- 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
- Medical Mutual of Ohio (Toledo, OH)
- …substance abuse and nicotine testing._ **Title:** _PAR - Provider Inquiry Representative I_ **Location:** _OH-Toledo_ **Requisition ID:** _2400650_ ... require adjustments to this requirement._ + Communicated providers appropriate claim status, claims filing requirements including, but not limited to, use of proper… 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 (Alpharetta, GA)
- …Potential of up to a $3000 sign on bonus 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 (Overland Park, KS)
- …**What Is the Opportunity?** 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
- 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 (Mason, OH)
- **Customer Care Representative I** **Location:** This is a hybrid position and onsite training will be required for the first 10 weeks. We are hiring for specific ... clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Customer Care Representative I** is responsible for acting as a trusted advisor and… 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
- AmeriHealth Caritas (Philadelphia, PA)
- …being courteous, helpful, energetic, respectful and polite. + Strive to resolve an inquiry on first contact while ensuring that the inquiries have been addressed to ... assist members with premium billing inquiries and/or issues.; + Forwards claims requiring external department intervention to the appropriate department or person.… more
- TEKsystems (Milwaukee, WI)
- …insurance guidelines. Researches and resolves pending and unpaid laboratory claims to resolution. Accurately interprets remittance advices regarding payments, ... missing or incomplete billing information when needed. Responsible for claims follow-up. Thoroughly researches reasons for denial, short payments, overpayments,… more
- Highmark Health (Harrisburg, PA)
- …ULTRA and Dental Provider File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** ... of experience + Experience in Provider Data Management, Customer Services or Claims . + Microsoft office experience (ie Word, Excel, PowerPoint, etc.) **Preferred** +… more
- Cummins Inc. (Seymour, IN)
- …communications and internal or external escalations to resolve the customer inquiry Distribution/Service Network Knowledge - Knowledge of the Distribution Business ... and RDCs for quality issues, submit Material Non-Conformance or Process Non-Conformance claims as needed via CQMS Direct customers through export compliance policy… 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
- Highmark Health (Albany, NY)
- …subscribers, members, providers, internal and external customers; Processes and adjusts claims . This is a bargaining unit position. The collective bargaining ... a logical manner; considers contractual provisions and options to resolve inquiry . *Utilizes and interprets appropriate reference materials and other necessary… more
- Highmark Health (Buffalo, NY)
- …Experience: A minimum of 18 months of current consecutive experience as a Service Representative and/or Service/ Claims Representative at BC/BS of WNY, within ... responses to inquiries from internal and external customers; processes and adjusts claims . This is a bargaining unit position. The collective bargaining agreement… 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, ... on the 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 the steps necessary for… 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
- Trinity Health (Ontario, OR)
- …be Part-Time 24 hr/wk. **GENERAL SUMMARY AND PURPOSE:** As a Patient Service Representative , you will work in conjunction with physicians and clinical staff to take ... Supervisor, Patient Access. + Processes insurance claim forms. + Reviews claims /accounts for complete information, corrects and completes forms to ensure accuracy.… more
- University of Washington (Seattle, WA)
- …**POSITION HIGHLIGHTS** The Insurance Follow-Up Coding Denials Specialist (Patient Account Representative 2) is responsible for the optimal payment of coding related ... denied claims from commercial insurers, managed care plans, and state...UWP departments including Compliance, Charge Capture, Patient Accounts & Inquiry , Claim, Payment & Credit, Payor Relations, and Physician… more