20 Best claims representative jobs (Hiring Now!)

Patient Financial Services Representative - Medical Billing
Saratoga Hospital —Saratoga Springs, NY
Position provides telephone customer service to assist patients with their insurance questions and accept payment for services billed.
$17.25 - $27.45 an hour
Quick Apply
Commercial Insurance Account Manager
Empire Insurance Group, Inc. —North Branch, MN
Clean background check and valid driver's license. Comprehensive Benefits: Health, Dental & Vision Insurance, Health Savings Account with matching contribution,…
$50,000 - $80,000 a year
Quick Apply
Medical Billing Representative
Associated Physicians, LLP —Madison, WI
This position responds to inquiries and provides assistance to providers, staff, patients, and third parties over the phone and in person; and performs other…
$21.89 - $25.39 an hour
Quick Apply
Dental Front Desk
United Dental Partners —Grayslake, IL
Handle incoming phone calls, address patient inquiries, and direct calls to the appropriate staff members. Send appointment reminders via phone calls, emails,…
$18 - $20 an hour
Quick Apply
11d
Insurance Service Representative
Siegel Insurance Inc —Shippenville, PA
Answer incoming calls and manage customer inquiries. Assist in writing new business by providing quotes, completing applications, and following up on leads.
Estimated: $32K - $40.5K a year
Quick Apply
Insurance Client Services Representative
GTA Insurance Group —Trenton, NE
Receives phone calls and office visitors requesting quotes. Active Property & Casualty license or willing to obtain (materials and fees paid by GTA).
Estimated: $36K - $45.6K a year
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Senior Claims Representative
BMI Company, Inc. —Billings, MO
The applicant should possess a clean driving record. 5+ years of experience handling liability and/or injury property and casualty claims.
$45,000 - $65,000 a year
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Client Service Representative / Case Manager
Midwest Disability —Coon Rapids, MN
Respond to phone calls, inquiries, emails and other communication from clients, Social Security, and attorneys concerning claims. Full Time, 40 hours per week.
$15 an hour
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Customer Relations Representative - State Farm Agent Team Member
Jesse Cervera - State Farm Agent —Hammond, IN
Enthusiastic about the role insurance and financial products play in helping people manage the risks of everyday life, recover from the unexpected, and realize…
$30,000 - $40,000 a year
Quick Apply
Client Service Representative (CSR)
Ged Lawyers —Yarmouth, MA
Some knowledge of the medical field and terminology (worked in a doctor’s office – Medical Assistant that has worked in the front and back office).
Estimated: $41.9K - $53K a year
Quick Apply
CAT Claims Representative
Auto-Owners Insurance —Wisconsin
Possess a valid driver’s license. Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely…
From $50,000 a year
Quick Apply
Patient Service Representative
Bryn Mawr Medical Specialists Association —Bryn Mawr, PA
Answer phone calls and respond to patient inquiries in a professional and courteous manner. Assist with medical administrative support tasks, such as filing,…
$19 - $21 an hour
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Field Claims Representative
Auto-Owners Insurance Company —Northville, MI
Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company’s underwriting guidelines for coverage…
From $50,000 a year
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Customer Service Representative
Harmony Health LLC —Saint Petersburg, FL
*Documentation:* Maintain accurate records of client interactions and transactions. The opportunity to make a positive impact by helping clients manage their…
$65,000 - $72,000 a year
Quick Apply
12d
Claims Representative - Property Damage Complex Unit
Plymouth Rock Assurance —Uniondale, NY
Prepare dispatch instructions for field personnel to inspect vehicles. Investigate and interpret policy provisions, endorsements and conditions to determine…
$50,000 - $67,000 a year
Senior Claims Representative (GLPD/BI)
West Bend Insurance Company —West Bend, WI
Bachelor’s degree in Business, Insurance or related field. Responsibilities also include active file management, ensuring proper reserving and participation in…
Estimated: $71.9K - $91K a year
Associate PIP Claims Representative
Amica Mutual Insurance Company —Rochester, NY
Candidates will be required to obtain a state insurance license and meet continuing education requirements. Substantial customer contact via the telephone and…
$41,053 - $70,123 a year
Claims Adjuster
Sharkey Transportation, Inc. —Quincy, IL
The Claims Adjuster is responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective…
Estimated: $44.8K - $56.7K a year
Quick Apply
Bilingual Customer Support Representative
US Automotive Protection Services —Wentzville, MO
Must be able to work in a fast-paced environment answering inbounds calls from our customers. Your primary duties will be to assist them with policy questions,…
$31,000 - $41,000 a year
Quick Apply
Claims Representative
Berkley —Nashville, TN
Have, or ability to obtain adjuster license in required states. Directly investigate each claim through prompt and strategically appropriate contact with…
Estimated: $56.8K - $71.9K a year

