- Adecco US, Inc. (Cumberland, RI)
- Adecco is assisting a local client recruiting for a **Payer Enrollment Coordinator ** opportunity in **Cumberland, RI (On-site with partial WFH flexibility)** . This ... in patient access and payer compliance. If **Payer Enrollment Coordinator ** sounds like something you would be interested in,...Conduct quality control and manage claim issues within the billing system to avoid denials or deactivations. + Contact… more
- Highmark Health (Providence, RI)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physician… more