of their lives! This will be a remote position. Basic Function: Tracks, processes, and adjudicates PACE claims for all assigned...: Confirms contracted rate per billing and contract guidelines. Determines accurate payment and adjudicates claims through the...
This is an entry level Claims trainee position performing all tasks under direct supervision and guidance. The intent of this position... is to progress incumbents through a formal Claims foundation training program that includes basic workers' compensation information...
of the Senior Claims Representative prerequisites, proficiencies, and exams, as required based on unit assignment. External..., and negotiates settlement of claims. Will also be required to maintain an active adjusters license in states...
Claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses..., or claimants to compile information. Calculate benefit payments and approve payment of Claims within a certain monetary limit...
, and a people-centered approach to customer service. Job Overview: As a Customer Care Representative at AO Globe Life, you’ll... effectively and efficiently. - Educate and Inform: Guide customers on policy benefits, claims processes, billing questions...
team. This is a remote opportunity. The Customer Service Representative will manage inbound and outbound calls...-scripted responses to provide general and claims specific information and understand when to escalate issues. - Accurately...
Billing Representative includes the following, but not limited to: Thorough appropriate account review on billed claims...SUMMARY OF POSITION: The Medical Billing Representative will be responsible for miscellaneous daily functions in the...
Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As a Customer Service Representative.... Assist clients with policy changes and updates. Process insurance claims and follow up with clients. Maintain accurate...
critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting... Employee Benefits Account Representative II works collaboratively with the Producer and Account Team managing a book...
for auditing and editing insurance claims as needed. Scanning and entering routing slips and other documents into EHR Confirm... is a plus but is not required Amenable to working onsite Physical Requirements: The physical demands described here are representative...
you to meet with clients wherever they’re most comfortable via Zoom. As a representative, you’ll play an integral role in shaping... with policy updates, and helping with claims processing to ensure a seamless experience. Foster Relationship Building: Build...
root cause analyses using claims and payment data to identify revenue cycle and payer compliance issues that cause payment... communities they serve. Areas of focus include analyzing claims data and utilizing patient accounting software and other billing...
to inquiries regarding billing, eligibility, coverage, claims, and insurance policies Assist current policyholders during the... insurance claims process while overseeing existing insurance claims Maintain databases, records, and bookkeeping, ensuring...
strategies to bring in new business Process current policyholders’ insurance claims while monitoring the status of existing... insurance claims Evaluate new customers’ insurance needs, insurance risk, existing coverage, long-term goals, and financial...
specifications and final performance characteristics are aligned with product claims. To be able to fulfill this role... representative on cross functional teams for new product development of reagents, assays and software, including software development...
. Oversee intracompany claims and drive the resolution process. Conduct and manage QMS Audits, ensuring rigorous compliance... drug licenses as the designated representative. Mentor and train team members on QMS requirements and facilitate...
claims to establish remedial plans or programs to prevent the occurrence or reoccurrence of similar claims. Reviews... also requires strong attention to detail. Physical demands: The physical demands described here are representative...
possible employee theft and/or inefficiencies. Monitors and reviews all accidents and damage claims to establish remedial plans... or programs to prevent the occurrence or reoccurrence of similar claims. Reviews and approves location expenses. Participates...