- Evolent (Providence, RI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass ... auditing. This position reports to the Associate Director, Credentialing Operations . **Collaboration Opportunities:** The Specialist , Credentialing Operations… more
- Travelers Insurance Company (West Bridgewater, MA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- USAA (Providence, RI)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... makes us so special! **The Opportunity** As a Insurance Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… more
- Family Service Association - Fall River (Fall River, MA)
- …end-stage billing functions, in all systems, including editing deposits, researching failed claims , completing claim and payment approval and following up on ... a full time, 40 hours per week, Revenue Cycle Specialist . Hours are Monday - Friday from 8 am...Services, plays a critical role in managing the financial operations of the organization by overseeing the end-to-end revenue… more
- Point32Health (Canton, MA)
- …Billing Services and, internally, provides Customer Service and direction to Claims Operations , Provider Relations, Allied Health Services, Credentialing and ... direction of the Provider Enrollment Supervisor, the Provider Enrollment Specialist processes, maintains, and revises all components of the...forms, and many other supporting documents, as well as claims payment and claims forms and is… more
- Walgreens (West Warwick, RI)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- GE Vernova (Foxborough, MA)
- …through management of project related activities and resources. Impacts departmental operations and responsible for planning/execution. The role has some autonomy ... between approved project financial data and books + Support project close out and claims /Provide support to tenders + Oversee the planning function on the project +… more
- Point32Health (Canton, MA)
- …regulatory requirements and timelines. The Senior Manager works closely with claims , membership operations , clinical services, care management, customer ... to business functions, etc. + Oversee or collaborate with Product Specialist to manage Benefit Adjudication Committee meetings and other sub-workgroups as… more