Review and research assigned claims by navigating multiple systems and platforms and accurately capturing the data/information necessary for processing (e.g., verify pricing/Fee Schedules, contracts and Letters of Agreement, prior authorizations, applicable member benefits) Pay, deny, or pend claims as appropriate in a timely manner. Manually enters claims into QNXT as ne

Are you looking for a unique opportunity to be a part of something great? Want to join a 20,000 member team that works on the technology that powers the world around us? Looking for an atmosphere of trust, empowerment, respect, diversity, and communication? How about an opportunity to own a piece of a multi billion dollar (with a B!) global organization? We offer all that

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Associates Degree   Travel Percentage Frequent Job Shift Daytime Job Category Professional / Experienced Description The Sales Marketing Associate is responsible for the recruitment and retention of all Neighborhood product lines. The key to success in this position is to have strong co

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues experts in their fields who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciti

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues experts in their fields who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciti

The position entails working in the executive office of Medical Dermatology at MGH. Normal working hours will be Monday through Friday and can range from 7 30am to 6pm. Under the direction of the Group Practice Administrator, the Patient Service Coordinator III provides administrative support to all areas of MGH Dermatology. This position will be primarily responsible for

Would you like to work in a dynamic sales growth role? Do you love collaborating across teams to deliver customer success? Join our Enterprise Security Team! Our Enterprise Security team focuses on the development and selling of our Micro segmentation security solution. Micro segmentation is key to protect our customers against the Ransomware threats in the changing DC/Cl

Serves as the first point of contact and liaison for patients or referring providers by triaging calls and resolving questions directly whenever possible. Possesses a level of independence requiring knowledge of multiple disease specific programs. Provides administrative support and coordination for all aspects of patient care for patients, primarily focused on supporting

Receives customer's documentations, verifies customer's identity, possible fraud, switch Hold, etc. Receives inbound calls from customers inquiring about pending enrollments for Residential and Small Commercial customers. Performs outbound calls to follow up with customers to ensure the customer is aware of the hold in their order and the process to follow to execute the

Position's General Duties and Tasks In these roles you will be responsible for Answer incoming phone calls from healthcare providers regarding benefits and eligibility, billing and payments, authorizations for treatment, explanation of benefits, etc. Create written correspondence if issues were not resolved during the call Conduct provider outreach phone calls to collect

An Inside Sales Representative will assist our walk in customers directly, coordinate closely with our outside sales force, drivers and warehouse personnel to meet our customers' needs in a timely and efficient manner. The Inside Sales Representative will provide counter sales, phone assistance, and other help to our customers. Be instrumental in building our business. He

Discuss clinical services provided in the home, school, or other community based settings with insurance companies Provide/Confirm clinical diagnosis, therapeutic treatment, safety planning and risk assessment. Coordinate care with Outpatient Therapists, Psychiatrists, Schools, DCF, probation and Medical Providers to ensure effective and progressive care. Complete documen

Great company. Great people. Great opportunities. If you'd like the chance to make your mark with the world's largest equipment rental provider, come build your future with United Rentals! As an Inside Sales Rep at United Rentals, you will serve as a key customer contact and consultant at our branch, with responsibility for recommending solutions to the customer, quoting,

Position's General Duties and Tasks In these roles you will be responsible for Answer incoming phone calls from healthcare providers regarding benefits and eligibility, billing and payments, authorizations for treatment, explanation of benefits, etc. Create written correspondence if issues were not resolved during the call Conduct provider outreach phone calls to collect

The ideal candidate will be located in Illinois, Michigan, Indiana or Ohio for ease of traveling and current customer base. We are looking for people who are focused and driven with a strong sales DNA and who would like to work in a competitive, supportive and fun team environment. In this role you will enjoy being part of a winning sales culture that has a need for achie