- Trinity Health (Farmington Hills, MI)
- …of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates ... objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and...in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as… more
- Elevance Health (Altamonte Springs, FL)
- **Be Part of an Extraordinary Team** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of ... Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated… more
- CRC Insurance Services, Inc. (Richmond, VA)
- …for overseeing, managing and supporting all activities of the construction defect claims team and claim files under your supervision within your respective ... time to time. 1. Manage the supervision, development and coordination of your claims team. 2. Organize, analyze, and disseminate information that affects the … more
- Sanford Health (Sioux Falls, SD)
- …Patient Access Family and Grow the Good! As a Patient Access Representative , your primary responsibility will be providing extraordinary customer service to patients ... registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING - Work with nursing team & providers to coordinate &… more
- Truist (Whiteville, NC)
- …to Care Center, branches and other lines of business, requiring use of one specialty (eg business care, card, loan servicing). 3. Utilize a consultative approach to ... activities. QUALIFICATIONS Required Qualifications: The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable… more
- The Hartford (Scottsdale, AZ)
- Sr Representative Claims - CH08BEConsultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well ... to meaningful work at The Hartford. As a Senior Claims Representative /Consultant, you are at the front...Be responsible for successfully managing Commercial Auto Hartford Global Specialty claims . This team handles claims… more
- Travelers Insurance Company (Indianapolis, IN)
- …**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...through the best possible outcome. Work in collaboration with specialty resources (ie medical and legal) to proactively pursue… more
- CVS Health (Orlando, FL)
- …health care more personal, convenient and affordable. Position Summary CVS Health Specialty Pharmacy has an opportunity available for a full time Medical Billing ... Representative . This role will work in a pharmacy operation...setting at our Patient Financial Service Centers, supporting the claims follow up, denial and appeals processes. The candidate… more
- Travelers Insurance Company (Buffalo, NY)
- …**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...nurse resources where appropriate. + Work in collaboration with specialty resources (ie medical and legal) to proactively pursue… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Travelers Insurance Company (St. Paul, MN)
- …that requires satisfactory completion of required training to advance to Claim Representative - Specialty Liability position. This position is intended to ... develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides...as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills… more
- CVS Health (Monroeville, PA)
- …make health care more personal, convenient and affordable. Position Summary CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an ... opportunity available for a full time Medical Billing Representative . As a Medical Billing Representative , you will ensure timely and accurate billing for… more
- Travelers Insurance Company (Overland Park, KS)
- …and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims , or first party business property claims of moderate severity, or ... statements. + Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, Salvage and fire or fraud… more
- Robert Half Office Team (Centerville, OH)
- …are offering a PERMANENT PLACEMENT employment opportunity for a Sr. Customer Service Representative . In this role, you will be a critical link between our customers, ... will be to ensure the successful procurement of high-cost specialty medications while providing exceptional service to our members....member and company documents. * Assist with processing members' claims through an internal claims system when… more
- CVS Health (Monroeville, PA)
- …make health care more personal, convenient and affordable. Position Summary CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an ... opportunity available for a full time Pharmacy Billing Representative . This role will ensure timely and accurate...role will ensure timely and accurate billing for unbilled claims and ensure account payment for outstanding balances while… more
- City of Tacoma WA (Tacoma, WA)
- Senior Source Control Representative Salary $41.92 - $50.97 Hourly Location Tacoma, WA Job Type Classified Job Number 0626-24A Department Environmental Services ... of reported pollution and other environmental issues? If so, our Senior Source Control Representative recruitment may just be the job you are looking for! The City… more
- CVS Health (Monroeville, PA)
- … Specialty Pharmacy Billing/Collections + Problem resolution within healthcare reimbursement/ claims . Education + Verifiable High School Diploma or GED required ... make health care more personal, convenient and affordable. Position Summary CVS Health, Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an… more
- Ascension Health (Evansville, IN)
- **Details** + **Department:** Pediatric Specialty Clinic + **Schedule:** Part Time, Days + **Hospital:** Peyton Manning Children's Hospital + **Location:** ... account record of all billing activities. Maintain documentation of claims processed as part of the daily claims... claims processed as part of the daily claims reconciliation process. + Prepare and complete claims… more
- Reynolds Consumer Products (Appleton, WI)
- Customer Accounts Representative in Appleton, WI at Reynolds Consumer Products Date Posted:6/21/2024 Apply ({{ applyUrl }}) Not ready to Apply? Job Snapshot + ... + Date Posted: 6/21/2024 Job Description Job Title: Customer Accounts Representative City: Appleton / State: Wisconsin Job Description Join Reynolds Consumer… more
- Pfizer (New York, NY)
- **ROLE SUMMARY** The Specialty Care (I&I) Field Medical, Outcomes & Analytics colleague is responsible for educating customers on the clinical and economic impact of ... the legal guidance of the Medical O & A specialty + Understand the principles of study design, methodology,...health services research. + Experience analyzing health care data ( claims , electronic health records, other health care data) +… more