- The Cigna Group (Whitestown, IN)
- **_This is a Hybrid role that will require on-site presence_** **_Working Hours: 8:00am - 4:30pm_** **POSITION SUMMARY** Utilizes advanced knowledge to review ... claims, to ensure billing accuracy, and to edit, bill and collect payment...accounts receivable and escalations. Requires complete understanding of the billing and collection processes and little supervision for routine… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …ability to be hybrid once fully trained. Position Summary The Payer Enrollment Coordinator is responsible for all insurance payer enrollment and re- ... provider and facility holds as they relate to payer enrollment in the Billing Systems + Communicates...projects as assigned Qualifications: The requirements listed below are representative of the knowledge, skill and ability to perform… more
- TEKsystems (Roseville, CA)
- …researching, and analyzing incoming Member Complaints, Member Reimbursement requests, Billing and Enrollment inquiries, miscellaneous member correspondences, ... etc. + Determining appropriate paths to follow, creating supporting documentation, processing claims/TARs on final determinations, and extensive communication with members, providers, and additional internal and external customers. Qualifications: + Medi-Cal… more
- Fallon Health (Worcester, MA)
- …helping the elderly and their families? Fallon Health is hiring an Enrolle Service Representative to work Hybrid -Remote, Mostly from Home but coming into the ... the outreach and enrollment teams as a resource + Handles enrollee's billing issues and presents them to NaviCare Clinical Directors or other internal and… more
- Insight Global (San Diego, CA)
- …west coast and in Kearny Mesa/San Diego area is looking for a Service Center Representative to join their Medicare and Special Projects team. This is a complex role ... perform heavy data entry (80%) and outbound calls (20%) supporting health plan enrollment . The overall objective of this position is to perform the account… more
- HUB International (San Diego, CA)
- **_This_** **_role_** **_can be Hybrid or Remote in Southern CA_** **THE OPPORTUNITY:** HUB's Customer Service professionals provide critical support to our ... needs and provide them with innovative solutions. The Employee Benefits Account Representative II works collaboratively with the Producer and Account Team managing a… more
- HUB International (Newport Beach, CA)
- …and provide them with innovative insurance solutions. The Strategic Account Representative works collaboratively with the Producer and Account Executive managing a ... from HR or the MyBenefitsChampion call center. * Provides assistance with clients' billing and eligibility audits, and on occasion may conduct these audits for… more
- Corewell Health (St. Joseph, MI)
- …benefits with accessing services, facilitating and resolving problems, understanding claims, billing and coding, along with other questions. Consistently create an ... and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status. + Promptly identifies and resolves… more
- Healthfirst (NY)
- …Administration for the removal of spenddown amounts. + Assist the Care Teams and Enrollment and Billing teams to relink cases that have active coverage but ... the Local Department of Social Services for faster and more accurate enrollment and conducting pre-screenings for financial eligibility. + Identifies obstacles and… more
- State of Colorado (Denver, CO)
- …We are onboarding new employees using a hybrid approach. The Department supports flexible work arrangements. ... of the position, we have options that range from hybrid , to full-time in the office. Specific discussions about...and Community Based Services (HCBS). * Direct changes to billing manuals, websites, and other data points because of… more
- Penn Medicine (Philadelphia, PA)
- …Tower- 1500 Market Street Hours: Fulltime, Monday-Friday, 8:00am - 4:30pm, Hybrid Summary: The Pre-registration specialist reports to the Supervisor of Financial ... + Appropriately collects and/or sets payment arrangements with patients or their representative , scheduling payments on deposits due, which may include screening of… more
- New York State Civil Service (Albany, NY)
- …and collaboratively, whether onsite or remotely.Ability to work in a hybrid environment, adept at maintaining work communications and relationships to fulfill ... Duties Description Job SummaryThe Benefits Manager is an externally facing representative of the SUNY University-wide Benefits team. This individual collaborates… more
- Elevance Health (Wichita, KS)
- …LTSS Provider Representative ** **Location:** Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles ... Health PulsePoint locations. The **Network Relations Consultant, LTSS Provider Representative ** develops and maintains positive provider relationships with the… more