raleigh, NC)
- …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
- University of Rochester (Albany, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for ... routine action to resolve unpaid claims . The Claims Resolution Representative III reports...(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims ,… more
- Travelers Insurance Company (Irvine, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (San Diego, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… 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
- Banner Health (Phoenix, AZ)
- …providing excellent customer service and satisfaction with a goal of first call resolution . As a **Provider Experience Representative ** , you will be working ... parties to ensure delivery of outstanding customer service while facilitating timely research and issue resolution , in a positive work environment, that… more
- BJC HealthCare (St. Louis, MO)
- …and billing resolution ; resolves complex accounts and ensures their full resolution . + Contacts insurance companies regarding complex claims , updates account ... the Role** BJC HealthCare is seeking a Patient Accounts Representative to assist with physican billing follow up. Duties...billing follow up. Duties for this role include working claims , contacting payors, and filing appeals in hopes to… more