- Daiichi Sankyo, Inc. (Bernards, NJ)
- …Serve as a member of Labeling and Pricing Committees and as legal representative on the promotional materials review team for market access team and materials ... matters relating to pricing and Market Access (including FDA regulations, False Claims Act, Anti-Kickback Statute, OIG guidance, the PhRMA Code, and product… more
- Metropolitan Council (St. Paul, MN)
- Workers' Compensation Claims Representative II - REPOST Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4511198) Apply Workers' ... Compensation Claims Representative II - REPOST Salary $76,148.80...prevention and loss reduction strategies, and financial responsibility for claim reserves. How your work would contribute to our… more
- CH Robinson (Eden Prairie, MN)
- CH Robinson is seeking a dedicated Claims Representative to join our team. In this role you will act as a liaison between corporate and network offices, process ... between corporate and network offices to gather information for claim responses + Process new claims , disseminate...just be our next great fit! **Equal Opportunity and Affirmative Action Employer** CH Robinson is proud to be… more
- Humana (Green Bay, WI)
- **Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 3 manages claims operations that ... claims for and against the organization. Approves all claim settlements both for and against the organization. The... settlements both for and against the organization. The Claims Research & Resolution Representative 3 performs… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for working across ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Guidehouse (Gardena, CA)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Insurance ... Patient Account Representative - Hospital A/R Emphasis** is an extension of...Talent Acquisition) at ###_** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials +… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Patient Account ... Representative (PAR) is expected to perform specific billing processes,...and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all… more
- Sysco (Houston, TX)
- …, claims costs as needed to operating sites + Serve as a corporate claims representative on all initial serious claims calls and reviews + Rotation ... assets of Sysco Corporation through the administration and oversight of the Casualty Claim Program. **DUTIES AND RESPONSIBILITIES** **:** + Oversight of claims … more
- Guidehouse (San Antonio, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Patient Account ... Representative is an extension of a client's business office...**About Guidehouse** Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …contracts, claims investigations, and vendor management to make appropriate claim reserve recommendations + Proactively work toward economic resolution of Cyber ... of Primary Function/General Purpose of Position** Effectively and efficiently manages liability claims , including hospital and employed physician claims , as well… more
- HUB International (Brentwood, TN)
- …to Subrogation Representative for evaluation and pursuit of potential subrogation claim . * Document file activity notes and prepare written reports and letters ... subsidiaries reside: + Avant Underwriters (AU + Avant Specialty Claims (ASC) + Avant Brokerage (AB) + Avant Supermarket...required (ie ROR, Denial, Tender Letter, etc.). * Assign claim to outside appraiser and/or adjuster with instructions for… more
- HUB International (Irving, TX)
- …and security within the product administration systems. + Manage the end-to-end claims process timely, ensuring accurate claim intake and settlements to ... policy details. + Assist lenders, customers and dealerships with claims submissions and follow up on claim ...position **The physical and environmental demands described here are representative of those that must be met by an… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate… more
- Kelly Services (Houston, TX)
- …$20 hr** **Temp-hire onsite** **Do you meet the Requirements?** + Have 2-3 yrs Medical Claims experience as a Claims Representative in a call center ... data replication. - Manage the transfer process of historical claims data from the current claim vendor....is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity… more
- HUB International (Kansas City, MO)
- Primary Role: The Claims Specialist will be responsible for independently and proactively managing the Casualty and Workers Compensation claims program within ... Lines Department Duties and Responsibilities: + Manages and communicates claims issues with client, carrier or producer + Reviews... issues with client, carrier or producer + Reviews claim status regularly and follows up as needed +… more
- Insight Global (Cincinnati, OH)
- Job Description Insight Global is looking for a Claims Processing/Accounts Receivable representative local to the Cincinnati area. Will be supporting the clients ... Kroger claims processing team working with internal teams and Kroger...selves to work every day. We are an equal opportunity/ affirmative action employer that believes everyone matters. Qualified candidates… more
- MyFlorida (Fort Lauderdale, FL)
- …or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. Answers inquiries from claimants, ... 844532-EMPLOYMENT SECURITY REPRESENTATIVE II-LW - 40046224 Date: Jan 10, 2025...to apply the law in making initial determinations on claims . The individual in this position must be able… more
- The Institute for Family Health (New Paltz, NY)
- HIT ANALYST - Claims / Professional Billing Job Details Level Experienced Job Location New Paltz Family Health Center - New Paltz, NY Remote Type Fully Remote ... and analyzes the results + Meets with team members, Epic technical service representative , and external partners on a regular basis + Superior design, development,… more
- FirstBank PR (GU)
- …to customers as requested. + Provides a variety of services to customers, such as: payment claims , debit claims , late charges claim , claims on credit ... BUSINESS SUPPORT REPRESENTATIVE / MORTGAGE CUSTOMER SERVICE Our Company At...to their mortgage loan, responds and registers customer requests, claims and complaints on applicable systems as per department… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Central Denials ... Account Representative conducts thorough account reviews to determine the appropriate...Files + 835 Electronic Files + UB04's and 1500 Claim Files + Medical Record + Making outbound calls… more
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