- Sedgwick (Providence, RI)
- …and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and title ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process low… more
- BrightSpring Health Services (Taunton, MA)
- …appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure ... our team and apply today! Responsibilities TheClaims Specialist - 3rd Party : + Manages and identifies a...office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician… more
- UMB Bank (Providence, RI)
- … monitoring, tracking, and reporting. Responsibilities will include: + Manage a card fraud claims team. + Oversee third - party vendors and their systems and ... will also assist with the oversight and management of third - party card fraud claim vendors and ongoing...card fraud + Demonstrates in-depth knowledge of back-office fraud claims processing + Demonstrates knowledge of report… more
- Falvey Insurance Group (North Kingstown, RI)
- …recommendations for adjusting reserves as necessary and appropriate. + Determine and utilize third party resources for needed claims investigations. + ... This position is responsible for: + Management of assigned claims book including intake, processing , adjustment, and settlement of the claims through:… more
- University Medicine (Providence, RI)
- …reports to follow up on unpaid claims aged over 30 days. + Refund processing for third party payors and patients. + Research and analyze payments ... Word, Excel and on-line payer verifications/ claims status. + Submissions of claims to third party payers; ensure clean claim rates with submissions. +… more
- Mathematica (Providence, RI)
- …Medicaid (T-MSIS, TAF), State Medicaid, HL7-FHIR), healthcare informatics, or healthcare claims processing * A demonstrated history of working collaboratively ... and salary requirements via our online employment website. *STAFFING AGENCIES AND THIRD - PARTY RECRUITERS:* Mathematica is not accepting candidates for this role… more
- Mathematica (Providence, RI)
- …, and Medicare or Medicaid (T-MSIS, TAF) data), healthcare informatics, or healthcare claims processing . * Ability to describe difficult technical problems and ... (optional), resume, location preference, and salary expectations. *STAFFING AGENCIES AND THIRD - PARTY RECRUITERS:* Mathematica is not accepting candidates for… more
- Walgreens (North Providence, RI)
- …Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify ... systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer...+ Partners with Central Pharmacy Operations for customer registration, 3rd party reviews, and assists with resolving… more
- Walgreens (Taunton, MA)
- …with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager ... the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer...+ Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections.… more