3 care team representative jobs found in Brentwood

Essential Duties and Responsibilities include the following. Other duties may be assigned : Processes claims involving minor injuries and/or pay and close claims. Examines claim forms and other records to determine insurance coverage. Ensures that claim file documentation and reserves are current. Reviews and processes medical bills and other claims-related expenses as appropriate. Pays claimant and providers amounts due. Refers claims that require investigation or have more complex medical issues to supervisor or Claim Representative for investigation and continued billing. Services phone calls and disputes over billing in accordance with company protocols. Assists claims examiners with medical bill processing and filing. Provides general clerical support to claim representatives. Filling of appropriate states forms as required to be in compliance with state reporting requirements. Performs other duties as assigned. Qualifications High school...

Essential Duties and Responsibilities include the following. Other duties may be assigned: •    Processes claims involving minor injuries and/or pay and close claims. •    Examines claim forms and other records to determine insurance coverage. •    Ensures that claim file documentation and reserves are current. •    Reviews and processes medical bills and other claims-related expenses as appropriate. •    Pays claimant and providers amounts due. •    Refers claims that require investigation or have more complex medical issues to supervisor or Claim Representative for investigation and continued billing. •    Services phone calls and disputes over billing in accordance with company protocols. •    Assists claims examiners with medical bill processing and filing. •    Provides general clerical support to claim representatives.  •    Filling of appropriate states forms as required to be in compliance with state reporting requirements. •    Performs other duties as assigned ....

Essentials Duties and Responsibilities: include the following. Other duties may be assigned : Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Print and process daily claims checks for clients. Communicate with claims teams to resolve payment-related issues. Handle voids, stop payments, and ACH debit/credit transactions. Monitor client escrow accounts and ensure adequate funding. Process and transmit positive pay files to banking institutions. Research, deposit, and record refunds and overpayments. Manage third-party recoverable checks, including paperwork and deposits. Prepare and distribute transaction and reconciliation reports per client requirements. Evaluate and improve internal controls to prevent duplicate or missed check printing. Ensure timely mailing of all checks. Explore and support future implementation of Electronic Funds Transfer (EFT) for providers and claimants. Reconcile...