- AmeriHealth Caritas (Philadelphia, PA)
- …position is responsible for the administrative tasks for coordination of member and/or provider appeals , the analysis of claims and appeals , and the review ... more
- Fallon Health (Worcester, MA)
- …information, visit fallonhealth.org. **Brief Summary of Purpose:** Fallon Health's (FH) Appeals and Grievance process is an essential function to FH's compliance ... more
- Penske (Reading, PA)
- …audits, including negotiating with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims . -The position will require the ability ... more
- Robert Half Accountemps (Bakersfield, CA)
- Description We are offering an employment opportunity for a Medical Claims Representative in the Financial Services industry, located in Bakersfield, California. ... 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 ... more
- Fairview Health Services (St. Paul, MN)
- …process. + Daily work queues are at zero + Correspondence worked daily + Timely claims processing and timely appeals Demonstrate a high degree of proficiency in ... more
- UNC Health Care (Chapel Hill, NC)
- …**Job Responsibilities:** + **Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials, and ... more
- Virtua Health (Mount Laurel, NJ)
- …claims .Assists customers with denial related questions.Prepares and maintains appeals for denials.Position Responsibilities:* Identifies items to be appealed ... more
- State of Colorado (Morgan County, CO)
- …Administrative Assistant III / Customer Service Representative - (Brush, CO) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4880515) Apply ... more
- Virtua Health (Mount Laurel, NJ)
- …on assigned insurances on a monthly basis and maintains records of declined claims requiring appeals . Position Qualifications Required / Experience Required: 1-3 ... more
- Owens & Minor (Columbus, OH)
- … representative follows-up with insurance companies to resolve unpaid claims . **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Researches any overdue account balance ... more
- US Anesthesia Partners (Austin, TX)
- …without a reasonable accommodation) + Contact s insurance companies for status on outstanding claims . + Process and follow up on appeals to insurance companies. ... more
- Insight Global (Sacramento, CA)
- …members eligibility, benefits, provider information, monthly premium billing, medical claims billing, status and clinical and pharmacy need Coordinate member ... more
- Robert Half Office Team (Minneapolis, MN)
- …* Accurately process patient data , including appointments, authorizations, claims , invoices, eligibility benefits, and appeals * Provide exceptional ... more
- Banner Health (AZ)
- …Microsoft Office programs, edge, Banner Systems (MS4, CERNER, Finthrive collections(web based), nthrive claims **Monday - Friday 8am - 4:30pm AZ Time** **This can be ... more
- CVS Health (Dover, DE)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... more
- Robert Half Accountemps (Dallas, TX)
- …+ Utilizes systems to resolve customer needs such as appointments authorizations claims invoices eligibility benefits appeals TARs + Translates oral information ... more
- University of Rochester (ME)
- …edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and ... more
- Robert Half Office Team (Carson City, NV)
- …Use internal systems to manage customer needs such as appointments, authorizations, claims , invoices, eligibility benefits, and appeals + Accurately document and ... more
- MyFlorida (Tallahassee, FL)
- …(relocation benefits are not available for this position) OPS Employment Security Representative II This position will be used for multiple vacancies OPEN ... more
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