34 jobs matching your criteria
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Bilingual Portuguese & Spanish Claims Intake Representative
access_time Posted 3 days ago
account_balance NARS
location_on Providence
Founded in 1996, we handle claims for insurers, brokerages, managing general agencies, reinsurers, liquidation bureaus, self-insured funds and entities.
Investigator
access_time Posted 20 days ago
account_balance Ethos Risk Services
location_on Providence
Join us and become a trusted partner in insurance claims management and fraud investigations, delivering certainty and peace of mind to every client we serve. What does aN Experienced Surveillance ...
System Analyst - Healthcare/Claims
access_time Posted 2 months ago
account_balance Planet Technology
location_on Smithfield
Must have healthrules payer or manager configuration experience * Experience with Optum CES (Claims Editing Software) * JIRA (or similar ticketing system) * Cognos * SQL Quires (nice to have
Account Manager - FQHC (Remote)
access_time Posted 1 month ago
account_balance Coronis Health
location_on Pawtucket
Account Manager Department: FQHC Supervisor: Director of FQHC FLSA Classification: Non-Exempt You ... Success will be measured, in part, by a reduction in claims denials and an increase in ...
Revenue Cycle Specialist II
access_time Posted 5 days ago
account_balance Brown Urology
location_on Providence
Act as a resource to practice management and providers. * Maintain knowledge of all applications including eClinical Works, Epic, Microsoft Word, Excel and on-line payer verifications/claims status
Billing Specialist - ASC
access_time Posted 9 days ago
account_balance University Orthopedics
location_on East Providence
Finance Manager GENERAL SUMMARY OF DUTIES: The Surgical Facility Biller is responsible for billing ... The Biller is responsible for record maintenance, daily charges and preparing and submitting claims ...
Nurse Medical Management
access_time Posted 2 months ago
account_balance Absolute Staffing & Consulting Solutions
location_on Providence
Works with medical directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied. Primary duties may include, but are not limited to
Quality Assistant
access_time Posted 9 days ago
account_balance Virginia Transportation Corp
location_on West Warwick
Enter, reviews files for completeness, and update final claims received for all clients. * Once a processor verifies that a claim can proceed, prepares and sends claim denial, or advises manager of ...
Disability & Wellness Specialist
access_time Posted 5 days ago
account_balance Textron
location_on Providence
Ensure appropriate management of occupational and non-occupational disability claims by business units and vendors. * Maintain knowledge of federal and state workers' compensation, disability, and ...
Data and Quality Analyst EOHHS
access_time Posted 2 months ago
account_balance HCH ENTERPRISES LLC
location_on Cranston
Become a subject matter expert for various sources of data, such as the MFP database, nursing home Minimum Data Set, custom case management data, and Medicaid claims data. * Track and report on ...
Data Engineer III
access_time Posted 9 days ago
account_balance FM Global
location_on Johnston
Claims; Account and Location Engineering) as well as emerging data sources (purchased data sets ... Managing and addressing operational data issues by establishing workarounds and/or bringing in ...
Assistant Underwriter - Personal Lines
access_time Posted 2 days ago
account_balance RISCO Insurance Brokerage Inc.
location_on East Providence
Provides accident and claims history, property value, and other factors to assess risk and reviews ... Prepares quotes and reports for agents under the supervision of the Underwriter/Manager. * May ...
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