1 to 15 of 22
Sort by: Date | Relevance
The Insurance Verification Specialist is responsible for obtaining verification of patient payer benefits and eligibility for services ordered. This includes but is not limited to private insurance, Medicare, Medicaid, and Rite care. Ongoing communication with medical billing department regarding authorization, re authorization, and retro authorization of visits Provide p
Posted 2 days ago
Deutsche Bank
- Boston, MA / Jacksonville, FL
Employer DWS Group Title Insurance Advisory Senior Relationship Manager Location Boston, NYC, Chicago or other DWS office location Job Code #LI LV1 #LI 04 About DWS Today, markets face a whole new set of pressures but also a whole lot of opportunity too. Opportunity to innovate differently. Opportunity to invest responsibly. And opportunity to make change. Join us at DWS,
Posted 3 days ago
Reporting directly to the Finance Department, the successful candidate will be responsible for coordinating insurance activities, analyzing insurance data, ensuring compliance with regulations, and fostering effective communication between internal and external stakeholders. This role will report directly to the Controller and will interact with third party insurance brok
Posted Today
Zelis Healthcare, LLC
- Atlanta, GA / Plano, TX / Boston, MA / 3 more...
The Regulated Claims Settlement Coordinator supports the Claims Settlement Team through leading the review and response to disputed claims submitted through state and federal arbitration processes. The Regulated Claims Settlement Coordinator will be responsible for supporting Zelis' settlement offers and pricing after disputes have been filed to federal and state arbitrat
Posted 5 days ago
Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage None Job Shift Daytime Job Category Professional / Experienced Description On site Smithfield, RI The Claims Research Specialist is responsible for the day to day handling of claim issues. This role acts as the single point of contact for claim relat
Posted 6 days ago
Inputs customer applications into the agency management system from the carrier rating system. Upload/submit application(s), photos, appraisals, etc. to be submitted to the insurance carriers for policy issuance. Checks new and renewal policies for accuracy in rating, typing and coverage. Ensure that these policies are delivered and/or mailed to the client. Monitors renew
Posted 24 days ago
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable
Posted 4 days ago
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable
Posted 4 days ago
Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Associates Degree   Travel Percentage Frequent Job Shift Daytime Job Category Some Experience Description This position is responsible for processing provider application for network entry and reappointment, including primary source verification of providers credentials according to Pla
Posted 20 days ago
Coordinates expirations with producers and/or account executive to obtain renewal and/or new business information. Keep producers fully informed of all important activities on their accounts. Meet weekly with producers to review upcoming renewals. Identifies policies requiring renewal attention for surplus lines or agency billed policies and sends carriers renewal changes
Posted 1 month ago
Under general supervision of the Claims Administration Follow up Supervisor perform all clerical duties necessary to properly process patient bills to customers taking appropriate follow up steps to obtain timely reimbursement of each 3rd party claim and ensure the financial stability of the Hospital. Responsibilities Consistently applies the corporate values of respect h
Posted 2 days ago
The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member Handbook/Evidence of Coverage, departmental policies and procedures, and r
Posted 25 days ago
Manage incoming Bordereaux from program managers Review and ensure Bordereaux submitted have accurate template format Complete review of validation errors from Bordereaux ingestion, follow up with individual program managers for correction Ensure and maintain accurate data within the LOC, written and affiliate Bordereaux trackers Manage the LOC process Manage OFAC check p
Posted 7 days ago
Prior Authorization Specialist hybrid after onsite training! Full Time 8am 4 30pm Job Ref 29384 Category Clerical & Administrative Support Location Emerson Hospital, 133 Old Road to Nine Acre Corner, Concord, MA 01742 Department Patient Access Schedule Full Time Shift Day shift Hours 8 00 4 30 Job Summary Reports to the Direct of Patient Access, the position serves as the
Posted 6 days ago
Process provider applications and revalidation applications through verifications, credentialing, and site visits Accurately input enrollment data into database system Conduct quality assurance functions to reduce errors and improve processes and performance Demonstrate great depth of knowledge / skills in own function and act as a technical resource to others Educate and
Posted 3 days ago
Email this Job to Yourself or a Friend
Indicates required fields