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Patient Financial Services Representative - Medical Billing

Saratoga Hospital - Saratoga Springs, NY

Quick Apply

Job Details

Full-time $17.25 - $27.45 an hour

Qualifications

Customer service
Meditech
High school diploma or GED
Bachelor's degree
Contracts
Computer skills
Associate's degree
2 years
Communication skills

Full Job Description

Job Summary: The Patient Financial Services Representative (PFS) is responsible for billing primary, as well as subsequent secondary and tertiary claims, to all third party insurance carriers listed on a patient account, utilizing multiple systems to ensure a clean claim is received and processed for payment. The position is also responsible for follow up on third party receivables. Position provides telephone customer service to assist patients with their insurance questions and accept payment for services billed.

Primary Job Duties:

Claims Processing and Issues Resolution: Retrieve and transmit electronic (837) claim files to all assigned payers as assigned. Submission of a paper claim form to all assigned insurance carriers. Submit with all appropriate documents/attachments as assigned. Resolve all claim issues to ensure a clean claim has been received and accepted by assigned payer.
Information Systems and Reporting: Effectively utilizes various assigned systems to submit and/or resolve claim issues. i.e., Omnipro, Emdeon, Navinet, Relay Health-E-Premise, Post N Track, ASK (Blue Shield), Ability/Vision share, E-PACES. Complete assigned reports from Meditech to follow up on aging receivables as assigned. DNFB-Discharged not final billed daily report as assigned.
Claim Denials: Handle and resolve all denied claims identified through the CRANEWARE denials software system. Identify root cause analysis of denied claims as assigned.
Third Party Payer Relationship: Problem Solve issues with third party payer as assigned. Understand the rules and regulations of third party billing for the payers assigned. Knowledge of non-governmental contract components for payers assigned. Access Third Party Carriers direct portals through the internet for issues related to obtaining eligibility verification or verification of payment of services.
Account Follow Up: Provides follow-up by telephone/written communication on all accounts as applicable. Research and resolve all credit balances in accordance with PFS policy as assigned.
Customer Service: Answer and respond to telephone inquiries by patients and or insurance carriers to resolve insurance and/or customer’s problems efficiently. Arrange requested payment plans with customers that call into the PFS department.

Minimum Qualifications: High school diploma or GED with at least 2 years of customer service experience. Associate's or Bachelor's degree in lieu of customer service experience. Must have proficient computer skills.

Salary Range: $17.25 - $27.45
Pay Grade: 17
Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.

Location: Saratoga Hospital · Patient Accounts
Schedule: Full-Time, Day shift, 7:30am-4pm or 8am-4:30pm

Quick Apply

claims representative jobs

Patient Financial Services Representative - Medical Billing

Commercial Insurance Account Manager

Medical Billing Representative

Dental Front Desk

Insurance Service Representative

Insurance Client Services Representative

Senior Claims Representative

Client Service Representative / Case Manager

Customer Relations Representative - State Farm Agent Team Member

Client Service Representative (CSR)

CAT Claims Representative

Patient Service Representative

Field Claims Representative

Customer Service Representative

Claims Representative - Property Damage Complex Unit

Senior Claims Representative (GLPD/BI)

Associate PIP Claims Representative

Claims Adjuster

Bilingual Customer Support Representative

Claims Representative

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