Top 429 Claim Representative Iii Jobs

Billing Representative III (A/R) - Boynton Beach, Florida
NYU Langone Health —Boynton Beach, FL
- Full-time
- Basic math
- English
- Mid-level
- Wellness program
Workers' Comp Claim Representative III - CA
Emergent Holdings —California
- $64,900 - $1,087,000 a year
- Full-time
- Bilingual
- Customer service
- 5 years
Real Estate Representative III
Consumers Energy —Remote
- $36 - $45 an hour
- Contract
- Remote
- 5 years
- Senior level
- Dental insurance
- 401(k)
Patient Account Specialist III - Santa Ana, CA
KPC GLOBAL MEDICAL CENTERS INC. —Santa Ana, CA
- $31.75 - $38.19 an hour
- Per diem
- Mid-level
- Team management
Quick Apply
Bill Reviewer III
AvonRisk —Rocklin, CA
- $25 - $30 an hour
- Full-time
- Hybrid work
- Word processing
- Computer literacy
- Basic math
- Health savings account
- Paid holidays
Quick Apply
Construction Scheduler III
CPG Beyond, Inc. —Remote
- $85,996 - $129,050 a year
- Monday to Friday
- Remote
- Background check
- Construction site
- Computer literacy
- Disability insurance
- Health insurance
Quick Apply
P&C Claim Representative III
Davies —Baltimore, MD
- $71,760 - $77,250 a year
- Email
- Background check
- Customer service
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Claim Representative III - Property
Capital Insurance Group —San Jose, CA
- $77,406 - $129,010 a year
- Full-time
- Mid-level
- 3 years
- US work authorization
- Profit sharing
- Commuter assistance
Claim Specialist II or III (NH & VT)
MEMIC —Remote
- $80,000 - $98,000 a year
- Remote
- Microsoft Word
- Research
- Mid-level
- Paid parental leave
- Health savings account
Accounts Receivable Representative III (Remote)
North American Partners in Anesthesia —Sunrise, FL
- Full-time
- Remote
- Microsoft Word
- HIPAA
- Research
- Health savings account
- AD&D insurance
Claim Specialist III
MEMIC —Pittsburgh, PA
- Remote
- Microsoft Word
- Driver's License
- Bachelor's degree
- Paid parental leave
- Health savings account
6d
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
Deposit Application Software Support Representative III
Jack Henry & Associates —Springfield, MO
- Weekends as needed
- Hybrid work
- Research
- Mid-level
- 1 year
Data Processing Systems Analyst II, III, IV - Human Resources Applications
Hawaii State Department of Education —Hawaii
- $5,107 - $6,221 a month
- Part-time
- Doctoral degree
- Computer Science
- System design
- Paid holidays
- Disability insurance
Claims Representative III
West Bend Insurance Company —West Bend, WI
- $55,000 - $77,000 a year
- Full-time
- Hybrid work
- Mid-level
- Experience equivalent to degree accepted
- Associate's degree
- Health savings account
- Disability insurance
Customer Service Representative III
PeopleConnect —San Diego, CA
- $18.02 - $26.06 an hour
- Full-time
- Hybrid work
- Google Workspace
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Quick Apply
9d
Hydrologist III
Sealaska —Montana
- $95,000 - $105,000 a year
- 8 hour shift
- Bachelor of Science
- Data analysis skills
- Public speaking
Quick Apply
Call Center Representative - DHA
US Social Security Administration —Birmingham, AL
- $40,736 - $82,007 a year
- Online Application
- Hybrid work
- Background check
- High school
- Pass drug screening
Customer Service Representative III
Stored Energy Systems —Longmont, CO
- $26 - $31 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
Accountant III, IV - Project Control Section
Hawaii State Department of Education —Honolulu, HI
- $5,107 - $6,728 a month
- Full-time
- Management
- Office
- Senior level

