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

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

Job Location Smithfield, RI Smithfield, RI Position Type Full Time   Travel Percentage Occasional Job Shift Daytime Job Category Some Experience Description Position Overview (In office) This position is responsible to review written inquiries related to claims edit determinations that decrease claim reimbursement. This position also reviews inquiries related to denie

Fast paced field environment with frequent face to face, customer interaction Ability to traverse ladders, roofs, crawl spaces, and damaged property Typically inspects multiple losses per day requiring car travel between locations Evaluates and settles property related damages (primarily) between $10,000 and $100,000 (aggregate); occasionally handles losses that exceed $1

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 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 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

Under the supervision of the Lifespan Risk Services (LRS) Director of Insurance and Business Operations position requires a variety of supervisory and business processing skills. Working closely with LRS Director Insurance & Operations to develop and maintain an intimate knowledge of the Lifespan s self insurance and commercial program the supervisor will endeavor to meet

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