Healthcare A/R Analyst - Third-Party Claims Expert
Care New England
Care New England's Third Party Analyst proactively manages and analyzes accounts receivable, focusing on current and past‑due balances and resolving denied or unpaid claims to ensure timely reimbursement. The role collaborates with patients, providers, insurance carriers, and internal staff to streamline billing processes, support supervisor reporting, and communicate denial trends and recommendations for improvement. #J-18808-Ljbffr Care New England
- Women & Infants Hospital in Warwick, RI seeks a Third Party Specialist to manage all phases of the billing process, including submitting paper and electronic claims to payers and following up on past due accounts with third party payers. The role also supports reporting...Claims
- ...Job Summary Under the direction of the A/R Supervisor, the Third Party Specialist facilitates all phases of the billing process. Responsible for submitting paper and electronic claims to all payers. Following up on current, past due accounts and secondary balances with...ClaimsLocal area
- ...billing specialist to accurately prepare edits, submit bills to third‑party payers, and support department operations. You will stay... ...information, coordinating with clinical staff and payers, processing claims timely, researching balances, maintaining records in Excel,...Claims
- ...Summary Reporting to the Supervisor of A/R Management, the Third Party Analyst proactively manages and analyzes... ...) and resolving denied or unpaid claims, the Analyst ensures accurate, timely... ...development. Stay current on healthcare billing regulations and payer guidelines...Claims
- ...Comprehensive Community Action Program in Warwick, Rhode Island is seeking a Billing Specialist to manage third-party insurance payments and resolve unpaid claims. The role requires a flexible schedule to accommodate clients and demands at least 1-3 years of billing experience...ClaimsFull timeFlexible hours
$40k - $55k
...detail-oriented and experienced Automotive Claims Adjuster to join our team. This role... ...settlements with policyholders, repair shops, and third parties to reach fair and accurate resolutions.... ...service to our clients through expert evaluation and negotiation skills. Job...ClaimsFull timeFlexible hours- ...submit bills, verify eligibility, and obtain authorizations for third-party payers. The role supports efficient department operations,... ..., and coordinates with clinical staff, payers, and patients to ensure accurate claims processing. #J-18808-Ljbffr Care New EnglandClaims
- Care New England is seeking a hands-on Supervisor of TPC and CCBHC Revenue Cycle to lead daily A/R operations, ensure timely claim submission, accurate posting, and effective follow-up for behavioral health services. You will mentor staff, analyze denial trends, collaborate...Claims
$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze... ...evaluations, and related expenses to effectively negotiate first and third party claims. Knowledge of total loss processing, State salvage...ClaimsContract workWork at officeLocal areaFlexible hours$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ..., and related expenses to effectively negotiate first and third party claims. Knowledge of total loss processing, State salvage forms...ClaimsContract workWork at officeLocal areaFlexible hours$26.49 - $54.9 per hour
Allstate Insurance Company is seeking a Field Auto Claims Adjuster in Rhode Island. The role involves preparing and auditing comprehensive damage estimates for both first- and third-party material damage claims across Auto and Specialty lines. The ideal candidate will...ClaimsRemote job$30.5k - $43.5k
Claims Resolution Representative Hybrid Warrick, RI Location: Warwick, RI, US, 02886-1782 Great... ...complex tasks that are related to healthcare policy and claims processing including prior authorizations, third-party liability, and manual pricing. Apply knowledge...ClaimsFull timeImmediate startFlexible hours- Profile: The ideal consultant has hands-on healthcare operations experience in one or more of the following areas: Mailbox operations, fax... ..., prior authorization support, appeals/grievances, or claims operations. Healthcare back-office operations and exception handling...Claims
- Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. The role requires...ClaimsRemote job
- ...maximize cash flow by securing initial authorization from 3 rd party payers as required and ensuring ECHO software, payors are current... ...rd party insurance/benefits including co-pays, deductibles and claims information by interfacing with payer agencies. Determine clients...ClaimsWork at officeShift work
