- Sedgwick (Richmond, VA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
- Ryder System (Richmond, VA)
- …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Mass Markets (VA)
- …to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (VA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... time for any reason. ID2024-43712 Updated Date1/16/2025 DepartmentUnlicensed Insurance Representative Positions ScheduleMultiple Schedule Options BonusYes EducationHigh School Diploma/GED… more
- Mass Markets (VA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... any reason. ID2024-43313 Updated Date1/16/2025 DepartmentUS Statewide Work-at-Home Positions ( Remote ) ScheduleMultiple Schedules Available BonusYes Wage DescriptionCommensurate | Base… more
- Travelers Insurance Company (Richmond, VA)
- …is responsible for handling moderate to complex Personal and Business Insurance Auto Damage claims as well as low complexity Bodily Injury Liability claims . This ... unclear liability as well as low complexity/minor Bodily Injury claims . Will also handle more complex Auto Damage ...This role is hybrid (3 days in office/2 days remote ). **What Will You Do?** + **Customer Contacts/Experience:** +… more
- TEKsystems (Newport News, VA)
- As the Medical Billing and Denials Representative If you're ready to explore the next step in your career: You'll enjoy Career Opportunities - Tons of growth ... + Post training: Hybrid 3 days onsite, 2 days remote + Once management feels confident in your performance...Skills and Strengths: AR Follow-Up | EMR/EHR Systems | Claims Processing | CPT/ICD-10 Codes | Rejections/Denials | Insurance… more
- Elevance Health (Richmond, VA)
- **Utilization Management Representative II** **Location:** This is a remote position but candidates should live within 50 miles of one of our PulsePoint ... locations. The **Utilizations Management Representative II** is responsible for managing incoming calls, including...impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides… more
- Elevance Health (Richmond, VA)
- Job Description **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates ... 50 miles of one of our PulsePoint locations. The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Koniag Government Services (Vienna, VA)
- …Koniag Government Services company, is seeking an experienced **Service Desk Representative ** with a **Top-Secret Clearance** to support **Kadiak** and our ... weeks paid time off, and more. The service desk representative is responsible for performing daily operations of the...team. + Receiving and troubleshooting calls from international and remote users for issue resolution. + Escalating issues to… more
- CRC Insurance Services, Inc. (VA)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department. **ESSENTIAL… more
- TEKsystems (Newport News, VA)
- Hybrid Patient Account Representative Remote after training, may have to go into the office occasionally to submit claims for specific insurance payors. ... You'll enjoy Flexible Hours - Monday-Friday between 7:30AM-5:30PM Competitive Pay Opportunity to work for a large healthcare provider in Hampton Roads A day in the role + Working Adjustment report, Aging report, Coding list document, and Correspondences +… more
- Mass Markets (VA)
- …Internet Service Provider services. Do you know what it means to "Pair a Remote "? + Trouble shoot data, video, and voice (VoIP Phone) service disruptions with a ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (VA)
- …as needed in response to disaster relief efforts. This is a temporary, remote position contingent on hurricane disaster relief needs. Candidates accepted for this ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- United Therapeutics (Richmond, VA)
- …the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine ... to the Food Drug and Cosmetic Act, the False Claims Act, Anti-Kickback Statute, the Sunshine Act and other...healthcare related laws and regulations + Serve as Legal representative on the Company's promotional review committee, including review… more
- HealthEdge Software Inc (Richmond, VA)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- HealthEdge Software Inc (Richmond, VA)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- HealthEdge Software Inc (Richmond, VA)
- …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- HealthEdge Software Inc (Richmond, VA)
- …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... and deliver excellent software and services to our customers._ **Geographic Responsibility:** Remote but ideal candidate would live within the driving distance to… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Fully Remote Position Summary The Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT ... and integrity of medical record abstract data prior to billing interface and claims submission + Routinely code inpatient records to meet productivity and quality… more