Top 19782 Claim Representative Jobs

Accounts Representative - Part-Time
Network Recovery Services, Inc. —Jericho, NY
- $34.30 - $40.55 an hour
- Part-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Paid training
- Work from home
Quick Apply
Appeal Writer - Hospital Billing, Denials
Aspirion —Delray Beach, FL
- $20 - $26 an hour
- Full-time
- Remote
- Customer service
- HIPAA
- Research
Quick Apply
WORK AT HOME CALL CENTER REPRESENTATIVE (Full-Time & Part-Time)
MCI Careers —Las Cruces, NM
- $15 an hour
- Part-time
- 18 years or older
- Pass drug screening
- US work authorization
- Paid training
- Paid holidays
Remote P&C Licensed Insurance CSR
ACS Auto Club Services, Inc. —Remote
- From $21.75 an hour
- Extended hours
- Remote
- Pass drug screening
- Mid-level
- Windows
- Paid training
- Paid jury duty
Authorization Representative
Therapeutic Associates Physical Therapy —Remote
- $17 - $20 an hour
- Full-time
- Remote
- Customer service
- Medical office experience
- Physical & Rehabilitation Medicine
- Profit sharing
- Wellness program
Quick Apply
Long Term Care Benefit Claim Specialist
Mutual of Omaha —Remote
- $24 - $28 an hour
- Email
- Remote
- Customer service
- Mid-level
- Experience equivalent to degree accepted
- Paid holidays
- 401(k)
Remote Customer Service/Sales Representative
Agent Alliance —Forest Hills, NY
- $65,000 - $70,000 a year
- Full-time
- Remote
- Entry level
- Paid training
- Health insurance
Quick Apply
Managed Care Follow Up Specialist
Elevate Patient Financial Solutions —Remote
- $22.50 - $28.38 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
12d
Customer Service Representative
Sagility —Remote
- Remote
- Research
- Mid-level
Allowables Representative
TeamHealth —Remote
- Full-time
- Remote
- Word processing
- Computer literacy
- Mid-level
- Paid holidays
- Health insurance
Work from Home: Customer Service Representative (Healthcare)
Sagility —Remote
- $14 - $15 an hour
- Weekends as needed
- Remote
- 18 years or older
- Research
- High school diploma or GED
- Paid training
- Disability insurance
Patient Account Representative
PRN Physical Therapy —Remote
- $18 - $20 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Medical terminology
- Loan repayment program
- Health insurance
Quick Apply
Client Support Representative
EnableComp —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Mid-level
Quick Apply
Patient Services Representative I - Remote - Nationwide
Vituity —Sacramento, CA
- $17.12 - $19.04 an hour
- Overtime
- Remote
- Spanish
- Basic math
- Windows
- Profit sharing
- Wellness program
Customer Service Associate Representative - Cigna Healthcare - Remote
The Cigna Group —Georgia
- $17.75 - $19.00 an hour
- Online Application
- Remote
- Basic math
- Research
- Windows
- Paid holidays
- Health insurance
Member Services Representative
Versant Health —Remote
- $19 - $21 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Customer Service Representative I
Sentara Hospitals —Virginia Beach, VA
- Full-time
- Remote
- High school diploma or GED
- Travel
- Epic
- 403(b) matching
- Paid parental leave
Quick Apply
Customer Service Representative
Firstsource Healthcare —Remote
- $15 an hour
- 8 hour shift
- Remote
- Computer literacy
- Writing skills
- Typing
- Dental insurance
- Work from home
Associate Attorney - Wage & Hour Class Action
Bibiyan Law Group, P.C. —Los Angeles, CA
- Full-time
- Writing skills
- Analysis skills
- Organizational skills
Quick Apply
Civil Litigation Attorney
Reding & Pilney, LLC —Lake Elmo, MN
- $75,000 - $130,000 a year
- Full-time
- Writing skills
- Mid-level
- Administrative experience
- Health savings account
- Paid holidays
Quick Apply

I want to receive the latest job alert for Claim Representative

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Claim Representative jobs near

Member Services Representative jobs in Remote

Customer Service Representative jobs in Remote

Customer Service Representative jobs in Georgia

Customer Support Representative jobs in Remote

Account Representative jobs in Jericho, NY

Patient Services Representative jobs in Sacramento, CA

Care Specialist jobs in Remote

Junior Attorney jobs in Los Angeles, CA

Customer Service Sales Representative jobs in Forest Hills, NY

Benefit Specialist jobs in Remote

Patient Accounts Representative jobs in Remote

Writer jobs in Delray Beach, FL

Insurance Agent jobs in Remote

Customer Service Representative jobs in Fort Worth, TX

Medical Sales Representative jobs in Georgia

Member Services Representative jobs in Tulsa, OK

Member Services Representative jobs in Worcester, MA

Member Services Representative jobs in Elysburg, PA

Member Services Representative jobs in Lubbock, TX

Call Center Representative jobs in Las Vegas, NV

Accounts Representative - Part-Time

Network Recovery Services, Inc.
Jericho, NY

Quick Apply

Job Details

Part-time
$34.30 - $40.55 an hour

Benefits

Paid training
Work from home
Opportunities for advancement

Qualifications

Microsoft Word
Microsoft Excel
Microsoft Outlook
Presentation software
Spreadsheets
Patient management software
High school diploma or GED
ICD-9
HCPCS
Insurance medical billing
Electronic health record (EHR) management for billing and coding
Patient billing
Medical billing account reconciliation
Patient interaction
Epic

Full Job Description

Position Summary

Under general supervision, responsible for a variety of office/clerical tasks relating to hospital accounts; contacting patients and responsible parties, investigating account status, and assisting patients with any questions regarding their bill.

