- Humana (Tampa, FL)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... independent initiative and judgment. Tampa Office The Claims Research & Resolution Representative 2 + Works with ancillary departments, providers,… more
- Apex Health Solutions (Houston, TX)
- …plans; Track and support ongoing management of outstanding escalations to final resolution Develop staffing model to support Claims budget process Develop ... Position is responsible for overall strategy and effectiveness of Claims Operations. Position is responsible for oversight of ...Claim data in all legal issues Serves as company representative in Independent Dispute Resolution (IDR) cases… more
- University of Rochester (Rochester, NY)
- …payment date from the payer. + Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim based on fee schedule, APC or ... companies and other third party payers to obtain payments, research and resubmit rejected claims to primary...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… more
- Fairview Health Services (St. Paul, MN)
- …**Fairview Health Services has an opportunity for a Senior Patient Financial Services Representative to be working on site at our Midway Campus in St Paul, ... business outcomes by identifying ways to fully resolve accounts through single-touch resolution when possible. + Understands revenue cycle and the importance of… more
- Travelers Insurance Company (Diamond Bar, CA)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- Travelers Insurance Company (Las Vegas, NV)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Independent Health (Buffalo, NY)
- …questions, billing and payment questions, and EOB explanations. The Provider Relations Representative will focus on first call resolution and navigate various ... and commitment to diversity and inclusion. **Overview** The Provider Relations Representative is responsible for assisting our provider constituents and providing… more
- UNC Health Care (Chapel Hill, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works ... physician claims ("professional billing"). + Maintains A/R at acceptable aging...through charge corrections, payment corrections, write-offs, other methods. + Research medical records to gather information and substantiate medical… more
- UNC Health Care (Raleigh, NC)
- …of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having received ... denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Review credit balances for possible reallocation or… more
- University of Virginia (Haymarket, VA)
- …processed and followed up to meet the CBO Revenue Cycle performance metrics & representative Facility specific goals. They will also research and answer all ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing...from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and… more
- CHS (Clearwater, FL)
- …mandate a high level of service, including telephone service, accuracy, call resolution and satisfaction. TheMember and Provider Service Representative (MPSR) is ... **Overview** ** ** **Call Center Representative | Member and Provider Services Representative...Supervisor. + For any calls or correspondence where additional research is necessary, clearly explaining to the caller the… 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
- University of Virginia (Charlottesville, VA)
- The Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure that Medical Center receives correct ... insurance companies. They are responsible of ensuring that all claims billed are in compliance with all federal and...Aging Account percentages and Cash goals. They will also research and answer all questions and complaints regarding patient… more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW BILINGUAL CONTACT CENTER REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for bilingual contact center representatives ... / hour POSITION RESPONSIBILITIES WHAT DOES A BILINGUAL CONTACT CENTER REPRESENTATIVE DO? This position supports customer service and sales oriented interactions… more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW BILINGUAL CONTACT CENTER REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for bilingual contact center representatives ... / hour POSITION RESPONSIBILITIES WHAT DOES A BILINGUAL CONTACT CENTER REPRESENTATIVE DO? This position supports customer service and sales oriented interactions… more
- Mass Markets (Savannah, GA)
- POSITION OVERVIEW CALL CENTER REPRESENTATIVE (FULL-TIME) We are looking for full-time call center representatives to support inbound and outbound customer service ... wide variety of clients. In this role, you will identify customers' needs, research every issue, provide solutions, and upsell customers on new products and… more
- Mass Markets (Wichita, KS)
- POSITION OVERVIEW CALL CENTER REPRESENTATIVE (FULL-TIME) We are looking for full-time call center representatives to support inbound and outbound customer service ... wide variety of clients. In this role, you will identify customers' needs, research every issue, provide solutions, and upsell customers on new products and… more
- Rock Family of Companies (Detroit, MI)
- …yourself. As a Payment Resolution Analyst, you'll review funds for resolution transactions that require advanced research and clarification. You'll work with ... compliance requirements, and fraud prevention processes. **About the Role** + Research and determine appropriate action for loan maintenance to include reversals,… more
- Mass Markets (Savannah, GA)
- POSITION OVERVIEW As a Part-Time Technical Support Representative , you will handle inbound phone interactions with residential and business customers. You will ... Listen to customers, understand their needs, and resolve customer issues. + Research systems to find missing information as applicable; coordinate with other… more
- Mass Markets (Savannah, GA)
- …the industry. We are looking for a dedicated and enthusiastic Technical Support Representative to join our team. In this role, you will provide outstanding customer ... contacts in a courteous, timely, and professional manner + Ensure first call resolution through problems solving and effective call handling + Research systems… more