- BrightSpring Health Services (Taunton, MA)
- …excellence and top-quality care come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party : + Manages and identifies a portfolio ... resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2 for the Financial ... coding guidelines, claims procedures, contract provisions, and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2… more
- Northeast Family Services (Warwick, RI)
- …accuracy and make adjustments as needed + Communicate with payers, third party vendors and patients in regard to claims , payments, and outstanding balances ... Northeast Family Services is currently seeking a Billing Specialist to join their growing team! This position...Monitor and identify status of outstanding accounts + Contact third party payors, patients, or others for… more
- Walgreens (Providence, RI)
- …not limited to preparing sales floor, stockroom, and pharmacy for inventory and auditing the third party team on the day of inventory. + Supports keeping all ... and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed),… more
- Sutherland Global Services (Providence, RI)
- …+ Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online + Providing ongoing ... PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language...billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school… more
- Wolters Kluwer (Providence, RI)
- …with key stakeholders, including technology partners, systems integrators, ISVs, MSPs, and Third - Party Assessors. The Leader will work closely with internal ... increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience… more