• Claims Research

    Humana (Tallahassee, FL)
    …part of our caring community and help us put health first** The Claims Research and Resolution Representative 2 manages claims operations that ... of both for and against the organization. The Claims Research & Resolution Representative 2 manages intakes with insurance companies, providers, members,… more
    Humana (05/23/25)
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  • Claims Resolution

    University of Rochester (Rochester, NY)
    …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
    University of Rochester (03/17/25)
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  • Pharmacy Claims Representative

    Humana (Helena, MT)
    …workflow and success of the Call Center * Assist Customer Service team with claims research / resolution *Assist with new hires training **Billing:** . Assist ... us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with ...hospice to hospice . Assist Customer Service team with claims research / resolution via dispensing systems,… more
    Humana (05/23/25)
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  • Claims Representative

    Do it Best Corp. (Fort Wayne, IN)
    Claims Representative Location: Fort Wayne, IN...errors. + Maintain thorough and accurate records of all claims and communications. + Research of ... Position: Director of Warehouse Operations About the Role: The Claims Representative is responsible for processing members'...to work well within a team atmosphere + Drive resolution to problems + Investigate and deep dive problems… more
    Do it Best Corp. (05/09/25)
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  • Medical Insurance Claims Resolution

    HCA Healthcare (Austin, TX)
    …to join an organization that invests in you as an Insurance Follow up Representative ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Insurance Follow up Representative like you to be a part of our...issues and thereby affect payment and/or bringing them to resolution . **What you will do in this role:** +… more
    HCA Healthcare (05/17/25)
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  • Financial Representative - Oncology…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Financial Representative - Oncology Claims Follow-Up/Billing Corporate Full-Time Days** Analyses accounts and billing(s) to ensure accurate ... a timely manner, to immediate supervisor for handling or resolution + Utilizes trial balance and other reports to...of Health funding and in the 99th percentile in research dollars per investigator according to the Association of… more
    Mount Sinai Health System (04/18/25)
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  • Billing Representative II - Account…

    R1 RCM (Oklahoma City, OK)
    …As our Billing Representative II, you will work to bring accounts to resolution by tracking claims through the billing process to identify problem areas to ... and determine best course of action to resolve aging claims . * Interact with third parties representative ... process. * Responsible for the follow-up on A/R research projects; review status of accounts, action taken, and… more
    R1 RCM (05/20/25)
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  • Consumer And Business Affairs…

    The County of Los Angeles (Los Angeles, CA)
    …obtain a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal ... of tasks on a variety of consumer matters, including real estate, small claims court, mediation, dispute resolution , and other programs. Incumbents learn to… more
    The County of Los Angeles (04/05/25)
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  • Revenue Cycle Representative

    UNC Health Care (Rocky Mount, NC)
    …related denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Timely resolution of credit balances. ... impact on our community's health and wellbeing. Summary: The Revenue Cycle Representative is responsible for performing a variety of complex duties, including but… more
    UNC Health Care (05/14/25)
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  • Senior Commercial General Liability Claim…

    Travelers Insurance Company (Rancho Cordova, CA)
    …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
    Travelers Insurance Company (05/17/25)
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