- Rady Children's Hospital San Diego (San Diego, CA)
- …of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances ... not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid...and Remittance Advice (RA). As well, they are to review CCI or payor specific coding edits and take… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …can be frustrating and we are here to help. The Customer Service Representative 's primary role is to support relationships with members, providers and health plans. ... codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening skills with natural...We would love you to join our team! Please review the requirements below and apply if qualified. Minimum… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Professional Billing & Coding, the Billing & Collections Rep I is responsible to review and process charges via our EMR system. They are responsible to process the ... incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
- US Physical Therapy (Houston, TX)
- …time of growth for USPh, and we are hiring a **Patient Account Representative ** with strong technical ability and business acumen to join our expanding Houston ... Your role will be critical in our billing and claims department, and you will be asked to facilitate...in patient accounts. + Process payments and refunds. + Review and update patient insurance information. + Communicate with… more
- Ally (Springfield, IL)
- …liability as quickly as possible. * Negotiates settlement of subrogation claims with at fault party while following established, authorized settlement authority. ... files. * Handles all registers within the guidelines of the state's Fair Claims Practices Acts and other Regulations while also ensuring timeliness and KPIs are… more
- Caris Life Sciences (Irving, TX)
- …The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role ... and submitting required documentation to payors. **Job Responsibilities** + Review insurance denials and take appropriate action. + Check... insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical… more
- Towne Park (Kansas City, MO)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... Maintains timely rhythms and transparency with Area/District Manager. Establishes rhythms to review compliance to standards for their account. - 10% Ensures that the… more
- Curia (Springfield, MO)
- …and effectively documented in order to provide traceability and substantiation of any claims to be made in the investigation. This position primarily works in the ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Charles F. Kettering Foundation (Dayton, OH)
- …employee relations, performance management, and the Foundation's organizational performance review process. This position is responsible for ensuring compliance with ... state, and local employment laws and regulations, and recommended best practices; review and modify policies and practices to maintain compliance. Maintain knowledge… more
- Siouxland Community Health Center (Sioux City, IA)
- Siouxland Community Health Center has an open for: MEDICAL BILLING REPRESENTATIVE 3-Full-Time - Positions are on site and/or work from home depending on experience. ... knowledge preferred. Practice Management experience beneficial. File primary and secondary claims Advanced computer and data entry skills. Strong math acuity.… more
- Compass Minerals America Inc. (Overland Park, KS)
- …changes. + Partner with vendors to manage day-to-day operations, including escalated claims resolution, eligibility audits, and system updates. + Support annual open ... perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. **Education &… more
- MISTRAS Group, Inc. (Princeton Junction, NJ)
- …legal and compliance activities at MISTRAS. and manage litigation, activities, draft, review and negotiate company agreements, review and monitor compliance and ... and counsel executives on risk mitigation. **Major Responsibilities/Activities:** + Draft, review , and negotiate a broad range of commercial agreements/renewals and… more
- Towne Park (Spokane Valley, WA)
- …& Legal:** + Submit or verify information relating to unemployment claims and provide requested supporting documentation, review unemployment decisions, ... in all HR interactions. 40% **HR Data Integrity & Maintenance:** + Review , process, create, and ensure integrity of all workforce-related employment actions.… more
- Towne Park (Atlanta, GA)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... with District Manager/Regional Director. Establishes rhythms with all District Champions for review of compliance to standards for their area. - 30% Service… more
- Edgewell Personal Care (New York, NY)
- …benefits and copy that feels effortless and fun + Partner with Legal to review claims and product copy, ensuring the language stays true to Billie's ... across the organization to ensure all copy across all departments is representative of the brand + Continuously learn and iterate, tracking what messaging… more
- New York State Civil Service (White Plains, NY)
- NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90) - NYHELPS Occupational Category Other Professional Careers ... State NY Zip Code 10601 Duties Description Under the general supervision of a Claims Services Representative 2 responsibilities include, but are not limited to:*… more
- EquipmentShare (St. Louis, MO)
- Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting applications for a future Claims Representative in the St. ... that truly cares. We're accepting applications for a future Claims Representative role at our rental facility...on claim trends, outcomes, and customer feedback for management review . + Team Collaboration: Work closely with other departments,… more
- Sedgwick (Cincinnati, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability Are you looking for an opportunity to join ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF YOU** Flexible work… more
- Sedgwick (Concord, CA)
- …Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Representative (Future Medical)| In-Office (Concord, CA) **ARE YOU AN ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Las Vegas, NV)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation | Las Vegas, NV (100% in Office) ... combination of education and experience or successful completion of Claims Representative training required. **Jurisdiction Knowledge:** Nevada **Licensing:**… more
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