I want to receive the latest job alert for Claim Representative Iii

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 Iii jobs near

Senior Claims Specialist jobs in Pittsburgh, PA

Senior Sales Representative jobs in Fort Worth, TX

Scheduler jobs in Ashburn, VA

Senior Customer Service Representative jobs in San Diego, CA

Call Center Representative jobs in Birmingham, AL

Project Accountant jobs in Honolulu, HI

Real Estate Analyst jobs in Remote

Accounts Receivable Clerk jobs in Sunrise, FL

Hydrologist jobs in Montana

Senior Claims Specialist jobs in Atlanta, GA

Full Time Certified Family Recovery Specialist jobs in Pennsylvania

Auto Claims Adjuster jobs in Houston, TX

Dental Claims Approval jobs in Remote

Senior Claims Specialist jobs in Phoenix, AZ

Senior Claims Specialist jobs in California

Senior Claims Specialist jobs in St. Louis, MO

Senior Customer Service Representative jobs in Jacksonville, FL

Senior Customer Service Representative jobs in Portland, OR

Senior Customer Service Representative jobs in Clearwater, FL

Senior Customer Service Representative jobs in Albuquerque, NM

Billing Representative III (A/R) - Boynton Beach, Florida

NYU Langone Health -
Boynton Beach, FL

Apply Now

Job Details

Full-time

Benefits

Wellness program

Qualifications

Medical software
Basic math
Employee relationship building
English
High school diploma or GED
Typing
Grammar Experience

Full Job Description

Position Summary:
We have an exciting opportunity to join our team as a Billing Representative III (A/R) - Florida.

In this role, the successful candidate performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications, and patient cost estimates. This role provides support to staff with escalated issues and participates in training and process improvement efforts.

Job Responsibilities:

Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities.
Provide input on system edits, processes, policies, and billing procedures to ensure maximization of revenues.
Perform daily tasks in assigned work queues and according to manager assignments.
Identify payer, provider credentialing, and/or coding issues and address them with management.
Follow workflows provided in training classes and request additional training as needed.
Utilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe.
Review reports to identify revenue opportunities, unpaid claims, delays in obtaining authorizations/financial clearance.
Adhere to general practices and departmental guidelines on compliance issues and patient confidentiality.
Communicate with providers, patients, coders, or other responsible persons to ensure that claims are correctly processed by third party payers.
Work following operational policies and procedures, and regulatory requirements.
Participate in workgroups and meetings. Attend all required training classes. Escalate issues to management as needed. Maintain confidentiality.
Read and apply policies and procedures to make appropriate decisions.
Coordinate functions and work cooperatively with others.
Responsible for assisting other billing representatives with difficult and escalated issues.
Assist department supervisor with special projects and staff training.
Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed.
Cross cover other areas in the office as assigned by management including Accounts Receivable/Denials, Customer Service or Authorizations.
Other related duties as assigned.

Patient Experience and Access

Drives consistency in every patient and colleague encounter by embodying the core principles of our Billing Department Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off)
Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate
Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.
Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate.
Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.)
Partners with internal and external team members to support collaboration and promote a positive patient experience.
Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles.

Minimum Qualifications:
To qualify you must have a High School Diploma or GED. Experience in medical billing, accounts receivable, insurance, or related duties; Knowledge of CPT and ICD10; medical billing software; English usage, grammar and spelling; basic math; 3 years experience in a similar role. Light, accurate keyboarding skills required. Prefer that candidates type 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to onboarding.
Personal Characteristics:
Strong verbal and written communication skills, with the ability to collaborate across departments.
Strong critical thinking and effective listening skills
Professional demeanor and positive attitude required
Time management skills required
Ability to develop and maintain effective working relationships with peers, other staff and leadership

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Florida provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Florida is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View Know Your Rights: Workplace discrimination is illegal."

Apply Now

Refine Your Search

Claim Representative Iii jobs

Billing Representative III (A/R) - Boynton Beach, Florida

Workers' Comp Claim Representative III - CA

Real Estate Representative III

Patient Account Specialist III - Santa Ana, CA

Bill Reviewer III

Construction Scheduler III

P&C Claim Representative III

Claim Representative III - Property

Claim Specialist II or III (NH & VT)

Accounts Receivable Representative III (Remote)

Claim Specialist III

Appeals Representative II

Deposit Application Software Support Representative III

Data Processing Systems Analyst II, III, IV - Human Resources Applications

Claims Representative III

Customer Service Representative III

Hydrologist III

Call Center Representative - DHA

Customer Service Representative III

Accountant III, IV - Project Control Section

I want to receive the latest job alert for Claim Representative Iii

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected