Top 38753 Correspondence Representative Jobs

Claims Customer Service Representative I
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
- Computer literacy
- Research
- High school diploma or GED
Billing Representative
Reliable Respiratory —Portland, ME
- $30 - $35 an hour
- Full-time
- Remote
- 18 years or older
- Computer literacy
- Research
Quick Apply
Patient Service Resolution Representative
US Acute Care Solutions —Remote
- $14.53 - $26.88 an hour
- Full-time
- Remote
- Microsoft Outlook
- Basic math
- HIPAA
- Paid parental leave
- Health savings account
9d
Appeals Representative II
CorVel Corporation —Fort Worth, TX
- $20.08 - $30.06 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Health savings account
- Disability insurance
Quick Apply
Collections Specialist
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- 5 years
- Writing skills
- English
- Health savings account
- Paid holidays
Quick Apply
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
Expedited Appeals Specialist (Remote)
EmblemHealth —New York, NY
- $48,600 - $83,160 a year
- Weekends as needed
- Remote
- Microsoft Outlook
- Research
- Mid-level
12d
BUSINESS TAXES REPRESENTATIVE
CA Department of Tax and Fee Administration —Alameda County, CA
- $4,470 - $6,924 a month
- Online Application
- Hybrid work
- Mid-level
- Office
- Travel
- Paid holidays
- Opportunities for advancement
9d
Medical Insurance Claims Follow-up Rep
TriStar Centennial Medical Center —Nashville, TN
- Full-time
- Remote
- Mid-level
- 3 years
- Communication skills
- Employee stock purchase plan
- Disability insurance
Quick Apply
Collections Specialist - RCM
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- 5 years
- Writing skills
- English
- Health savings account
- Paid holidays
Quick Apply
12d
Nurse Practitioner - F/T - Reno, NV
MEDEVAL —Reno, NV
- $120,000 - $150,000 a year
- Extended hours
- Nursing
- Blood sampling
- Microsoft Excel
Quick Apply
Adjunct - Automotive Manual Drivelines
Northwestern Michigan College —Traverse City, MI
- Part-time
- Classroom
- 6 years
- Research
- Tuition reimbursement
- Paid time off
Physician - Family Practice
Gracelight Community Health —Los Angeles, CA
- $212,049 - $339,241 a year
- Full-time
- Spanish
- CPR Certification
- Medicine
Quick Apply
Attorney
Weltman, Weinberg & Reis Co., LPA —Dublin, OH
- $87,296 - $113,345 a year
- Writing skills
- Mid-level
- Analysis skills
- Paid holidays
- Disability insurance
Quick Apply
Audiologist - Las Vegas
Clay Consulting —Las Vegas, NV
- $90,000 - $115,000 a year
- Extended hours
- Doctoral degree
- Computer literacy
- HIPAA
Quick Apply
Settlement & Benefits Coordination Attorney (2-4 years experience required)
Paramount Settlement Advisors —West Seneca, NY
- $80,000 - $100,000 a year
- Full-time
- Mid-level
- In-person
- 2 years
- Health insurance
- Paid time off
Quick Apply
2d
X-Ray/CT Technologist (PRN)
St. Anthony Regional Hospital —Carroll, IA
- Part-time
- BLS Certification
- Mid-level
- Ability to lift 50 pounds
- Continuing education credits
Quick Apply
Psychologist
Clay Consulting —Gulf Breeze, FL
- $120,000 - $150,000 a year
- Extended hours
- Microsoft Excel
- Computer literacy
- HIPAA
Quick Apply
5d
Associate Attorney
Zwicker & Associates, P.C. —Glendale, CA
- $120,000 - $140,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
Charge Registered Nurse Day Shift
The Meadows Nursing and Rehabilitation Center —Dallas, PA
- Weekends as needed
- Nursing
- RN License
- Basic math
- Health insurance
- Dental insurance
Quick Apply

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Claims Customer Service Representative I

Partnership HealthPlan of California -
Fairfield, CA

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Job Details

Full-time
$29.95 - $35.19 an hour

Qualifications

Customer communication
Computer literacy

Full Job Description

Overview:

To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects. To accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis.

Responsibilities:

Responds to provider telephone inquiries, researches policy issues, and analyzes EOP's and claim history, recommends resolution to the issues, implements resolution once approved.
Researches and communicates outcome to providers of CIF's, claim tracers, and general claim correspondence within established time frames
Follows established Partnership policies and procedures, Partnership claims operating instruction memorandums, EDS provider manual guidelines, and Title 22 regulations when resolving claims and claim issues.
Participates in provider meetings to resolve claim issues.
Recognizes and gives feedback to management on procedure changes that would result in more efficient operations.
Records daily production statistics and related activities on appropriate reports; turns all logs and reports in to Claims Customer Service Supervisor.
Meets established production and call performance metrics as determined.
Participates in special projects and assignments as required.
Participates in resolution of CIFs as required.
Other duties as assigned.

Qualifications:

Education and Experience

High school diploma or equivalent; one (1) year of prior claims processing experience in an automated claim environment preferred; or equivalent combination of education and experience.

Special Skills, Licenses and Certifications

Knowledge of CPT, HCPC procedure coding, and ICD-10 diagnostic coding. Knowledge of medical terminology preferred. Ability to access coding reference guides for accurate information. Typing speed 30 wpm and proficient use of 10-key calculator.

Performance Based Competencies

Excellent written and oral communication skills. Ability to effectively exercise good judgment within scope of authority and handle sensitive issues with tact and diplomacy. Good organizational skills. Ability to accurately complete tasks within established time frames.

Work Environment And Physical Demands

Ability to use a computer keyboard. More than 80% of work time is spent in front of a computer monitor; when required, ability to move, carry, or lift objects of varying size weighing up to 25 lbs.

All HealthPlan employees are expected to:

Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$ 29.95 - $ 35.19

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Apply Now

Refine Your Search

Correspondence Representative jobs

Claims Customer Service Representative I

Billing Representative

Patient Service Resolution Representative

Appeals Representative II

Collections Specialist

Patient Account Representative

Expedited Appeals Specialist (Remote)

BUSINESS TAXES REPRESENTATIVE

Medical Insurance Claims Follow-up Rep

Collections Specialist - RCM

Nurse Practitioner - F/T - Reno, NV

Adjunct - Automotive Manual Drivelines

Physician - Family Practice

Attorney

Audiologist - Las Vegas

Settlement & Benefits Coordination Attorney (2-4 years experience required)

X-Ray/CT Technologist (PRN)

Psychologist

Associate Attorney

Charge Registered Nurse Day Shift

I want to receive the latest job alert for Correspondence Representative

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