- CVS Health (Woonsocket, RI)
- …every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity ... use multiple systems and screens to obtain and record claim information - Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Molina Healthcare (Worcester, MA)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and… more
- CVS Health (Woonsocket, RI)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- Advocates (Framingham, MA)
- …third party claims . + Follow up and resolve issues regarding claim denials. + Perform collection activities that may include, client and insurance phone ... **Overview** **Starting Rate: $22/hour** The Data Entry Payment specialist assists with payment intake and post payments reconciliation processes. They manually and… more
- CDM Smith (Worcester, MA)
- …ID:** 40480BR **Business Unit:** FSU **Job Description:** The Disaster Engineering Specialist : * Conducts site inspections to validate and record infrastructure ... engineering reports, designs, and as-built plans. * Makes recommendations regarding claim eligibility. Develops or evaluates hazard mitigation proposals and … more
- RTX Corporation (Marlborough, MA)
- …Heritage Raytheon programs Collins Aerospace is seeking a talented and driven Principal Specialist Material Program Manager (MPM) to join our Mission Systems team in ... customer communications and building a robust customer relationship + Supplier Claims /Request for Economical Adjustments (REA's) and mediation management + Conduct… more
- Walgreens (Concord, MA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Rodenhiser Home Services Inc (Holliston, MA)
- …Rodenhiser family does it all! At Rodenhiser, we already have all of these benefits . Don't you want them too? The Big Task Ensures customers' accounts are current ... receivable issues. Identify and recommend accounts for further collections action, small claims court, or write off. + Process refunds and communicate with the… more
- Option Care Health (Marlborough, MA)
- …best and brightest talent in healthcare. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- State of Massachusetts (Fitchburg, MA)
- …related to TAFDC, EAEDC and SNAP, and assist with additional assistance for benefits , referrals to other state agencies and community partners, and other resources ... guidelines. * Report all Domestic Violence issues to the appropriate Domestic violence specialist immediately. * Ensure all clients are made aware of ADA services… more