- Axis (Princeton, NJ)
- …of payment requests and cash calls from Claims processing, broker & service fee payment and analysis of third-party fees. * Facilitate monthly ... lines insurance and reinsurance. We stand apart for our outstanding client service , intelligent risk taking and superior risk adjusted returns for our shareholders.… more
- University of Rochester (Rochester, NY)
- …calls, payer website, and written communication to ensure accurate processing of claims . Follows established procedure for missing insurance payment information ... expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for working across the… more
- UCLA Health (Los Angeles, CA)
- …+ High School Diploma, GED or equivalent experience + Four or more years of medical claims payment experience in an HMO setting + Expertise in industry standard ... and the review and adjudication of professional, ancillary, and institutional claims for services rendered in our inpatient, ambulatory and outpatient settings.… more
- Lakeshore Bone & Joint Institute (Crown Point, IN)
- …inputs on trends in denials, non-covered services, prior authorizations, and deductibles or co- payment collection issues at the point of service . + Complete ... to keep moving and keep enjoying their life. The Payment Poster is responsible for posting medical payments through...and ERA's match payments. + Report and reroute denied claims to the appropriate coding and denial management team… more
- University of Rochester (Rochester, NY)
- …as to why claims are not paid and steps necessary for processing/ payment . - - Initiate collection phone calls to insurance companies to determine reason for ... claim denial or reason for unpaid claim. Address unpaid claims , and solicit a payment date from...determine final resolution.- - - Re-calculate claim based on fee schedule, APC or APG grouper, appropriate % of… more
- Sedgwick Government Solutions (Orlando, FL)
- Job Details Service Center Representative (Remote) 2025-1428 Orlando, FL, USA NPN Operations Full Time Description Remote Service Center Representative - ... HERE Overview Are you focused on details, skilled in claims management, and committed to problem-solving and exemplary customer... management, and committed to problem-solving and exemplary customer service ? Are you looking to make a difference by… more
- NCR VOYIX (Atlanta, GA)
- …rights and that annuity/maintenance fee information and instructions to third-party payment service providers are up-to-date and accurate + Develop and ... whether QPIDS may be available + Reviewing EP granted claims for accuracy and coordinating the process for validating...ensure that all relevant information is included (eg, issue fee payment dates, dates of issuance, election… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …laws. + Quick learner with ability to grasp managed care procedures and claims payment policies. + Detail-oriented and dependable. + Effective listening and ... claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives must be able to work in various...call center, experience with claims inquiry and claims review procedures, knowledge of medical specialties, fee… more
- Mount Sinai Health System (New York, NY)
- …post-surgical procedures, including coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by ... Demonstrates proficiency in analysis and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the… more
- Kemper (Lake Mary, FL)
- …you will thoroughly investigate processes and equitably settle first party PIP or Medical Payment claims . Ensure that all assigned claims are concluded ... parties eligible for coverage, analyze medical bill, lost wage and other expense claims submitted for payment using a consistent and thorough review process.… more