- 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
- Do it Best Corp. (Fort Wayne, IN)
- Claims Representative Location: Fort Wayne, IN...errors. + Maintain thorough and accurate records of all claims and communications. + Research of ... of Warehouse Operations Trave: N/A About the Role: The Claims Representative is responsible for processing members'...to work well within a team atmosphere + Drive resolution to problems + Investigate and deep dive problems… 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
- 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
- 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
- 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
- University of Virginia (Charlottesville, 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
- 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
- Virginia Mason Franciscan Health (Seattle, WA)
- …scan lock box cash applications in search of checks. - COLLECTION ASSISTANT a. Research and file bankruptcy claims . b. Open and distribute incoming mail, bundle ... as outlined in one of the following areas: Medical Claims Support Rep, Support Specialist (PAS), Mail Clerk, Collection...carriers. - SENIOR SUPPORT SPECIALIST (PAS) a. Identify and research outstanding accounts that may be subject to probate… more