- Rady Children's Hospital San Diego (San Diego, CA)
- …of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances ... not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid...and Remittance Advice (RA). As well, they are to review CCI or payor specific coding edits and take… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Professional Billing & Coding, the Billing & Collections Rep I is responsible to review and process charges via our EMR system. They are responsible to process the ... incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic...be substituted for 1 year of experience PREFERRED QUALIFICATIONS: 3 Years of Experience EPIC experience a plus **The… more
- Towne Park (Kansas City, MO)
- …or program terms. **SUMMARY** The Senior Account Manager directly oversees one Tier 3 or 4 assigned account and the organizational chart therein, responsible for ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Claims Review Representative 3 makes appropriate claim decision based on ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3...and state and federal legislation. The Claims Review Representative 3 performs advanced… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...adjusting licenses as required for the position. **Experience** Three ( 3 ) years of personal line or commercial line property… more
- Sedgwick (West Des Moines, IA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability and Bodily Injury | Hybrid Are you looking ... a hybrid work schedule after 30 days of employment; 3 days in office 2 days working from home....combination of education and experience or successful completion of Claims Representative training required. Bodily Injury experience… more
- The Hartford (San Antonio, TX)
- Claims Representative - CH09CN We're determined...with customers and business partners in the management of claims ; + Review and analyze policies and ... Representative is a claim handling role within Complex Claims Unit - Bodily Injury (CCU-BI). CCU is a...will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who… more
- Sedgwick (Sun Prairie, WI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative , Total Loss | Remote **PRIMARY PURPOSE** : To analyze ... and process low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury … 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 ... compliance training of NTT Data/Client -Work independently to research, review and act on the claims -Prioritize...optimize, and transform for long-term success. We invest over $ 3 .6 billion each year in R&D to help organizations… more
- Dragonfly Health (Mesa, AZ)
- …accuracy of patient profiles, involving authorization status and relatedness indicators. 3 . Evaluate and process compound medication claims , ensuring accuracy ... supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems… more
