Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Professional / Experienced Description Position Overview The Member Advocate ensures the interests of the company's members are understood, promoted and addressed by the organization and the larger health car

Medicare Broker & Sales Support Agent Blue Cross & Blue Shield of Rhode Island, 500 Exchange Street, Providence, Rhode Island, United States of America Req #1950 Monday, May 13, 2024 Please email hr_business_partners@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process. Schedule Hybrid Compensation $50,500 $65,7

Medicaid Eligibility Specialist Blue Cross & Blue Shield of Rhode Island, 500 Exchange Street, Providence, Rhode Island, United States of America Req #1949 Monday, May 13, 2024 Please email hr_business_partners@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process. Schedule Hybrid Compensation $22.50 $27.00/hr Ju

Sr Medicare Enrollment Analyst Blue Cross & Blue Shield of Rhode Island, 500 Exchange Street, Providence, Rhode Island, United States of America Req #1948 Monday, May 13, 2024 Please email hr_business_partners@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process. Schedule Hybrid Compensation $80,100 $120,200 Jum

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International Director Cross Border Activities The following are the duties of this position at the full working level. Serves as a technical expert in examinations of signific

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

The Commercial Credit Underwriter (CCU) position is designed and intended to prepare individuals for the role of Portfolio Manager I or a future Credit Professional role by providing specific on the job training as well as experience working within a Lending Team environment. CCUs report directly to the Commercial Credit Officer. The position is accountable primarily to t

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International Director Enterprise Activities The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you are s

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International, Director Withholding, Exchange, and International Individual Compliance (WEIIC), DFO FPP& AEOI and DFO EOS, EOI The following are the duties of this position at t

At Selective, we don't just insure uniquely, we employ uniqueness. Our Business Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and ho

Lifespan Risk Services (LRS) is organized and operated for the purpose of coordinating insurance administrative loss prevention and claims functions for Lifespan Corporation. Under the supervision of the LRS Director of Insurance and Business Operations position requires a variety of business and customer service duties to support LRS internal and external customers. Requ

Under the general direction of Vice President of Contracting and Payor Relations is responsible for the preparation of all third party reporting and revenue estimates related to Lifespan and affiliate reimbursement. Direct control and supervise all reimbursement duties. Responsibilities Prepare and assemble all financial and statistical individual affiliate and consolidat

Under general supervision of the Follow up Supervisor performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician specialty practice. Responsibilities Review all denied claims correct them in the system and send corrected/appealed claims as written correspondence fax or via electronic submission. Identify and analyz

Under general supervision of the Follow up Supervisor performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician specialty practice. Responsibilities Review all denied claims correct them in the system and send corrected/appealed claims as written correspondence fax or via electronic submission. Identify and analyz

Under general supervision of the Follow up Supervisor performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician specialty practice. Responsibilities Review all denied claims correct them in the system and send corrected/appealed claims as written correspondence fax or via electronic submission. Identify and analyz