- Elevance Health (Boston, MA)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... - Friday, between the hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully completing the required basic training. Able to… more
- Humana (Providence, RI)
- …community and help us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with claims adjudication to ... up and maintaining hospice/facility/pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services)… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that ... training.** + The initial 120 days of employment as a Claims Research & Resolution Representative 2 constitute an appraisal period. This Appraisal Period is… more
- Children's Hospital Boston (Boston, MA)
- …Posting Title:Patient Accounts Representative - HybridDepartment:Finance-Patient Financial ServicesAutoReqId:80853BRStatus:Full-TimeStandard Hours per Week:40 Job ... offices, service sites and ancillary departments. Prepares and submits accurate insurance claims to payer within proper timeframes. Works payer scrubber and denial… more
- Cardinal Health (Providence, RI)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- MAPFRE Insurance (Webster, MA)
- …Market:** Worcester **Job Segment:** Call Center Representative , Customer Service Representative , Call Center, Claims , Work from Home, Customer Service, ... hour based on experience.** Excellent opportunity to join our Claims , Physical Damage Department. In this role as Auto...you will be responsible for adjusting 1st party Express claims for Auto Physical Damage through screening losses, determining… more
- Sensata Technologies, Inc. (Attleboro, MA)
- Sensata is currently seeking a Customer Service Representative (CSR) to join our growing team of Aerospace professionals. As a critical part of day-to-day business ... operations, the Customer Service Representative is responsible for interfacing with customers and maintaining...Administration of customer product returns, determining validity of warranty claims and working with customer on repair quote if… more
- Cognizant (Providence, RI)
- … representative role. Understanding of the insurance industry, electronic claims , medical office knowledge and/or coding/billing preferred. **Salary and Other ... **CUSTOMER SERVICE REPRESENTATIVE (remote)** This is a remote position open to any qualified applicant in the United States. Due to our expansive growth, we are… more
- The Cigna Group (Boston, MA)
- …patients' dreams of having a family come true! As a Pharmacy Technician Senior Representative , you will use your data entry skills to ensure patients receive the ... shipping, insurance, and payment details. + Be a team player - Escalate complex claims to the appropriate team for further action. Why join us? + Health coverage… more
- Highmark Health (Providence, RI)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and… more
- CVS Health (Providence, RI)
- …routine nature. + Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc + Maintain department ... established performance metrics at a meets or exceeds expectations level + Work together as a team and apply the Aetna Core Values in day-to-day operations + Creating a Differentiated Service Experience + Demonstrating Service Discipline + Handling Service… more
- Intermountain Health (Boston, MA)
- …service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + ... Reading + Billing + Revenue Cycle Payment Handling + Computer Literacy and troubleshooting + Attention to Detail + Customer Follow-Ups **Physical Requirements:** **Qualifications** + High School diploma or equivalent, required + Minimum of one (1) year of full… more
- State of Massachusetts (Brockton, MA)
- …able to work, available for work and looking for a job. The Job Service Representative II (JSR II) assists the unit manager in the operations of the Adjustment and ... Claims units within the Unemployment Insurance Telephone ...days per week.*/ **/Prior experience as a Job Service Representative I is strongly preferred./* */*Bilingual preferred but not… more
- State of Massachusetts (Brockton, MA)
- …to work, available for work and looking for a job. The Job Service Representative is responsible for making determinations on eligibility for benefits in disputed ... claims after gathering necessary information through interviews; issue timely...perform related work as required. Duties include: * Analyze claims by reviewing available data to identify and prioritize… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …assigned disease areas within the CNS TA. + Act as a company representative and advocate in relevant medical and scientific communities for specific assigned areas ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …The Director will author/review **clinical pharmacology** submission documents and representative of the department at different product development team meetings. ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- MAPFRE Insurance (Middlesex County, MA)
- …Company: MAPFRE Job Summary MAPFRE is seeking a dynamic Business Development Representative to drive profitable sales growth in their assigned territory. The ... programs preferred. Prior experience in a business development, underwriting and/or claims position within a company or agency environment. If you require… more
- Commonwealth Care Alliance (Boston, MA)
- …medical policies and prior authorization program. + Support the payment policy and claims teams in the development of payment policies, and effectuation of medical ... policies and collaborate on claims projects ensuring they are relevant, compliant with regulatory,...carrying out the position duties and responsibilities. + Primary representative of the medical policy team and serve as… more
- Rexel USA (Mansfield, MA)
- …not limited to, resolving and processing accounts payables, answering emails, filing claims , purchasing office supplies, and managing various reports + Establish and ... and Physical Demands The physical demands described here are representative of those that must be met by an...this job. The work environment characteristics described here are representative of those an employee encounters while performing the… more
- MAPFRE Insurance (Webster, MA)
- …**Responsibilities** + Process and deliver correspondence to intended party for Claims and Underwriting. + Index documents received electronically and scanned ... employer._ **Nearest Major Market:** Worcester **Job Segment:** Call Center Representative , Customer Service Representative , Accounts Payable, Call Center,… more