- Integra Partners (Troy, MI)
- …Integra Partners from our provider/plan partners. Responsible for the review of DME claims for billing accuracy. Responsible for the investigation of root cause and ... for delivering a solution to our clients in a succinct, professional, and timely manner. Must maintain appropriate documentation and account records and ensure all work is in compliance with all legal, regulatory, and internal Integra policies and procedures,… more
- Travelers Insurance Company (Indianapolis, IN)
- …this position is responsible for determining the best resource to properly resolve claims in unstaffed or remote regions nationwide (eg; desk adjustment, referral to ... Travelers staff adjuster or Independent Adjuster.) Handles claims involving first party property. investigation, evaluation, estimating and negotiation to ensure… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry , claim reconsiderations and appeals. The Customer Service ... candidate will have experience in a high-volume call center, experience with claims inquiry and claims review procedures, knowledge of medical specialties,… more
- Travelers Insurance Company (Diamond Bar, CA)
- …for signing bonus of $5,000. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...ability to take statements. Follows a logical sequence of inquiry with a goal of arriving at an accurate… more
- Travelers Insurance Company (Lake Oswego, OR)
- …**Target Openings** 1 **What Is the Opportunity?** Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...ability to take statements. Follows a logical sequence of inquiry with a goal of arriving at an accurate… more
- Covenant Health (Lubbock, TX)
- **Description** This is a combined posting for Associate Billing and Collections Representative , Billing and Collections Representative and Senior Billing and ... supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible for ensuring correct coding initiatives are met for… more
- Methodist Health System (Dallas, TX)
- …modules including but not limited to patient registration, charge entry, coding, claims processing, collections, reports, and patient information inquiry . * ... Requirements: + High school Diploma or Equivalent required + Customer Service Representative for call center, assisting patients with billing questions in the… more
- Elevance Health (San Juan, PR)
- **Position Title:** Customer Care Representative I (Hybrid) **Location: Hybrid (Candidates must live within commutable distance of the San Juan, PR Pulse Point: 654 ... and business operations services for health plans. The Customer Care Representative is responsible for successfully completing the required basic training. Able… more
- Elevance Health (Roanoke, VA)
- **Customer Care Representative II/III** **Location:** This position will work an onsite model. Ideal candidates will live within 50 miles of one of our PulsePoint ... 46204** + **602 S Jefferson St, Roanoke VA 24011** The **Customer Care Representative ** is responsible for responding to customer questions via telephone and written… more
- Elevance Health (Savannah, GA)
- **Customer Care Representative I** **Location** : This is a fully **remote** position. Candidates must reside within 50 miles of an Elevance Health PulsePoint office ... insightful analytics to improve the delivery of care. The **Customer Care Representative I** is responsible for successfully completing the required basic training.… more
- Elevance Health (New Hyde Park, NY)
- **Customer Care Representative I** **Location:** The ideal candidate for this role will live within 50 miles of a pulse point in the state of **New York.** The ... **Customer Care Representative I** is responsible for successfully completing the required basic training. Able to perform basic job functions with help from… more
- Elevance Health (East Syracuse, NY)
- **Customer Care Representative I** **Location:** This is a virtual position. The ideal candidate will live within 50 miles of one of our Elevance Health Pulse Point ... and Medicaid Services to transform federal health programs. The **Customer Care Representative I** is responsible for handling or responding to customer service… more
- LogixHealth (Bedford, MA)
- $1,000 SIGNING BONUS Purpose LogixHealth is seeking a Call Center Representative in our Patient Call Center. The person in this role will represent our clients in a ... voice messages from mail box and return patient calls within 24 hours. Research inquiry if needed. + Respond to patient requests by telephone, fax or email; review… more
- CVS Health (Austin, TX)
- …Provide excellent customer services for high volume in bound provider calls for the Claims Inquiry / Claims Research team. Extensive claims research on ... multiple platforms to assist providers with payment questions + Provides the customer with related information to answer the unasked questions, eg additional plan details, benefit plan details, member self-service tools, etc. Uses customer service threshold… more
- Brighton Health Plan Solutions, LLC (Melville, NY)
- …physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry , claim reconsiderations and appeals. This job description ... is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities, and activities may change, or new ones may be assigned at any time with or without notice. Primary Responsibilities * Listen attentively to customer needs… more
- University of Rochester (Rochester, NY)
- …not limited to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software), fax, scanner, EPIC billing application, ... status on appropriate payer systems or contact an insurance representative to obtain information as to why claims... representative to obtain information as to why claims are not paid and steps necessary for processing/payment.… more
- University of Rochester (Rochester, NY)
- …limited to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Flowcast billing application, ... status on appropriate payer system or contact an insurance representative to obtain information as to why claims... representative to obtain information as to why claims are not paid and steps necessary for processing/payment… more
- Benton Community School District (Van Horne, IA)
- …other duties as assigned PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully ... stretching. WORKING CONDITIONS: The work environment characteristics described here are representative of those an employee encounters while performing the essential… more
- Benton Community School District (Van Horne, IA)
- …Iowa, 52346, or by telephoning ###. Inquiries related to sex discrimination, including claims of sexual harassmentpursuant to Title IX, should be directed to Phillip ... E. 14th Street, Des Moines, Iowa 50309-1004, ### or ###, http://www.iowa.gov/government/crc/. This inquiry or complaint to the federal office may be done instead of,… more
- Benton Community School District (Van Horne, IA)
- …of work hours or days. PHYSICAL REQUIREMENTS:The physical demands described here are representative of those that must be met by an employee to successfully perform ... legs. WORKING CONDITIONS: The work environment characteristics described here are representative of those an employee encounters while performing the essential… more