- ...manner, in accordance with requirement of third‑party payers. Conducts related activities to... ...appropriate personnel as needed. Submits claims in a timely manner. Researches payment sources... ...in Accounts Receivables. Understands A/R balances and reimbursement practices. Maintains...ClaimsImmediate start
- ...Job Summary Responsible for posting all third-party insurance payments, process all denials appropriately and follow-up on all unpaid claims. Work with patients and external... ...Work with the Billing Manager to maintain A/R. Work Schedule Demands This is a...ClaimsFull timePart timeWork at officeLocal areaFlexible hours
$100k - $130k
...Our client is seeking to add a Commercial Auto Liability - Home Office Claims Consultant to their New England operations. This position involves overseeing claim handling performance of third-party administrators (TPAs), ensuring accuracy, compliance, and efficiency at...ClaimsFull timeHome officeRelocation package$83k - $122k
...Department Head prior to the Enterprise Risk Review Provides claim support and loss history analysis as needed Supports and... ..., or to any Gilbane employee. Gilbane will not pay fees to any third party agency or firm and will not be responsible for any agency fees...ClaimsContract workFor contractorsFor subcontractorWork at officeRemote work- A leading IT staffing company in Rhode Island is seeking a Call Center Representative to handle inbound calls regarding claims and billing for MetLife insurance products. The role requires strong communication and organizational skills, as well as the ability to work various...ClaimsShift work
$97.72k - $195.44k
...Denial Appeals reports to the Director of Claims Admin/Follow up. Under general direction... ...to level of care. Works to maintain third‑party payer relationships, including responding... ...Education: Bachelor’s degree in Business, Healthcare or related field; active RN nursing...ClaimsFull timePart timeWork at officeLocal areaRemote workShift work- A nationwide claims adjusting organization is seeking Independent Insurance Claims Adjusters to join their team. This role not only offers a chance to help individuals and businesses recover from disasters but also allows for flexibility and competitive compensation. Comprehensive...ClaimsFlexible hours
- An insurance training and placement company is urgently seeking Independent Insurance Claims Adjusters in Warwick, Rhode Island. This role offers an opportunity for licensed adjusters and newcomers through comprehensive training programs designed to equip you with essential...ClaimsFlexible hours
$142.6k - $261.5k
...programs. A number of solution “hot spots” exist today, such as in claims, underwriting, policy and billing. Our ambition is to be the C... ...’s capabilities; team with client technology professionals or third‑party strategic alliances to provide implementation of technology...ClaimsWork experience placementSummer holidayFlexible hours- ...authorization in accordance with requirement of third‑party payers. Conducts related activities to... ...appropriate personnel as needed. Submits claims in a timely manner. Research payment... ...days in Accounts Receivables. Understands A/R balances and reimbursement practices....ClaimsWork at officeImmediate start
$142.6k - $261.5k
...programs. A number of solution “hot spots” exist today, such as in claims, underwriting, policy and billing. Our ambition is to be the C... ...’s capabilities; team with client technology professionals or third-party strategic alliances to provide implementation of technology...ClaimsWork experience placementSummer holidayFlexible hours$98k - $129k
...testing Coordinate test execution with 3rd party vendors, partners, and logistics... ...any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately... ...consent to Anduril Industries using a third-party service provider to conduct pre-employment...ClaimsFull timeWork experience placementWork at officeLocal areaImmediate start- ...drug interactions and offering preventive healthcare services such as immunizations.... ...Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment... ...medical providers and participates in 3rd party audit. Follows-up with medical...Hourly payInternshipLocal areaShift work
$134.62k - $201.25k
...strategy and technical expertise to oversee analytical activities at third party laboratories, including method development/validation/... ...equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are...ClaimsContract workTemporary workWork experience placementLocal areaFlexible hours$23.16 per hour
...Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround... .... Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy... ...years of experience in a Stop Loss Claims Analyst role. SKILLS Ability to communicate concise...ClaimsFor contractorsWork at officeLocal area
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