Essential Job Duties

· Responsible for obtaining and verifying insurance coverage by interviewing patients, families, and employers and by verifying coverage with insurance companies. Ensure that notifications, authorizations, pre-certifications are made, when appropriate.

· Assist self-pay patients in obtaining coverage for hospitalization, e.g., Medical applications, COBRA regulations. Secure promise of payments for patient for all non-covered services.

· Ensure that all patients are categorized correctly with regard to financial class, insurance company code, etc. Work with medical areas, e.g., Patient Case Management, physician’s offices, to ensure that requested clinical information is supplied timely.

· Receive and process information required submitting a third party bill. Ensure that bills are complete and comprehensive, e.g. correct form for ID numbers, comprehensives of hospital charges, validity of CPT-4, ICD-9, and HCPCS codes. Ensure that billing amounts are correct with regard to case payers, managed care providers with contracts, DRG’s day and cost outliners, implantable, exempt services, carve-outs, type of contract, services under NYPHRM, services under HCRA, etc.

· Obtain and submit all attachments, as required, such as biopsy reports, ambulance call reports, medical records, CMNs, Tao’s.

· For electronic claims: maintain up-to-date knowledge with respect to electronic claim submission software and the various payers edits. Review and monitor all billing exception reports for correction/re-submission. Ensure that all claims are submitted in the accepted timeframe.

· Review and take appropriate action on account representative’s respective portion of trial balance. If a self-pay patient, call patient for further insurance information and /or to secure payment or arrange payment plan.

· Resolve all credit balances by requesting refund to patient, insurance company, or make appropriate allowance transaction. Recommend further action, i.e. collection and/or legal after departmental collection policies have been exhausted.

· Respond to and investigate all patient inquiries involving financial issues; direct patients to appropriate parties to respond to clinical issues.

· Call insurance companies to secure payment. Take appropriate action upon denial or request for further information. Interface with Medical Records Department/physicians office/clinical area for requested information. Make claims corrections in accordance with compliance policies, payer regulations, and/or legal policies. Review exception reports received from remittance processing area and take appropriate action.

· Process all Medicare, Medicaid, and Blue Cross-payments for all participating hospitals through electronic remittance processing software. Post all checks and lockbox remittances manually.

· Prepare daily reconciliation of all remittances and checks posted to ensure that all payments and adjustments are done accurately and agree to deposits posted to general ledger.

· Review each payment for compliance to rules for carrier; post appropriate allowances. Refer all cases that have been paid incorrectly to the insurance follow-up unit. Make appropriate refund requests when overpayments have been identified.

· Ensure that payment posting is kept up-to-date.

· If assigned to Emergency Paramedics department, may assist in the research and preparation of statistical reports.

· If assigned to Emergency Paramedics department, may monitor entries of 911 call data by dispatchers. Reconcile all dispatch entries with documentation. Investigate, correct, and report discrepancies between data input and documentation. Review documentation for compliance with department policy and report any incidents of non-compliance.

· Performs other job related duties as assigned.

Required Criteria

High School Diploma or GED
Exceptional communication skills – verbal and written
Computer and systems competency in the following areas: working knowledge of health systems and interfaces, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint and electronic health records (Epic Preferred)
One year related experience

Benefit Conditions:

Only full-time employees eligible

Paid Training:

Typical end time:

9 PM

Typical start time:

5 PM

Work Remotely

Remote (one day in office or for training as needed)

Job Type: Part-time

Pay: $34.30 - $40.55 per hour

Benefits:

Opportunities for advancement
Paid training
Work from home

People with a criminal record are encouraged to apply

Work Location: Hybrid remote in Jericho, NY 11753

Quick Apply

Refine Your Search

Claim Representative jobs

Accounts Representative - Part-Time

Appeal Writer - Hospital Billing, Denials

WORK AT HOME CALL CENTER REPRESENTATIVE (Full-Time & Part-Time)

Remote P&C Licensed Insurance CSR

Authorization Representative

Long Term Care Benefit Claim Specialist

Remote Customer Service/Sales Representative

Managed Care Follow Up Specialist

Customer Service Representative

Allowables Representative

Work from Home: Customer Service Representative (Healthcare)

Patient Account Representative

Client Support Representative

Patient Services Representative I - Remote - Nationwide

Customer Service Associate Representative - Cigna Healthcare - Remote

Member Services Representative

Customer Service Representative I

Customer Service Representative

Associate Attorney - Wage & Hour Class Action

Civil Litigation Attorney

I want to receive the latest job alert for Claim Representative

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected