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Member Service Representative

Providence,RI

699 Member Service Representative jobs in Providence,RI

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Door to Door Sales Representative - Hiring Event!

Spectrum

West Warwick, RI 02893

~ 21 min OnsiteUrgently Hiring

  • Door to Door Sales Representative
  • Residential Connectivity Sales Specialist
  • In-person and virtual sessions happening from Sept. 29–Oct. 1
  • Spectrum Internet, TV, Mobile and Voice services directly to homeowners in your local community
  • With paid training, uncapped commissions, great benefits and real opportunities for career growth
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Sales Rep - Entry Level - Weekly Pay

Vector Marketing

Cranston, RI 02920

Urgently HiringFlexible Schedule

  • Enjoy working with people
  • All ages eighteen plus or seventeen and a high school graduate
  • Conditions apply
  • Willing to learn and apply new skills
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Inside Sales Representative- Stoughton, MA

Diesel Direct

North Easton, MA 02356

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Team Member

DE Foods (KFC)

Greenville, RI 02828

$15-$17.25/hr
~ 15 min OnsiteUrgently Hiring

  • And you're at least 16 years old.
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New, Posted 5 hours ago
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Customer Service Representative

Sila Heating, Cooling, Plumbing, and Electric

South Walpole, MA 02071

~ 34 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • 1+ years of customer service, call center, or home services experience preferred
  • HVAC, plumbing, electrical, or Service Titan experience is a plus
SmartExplore AI is experimental.
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New, Posted 1 day ago
Kitchen Team Member/Cook

Buffalo Wild Wings

Seekonk, MA 02771

Flexible Schedule
New, Posted 2 hours ago
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Construction Sales Representative

Erie Home

Cranston, RI 02920

$125,000-$250,000/yr
~ 13 min OnsiteHealth InsuranceRetirement Benefit

  • Valid driver's license
  • Reliable transportation with auto insurance
  • The ability to travel to and from in-home appointments
  • Must be able to safely ascend, descend, and work from ladders in accordance with Company safety procedures.
  • This position requires the use of ladders with a maximum manufacturer-rated capacity of 375 pounds, including the user's body weight and any tools or equipment.
SmartExplore AI is experimental.
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New, Posted 1 day ago
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Patient Financial Services Representative/Hospital Billing

South Shore Health

Randolph, MA 02368

~ 44 min Onsite

  • Candidates must reside in MA, RI, CT or NH to be considered
  • Position is based in Weymouth, MA
  • Knowledge of healthcare billing, insurance plans, codes, and reimbursement methodologies
  • Proficiency in data entry and basic computer skills, including Microsoft Office Suite
  • Excellent organizational and multitasking skills
  • Strong interpersonal and communication skills
  • Strong analytical and independent decision-making skills
  • Minimum Education High school graduate or above
  • Minimum Work Experience 2 years of hospital and/or physicians billing preferred
  • Hybrid or remote work options may be available
  • Notifies manager of any changes that would affect claim submission
  • Maintain compliance with federal, state, payer, and organizational billing regulations
  • Monitor payer policy updates and communicate changes that may impact billing, collections, denials, or reimbursement processes
  • Evaluates daily claim file using Claim Edit and Charge Review Work queues for submission of UB-04 and 1500 claim forms
  • Initiate claim corrections as defined payer regulation and hospital policy
  • Works external claim edits from Clearinghouse and resubmits claims through EPIC
  • Initiate collection of aged accounts receivable through Epic work queues while prioritizing accounts based on organizational goals and aging criteria
  • Unresolved and incomplete accounts require insurance company contact by phone, e-mail or designated web site to resolve outstanding balances
  • Collaborate with denial management staff for accounts that require clinical intervention for an appeal process
  • Collaborate with clinical departments, patient access and other departments as needed to resolve account issues
  • Generate technical appeals as needed for account resolution
  • Provide to manager a detail account history for any account that is considered uncollectable
  • Document all actions taken within the EPIC account notes section and/or follow up/denial activities note section
  • Documentation is required at least every 30 days for all accounts requiring follow-up
  • Escalates payer related issues to Provider Representative for resolution and participate in monthly meetings
  • Must maintain defined quality and productivity measures
  • Evaluate current processes, identify denial or payment trends and escalate to Management
  • Handle payer 277 rejections and resubmit through EPIC system
  • Reconcile account balances and ensure appropriate adjustments are applied according to established policies
  • Review credits work queues for resolution of overpayments and undistributed payments
  • Review credit balances in assigned work queues and request refunds or payer retraction as needed
  • Communicate with patients as needed for additional insurance or other information needed in order to process a claim
  • Generate phone calls or letters as needed to obtain necessary insurance or other related information, prior to an account being placed in self-pay
  • Obtain proper verification of predefined patient demographic information and maintain documentation in order to verify identity
  • Embraces technological solutions to work processes and practices
  • Uses the Mytime payroll system to enter time worked, sick days, vacations and holidays
  • Uses Epic functionality
  • Uses MS Outlook as a communication tool
  • Access provider web sites for verification of accounts
  • Access SharePoint and OneDrive for stored files
  • Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment
  • Successfully answers safety questions in the annual mandatory education packet
  • Maintains a neat, organized work environment
  • Adheres to respiratory etiquette guidelines
  • Assist with identifying workflow improvements to enhance operational efficiency
  • Assist leadership with special projects, audits, and process improvement initiatives
  • Other duties as assigned by Management in accordance with department needs
  • Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization
  • Embraces technological advances that allow us to communicate information effectively and efficiently based on role
  • Complete necessary training sessions required for the Billing System and assigned accounts within Follow Up and Denial work queues
SmartExplore AI is experimental.
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New, Posted 1 day ago
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Order Fulfillment Associate Part Time

BJ's Wholesale Club

Attleboro, MA 02703

~ 15 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • Most of the time is spent moving about continuously on hard surfaces. There may be a need to frequently position oneself to examine and/or scan merchandise, including bending, climbing, crawling, handling, pulling, reaching, and stooping.
  • Continuously requires lifting objects up to 30 pounds. May require lifting and moving heavy and/or awkward objects more than 30 pounds with assistance.
  • Usually in a comfortable environment surrounded by moving machinery and/or loud equipment. There may be exposure to temperature extremes at time to pull refrigerated orders.
  • There may be occasional exposure to Company-approved cleaning agents.
  • Regular, predictable, full attendance is an essential function of this job.
SmartExplore AI is experimental.
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Production Operations Representative

Manpower Group

Franklin, MA 02038

~ 32 min OnsiteFlexible ScheduleHealth InsuranceRetirement Benefit

  • 1 or more years of experience in a production role using various tools
  • Strong communication skills to effectively work with team members
  • Willingness to adhere to safety protocols and guidelines
  • Flexibility to work on Sundays through Thursdays
  • Ability to work in a fast-paced environment and follow instructions accurately
  • 1 o más años de experiencia en un rol de producción usando diversas herramientas
  • Habilidades de comunicación para trabajar eficazmente con el equipo
  • Disposición para seguir los protocolos y directrices de seguridad
  • Flexibilidad para trabajar de domingo a jueves
  • Capacidad para trabajar en un entorno de ritmo acelerado y seguir instrucciones con precisión
SmartExplore AI is experimental.
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