- Humana (Annapolis, MD)
- …and help us put health first** Join Humana's dynamic team as a Claims Research & Resolution Representative and make a meaningful impact every day! In ... and third-party collection services to facilitate timely and accurate resolution of complex medical claims . + Comprised of a group of calls/ claims /provider… more
- CareFirst (Baltimore, MD)
- …in the value of our programs in support of positive member interactions. **ISSUE RESOLUTION :** + Provides research , resolution and support for escalated ... Health Services and across the company. Provides communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted in-network… more
- Point32Health (Washington, DC)
- …regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint ... works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation… more
- System One (Baltimore, MD)
- …practices to ensure Tier One service delivery and operational excellence. + Conduct research , analysis, and resolution for special projects, ensuring timely and ... $35/HR Contractor Work Model: Mostly Remote The Provider Relations Representative is responsible for developing and maintaining positive relationships with… more