7 results for Claims Processor Administrative And Customer Support in Hartford, CT

Insurance Follow-Up Specialist We are offering a long term contract employment opportunity for an Insurance Follow-Up Specialist in the Healthcare/NHS industry, based in Springfield, Massachusetts. As an Insurance Follow-Up Specialist, you will have a critical role in addressing business problems and issues related to provider appeals, collaborating with other departments to implement changes to policies, and providing training opportunities on the provider appeals process. Responsibilities: • Facilitate the resolution of post claim review provider appeals in a timely manner • Provide advice and assistance to Provider Relations Representatives on complex issues • Identify and handle business problems and issues that arise during the course of an appeal review • Collaborate with other departments to bring about necessary changes to policies • Propose and present training opportunities on the provider appeals process to other departments • Ensure accurate maintenance and administration of claim records • Efficiently manage billing functions and collection processes • Oversee the processing of customer credit applications with precision and efficiency • Maintain up-to-date and accurate customer credit records • Resolve customer inquiries and monitor customer accounts for appropriate action.

Insurance Follow-Up Specialist We are offering a long term contract employment opportunity for an Insurance Follow-Up Specialist in Springfield, Massachusetts. You will be joining an industry where you will primarily attend to provider appeals and resolution, and also address issues discovered during an appeal review. Working closely with other departments, you will contribute to the modification of policies and propose training opportunities for other departments on the provider appeals process. Responsibilities: • Efficiently review and resolve post claim review provider appeals • Provide advice and assistance to Provider Relations Representatives on complex issues • Identify and address business problems and issues that arise during an appeal review • Collaborate with other departments to bring about changes to existing policies • Suggest training opportunities for other departments regarding the provider appeals process • Oversee the administration of claims and billing functions • Carry out collection processes efficiently and effectively.

Claims Examiner-Lost Time We are offering a short term contract employment opportunity for a Claims Examiner-Lost Time in New Haven, Connecticut. This role primarily functions in the insurance industry and involves handling all aspects of workers compensation lost time claims. The successful candidate will be expected to maintain strong customer relations throughout the process, from setup to case closure. Responsibilities: • Handling all components of workers compensation lost time claims, from initiation to closure, maintaining strong customer relations throughout. • Thoroughly reviewing claim and policy information to establish a basis for investigation. • Conducting comprehensive investigations, obtaining facts and statements from insured claimants and medical providers. • Evaluating facts gathered through investigations to determine the compensability of the claim. • Informing insureds, claimants, and attorneys of claim denials, when applicable. • Preparing reports on investigations, settlements, denials of claims, and evaluations of involved parties. • Administering statutory medical and indemnity benefits in a timely manner throughout the life of the claim. • Setting reserves for medical, indemnity, and expenses within authority limits and recommending reserve changes to Team Leader. • Regularly reviewing claim status and making recommendations to Team Leader to discuss problems and remedial actions. • Working with attorneys to manage hearings and litigation. • Directing vendors, nurse case managers, and rehabilitation managers on medical management and return to work initiatives. • Complying with customer service requests, including special claims handling procedures, file status notes, and claim reviews. • Filing workers compensation forms and electronic data with states to ensure compliance with statutory regulations. • Maximizing recovery opportunities by referring appropriate claims to subrogation and securing necessary information. • Collaborating with in-house Technical Assistants, Special Investigators, Nurse Consultants, Telephonic Case Managers, and Team Supervisors to exceed customer's expectations for exceptional claims handling service.

Billing Clerk We are offering an exciting opportunity for a detail-oriented Billing Clerk to join our team in Windsor, Connecticut. As part of the administrative team in the manufacturing industry, the Billing Clerk will play a key role in ensuring timely and accurate preparation, processing, and maintenance of billing activities. Ideal candidates possess strong organizational skills, attention to detail, and a customer-focused mindset. Key Responsibilities:<ul><li>Billing Management: Accurately prepare, review, and process invoices for customers in accordance with company policies.</li><li>Recordkeeping: Maintain and update billing records, including payment histories, invoice adjustments, and discrepancies.</li><li>Customer Communication: Respond to billing inquiries from customers via phone and email, addressing questions or resolving issues promptly.</li><li>Discrepancy Resolution: Investigate and resolve billing discrepancies, including incorrect amounts or missing payments, in coordination with the Accounts Receivable team.</li><li>Data Entry: Input and validate billing information into company systems to ensure accuracy and completeness.</li><li>Reporting Support: Run billing-related reports for management, highlighting trends or discrepancies as needed.</li><li>Compliance: Ensure all billing procedures comply with company policies and applicable regulations.</li><li>Collaboration: Work closely with other departments (e.g., sales, accounts receivable, operations) to ensure consistency in billing operations.</li></ul>

Billing Clerk We are offering a permanent employment opportunity for a Billing Clerk in Hartford, Connecticut. The role centers around accounting, financial services, and computerized billing within the industry. The successful candidate will be tasked with handling customer applications, maintaining customer records, and resolving inquiries, all while ensuring the smooth operation of customer accounts. Responsibilities: • Efficient processing of credit applications from customers • Accurate maintenance of customer credit records • Utilize Accounting Software Systems and ADP - Financial Services for various tasks • Handle computerized billing and EHR SYSTEM • Manage and resolve customer inquiries using Epic Software and About Time • Perform accounting functions as necessary • Manage Accounts Payable (AP) and Accounts Receivable (AR) • Answer inbound calls and address customer concerns.

Billing Coordinator Billing CoordinatorDirect-Hire / Permanent positionRobert Half contact: Drew.Schroll@RobertHalf com. Robert Half has partnered with a valued client in their search of a Billing Coordinator to join their Billing Dept. This position will join a team of Billing Coordinators and be reporting to the Billing & Collections Manager at the firm. Ideal candidates will have a few years of billing experience, be comfortable working full-time in a professional services/corporate environment, and have great communication skills with internal and external partners. MS Excel and billing software proficiency highly preferred. Responsibilities:• Generating bills monthly• Send invoices out to clients• Complies with contracts to ensure accurate billing amount. • Assist with collection efforts • Verify the accuracy of billing and supporting documentation• Work within electronic billing software For immediate consideration, please apply today and/or email your resume to: Drew.Schroll@RobertHalf com. All inquiries will remain confidential.

Medical Billing Specialist We are on the search for a Medical Billing Specialist, committed to ensuring the accuracy and efficiency of medical billing processes in our healthcare organization. This role involves responsibilities such as insurance verification, account receivables management, and primary care billing. Responsibilities:• Conduct thorough verification of insurance information for accuracy• Manage accounts receivable to ensure payments are up to date• Execute comprehensive follow-ups on payments• Implement medical billing functions effectively in line with healthcare regulations• Administer claim processes to facilitate timely reimbursements• Oversee appeals to ensure appropriate resolution• Maintain primary care billing systems for optimal operation.