- Sedgwick (Providence, RI)
- …and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and title ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Commercial Auto Claims Representative - Liability **PRIMARY PURPOSE** : To analyze and process… 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 ... minimum of 7 business days. 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
- 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 ... office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician...our team and apply today! Responsibilities TheClaims Specialist - 3rd Party : + Manages and identifies a… 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
- Carrington (Providence, RI)
- …of posting instructions for payoff, reinstatement, Investor/Insurer claim settlement funds and third party sale, REO proceeds. Analysis and preparation of ... application of payoff, reinstatement, Investor/MI claim settlement funds and third party sale or REO proceeds. +...rapport with all levels of staff, management, Investors/Insurers and 3rd parties. + Ability to make decisions that have… more
- Walgreens (East 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
- CVS Health (Providence, RI)
- …more personal, convenient and affordable. **Position Summary** The primary responsibility of the Third Party Medical Account Analyst is to support the Third ... ensuring compliance. The TP Analyst will work closely with Third Party Medical Account Management team, as...1 to 3 years (retail pharmacy, PBM, banking/health insurance claims processing , analyst preferred) + Strong analytical,… more
- Norstella (Providence, RI)
- …is not responsible for an application that may be submitted by or through a third - party and candidates should proceed with extreme caution if a third - ... Sciences industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes & EHRs). **Key Duties and Responsibilities**… more
- Walgreens (Norfolk, 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
- Walgreens (Worcester, MA)
- …up with insurance companies and medical providers and conducts or participates in 3rd party audits. + Follows-up with medical providers' offices to clarify ... ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows… more
- Restaurant Depot (Milford, MA)
- …Participates in employee relations' issues 12. Provides documentation and employment history to third party vendor for unemployment claims . 13. Maintains ... required documents to Human Resources/Payroll. 2. Assists in the processing of payroll, by ensuring all entries for the...carrier and assists Corporate in the resolution of the claims . 4. Maintains OSHA Records 5. Manages Leaves of… more
- Conviva (Providence, RI)
- …Claims Processor, Insurance Billing and/or Collections. + Knowledge of submission and processing of medical claims (HCFA 1500 forms). + Knowledge of ... will be using an exciting interviewing technology provided by Hire Vue, a third - party vendor. This technology provides our team of recruiters and hiring managers… more
- Walgreens (Johnston, RI)
- …by the pharmacist in accordance with Walgreens standard operating procedures for entering, third party processing , filling, and dispensing prescriptions. + ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- IQVIA (Northborough, MA)
- …of insurance and adjudication processes + Understanding pharmacy and medical co-pay claims processing + Proficient in cross training in various departments, ... and verify call center staff phone calls with patients, providers, and third - party payers + Review accuracy on insurance and provider communication for faxing… more