- Humana (Salt Lake City, UT)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... and resolution of claims . The Claims Research & Resolution Representative 2 performs varied activities and moderately complex administrative /… more
- Humana (Madison, WI)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 3 manages claims operations, assisting in ... processing of corrected claims . The Claims Research & Resolution Representative 3 performs advanced administrative / operational / customer support… more
- 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 ... and judgment. Hybrid Tampa Office and Home The Claims Research & Resolution Representative 2 + Works with ancillary departments, providers, mail… 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 ... process conforms to federal and state regulations. The Claim Resolution Rep III will represent the department...insurance companies and other third-party payers to obtain payments, research and resubmit rejected claims to primary… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claim Resolution Rep II is responsible for the accurate and timely ... and within New York State. Position Summary: The Claim Resolution Rep II is responsible for the...limited to modifier requirements or provider enrollment issues. Identifies claims that require further research and determines… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- State of Massachusetts (Boston, MA)
- …involved. Provide technical assistance and guidance to staff on fact-finding, the resolution of nonmonetary issues and the claims filing process. Interpret ... The incumbent of this position will review, analyze and evaluate disputed claims to ensure uniformity with State and Federal rules and regulations by analyzing… more
- University of Rochester (NY)
- …denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance ... or deferring tasks. Researches and calculates under or overpaid claims ; determines final resolution . Contacts payers on...namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower level staff....A/R associate will handle all functions associated with the resolution of an exclusive set of complex accounts. The… more
- HonorHealth (Phoenix, AZ)
- …Job Summary This position performs collecting, reconciliation, credit balance resolution , research , correspondence and independent problem solving. Reconciles ... Overview Sr Patient Account Collection Rep Schedules: 6:00am-2:30pm, 7:00am-3:30pm, or 8:00am-4:30pm $1500 New Hire Bonus Available! Looking to be part of something… more