Healthcare Billing Specialist: Claims & Reimbursement Expert
Care New England
Care New England Health System in Rhode Island seeks a billing specialist to accurately prepare edits, submit bills to third‑party payers, and support department operations. You will stay informed on billing policies, regulations and reimbursement practices. Responsibilities include verifying patient information, coordinating with clinical staff and payers, processing claims timely, researching balances, maintaining records in Excel, and assisting with month‑end reports. #J-18808-Ljbffr Care New England
- ...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... ...and insurers to ensure appropriate reimbursement on claims. #J-18808-Ljbffr Women &...ReimbursementClaims
- ...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...ReimbursementClaims
$19.58 - $32.31 per hour
A health services provider in Providence seeks a Billing Specialist for their team. The successful candidate will be responsible for submitting claims and resolving billing errors while adhering to established regulations. The position requires a High School diploma and...ReimbursementClaimsHourly payFull timeMonday to Friday- ...Summary Accurately prepares edits and submits bills in a timely manner, in accordance with... ...policies, regulations, rules and reimbursement. Duties & Responsibilities Coordinates and... ...appropriate personnel as needed. Submits claims in a timely manner. Researches payment sources...ReimbursementClaimsImmediate start
$30 - $35 per hour
Reliable-Respiratory, located in Warwick, Rhode Island, is seeking a Billing Representative to ensure accurate posting of accounts receivable. Responsibilities include managing claims, resolving patient inquiries, and maintaining accounting records. Applicants must have...ReimbursementClaimsHourly payWork at office- ...appropriately and follow-up on all unpaid claims. Work with patients and external... ...provide account resolution. Work with the Billing Manager to maintain A/R. Work Schedule... ...knowledge and understanding of Third-Party Reimbursement. ~ Working knowledge and strategic understanding...ReimbursementClaimsFull timePart timeWork at officeLocal areaFlexible hours
- ...Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official... ...0-CM/PCS guidelines, and collaborating with clinical reviewers to ensure accurate reimbursement and DRG logic. #J-18808-Ljbffr Humana IncReimbursementClaimsRemote job
- ...Health in Providence, Rhode Island, is seeking a Dental Coding Specialist to assign CDT codes for dental encounters under the... ...entering data in Dentrix, reconciling charges, and auditing documentation to maintain accurate billing and reimbursement, #J-18808-Ljbffr LifespanReimbursement
- ...Billing Specialist Department: Health Operations Employment Type: Part Time... ..., and manage electronic claims using our billing software... ...denied claims to ensure proper reimbursement Maintain compliance with... ...in our community access the healthcare and human services they need...ReimbursementClaimsHourly payPart timeWork at office
- East Bay Community Action Program (EBCAP) in Providence, RI, is seeking a Billing Specialist for part-time work. This role involves managing electronic claims for medical, behavioral health, and dental services, ensuring accurate billing to support community health. Key...ClaimsPart time
- ...patient inquiries, manage accounts receivable, and facilitate claims processing across multiple departments. You will post payments/... ..., and coordinate with carriers, patients, and staff to resolve billing issues. The role emphasizes adherence to privacy and compliance...Claims
- 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
- ...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... ...insurance, paid holidays, and tuition reimbursement. This full-time position also emphasizes strong...ClaimsFull timeFlexible hours
$50.4k - $72k
Healthcare Operations Quality Assurance (Hybrid Warwick, RI) Location: Any city, RI, US,... ...system and business processes; annual false claims act compliance audit; other periodic... ...allowances, hotel accommodations, reimbursement for travel expenses, and benefits. #J-...ReimbursementClaimsPermanent employmentFull timeWork at officeFlexible hours- ...support accounts receivable, handle payments, denials, refunds, and secondary claims, and coordinate with carriers and patients. This role operates within Care New England's Professional Billing Office. You will review edits, maintain scrubber systems, post payments,...ClaimsWork at office
- A healthcare provider in Rhode Island is seeking an Insurance and Benefits Coordinator responsible... ...verification, authorization, and billing processes. The ideal candidate should... ...healthcare providers, ensuring timely reimbursement for services. Preferred qualifications...Reimbursement
- ...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... ...external customers to ensure appropriate reimbursement on claims. Duties &...ReimbursementClaimsLocal area
- 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
$174.07k - $374.92k
...Management serves as a Subject Matter Expert (SME) with specialized... ...to network providers and healthcare facilities, fostering collaboration... ...predetermination reviews and claim determination reviews,... ...expertise in medical coding, reimbursement, and coverage policies. Provide...ReimbursementClaimsFull timeRemote workWork from home- ...financial services professional to accurately prepare edits and submit bills, verify eligibility, and obtain authorizations for third-party... ..., and coordinates with clinical staff, payers, and patients to ensure accurate claims processing. #J-18808-Ljbffr Care New EnglandClaims
- ...ensuring contractual and regulatory compliance, analyzing claims and incident trends. This role is part of Division Risk... ...an HSA or FSA and provides up to $2,000 annually in reimbursement for eligible healthcare expenses not covered by your primary plan. In addition,...ReimbursementClaimsWork at officeLocal areaRemote work2 days per week
- ...application process. Accounts Receivable Billing Coordinator Regular Full-Time 40 Admin... ...tracking receivables, and ensuring timely reimbursement from a variety of funding sources. You'... ...private payers. Research and resolve claim denials, underpayments, and outstanding...ReimbursementClaimsFull timeWork at officeMonday to FridayShift work
- ...Summary Accurately prepares edits and submits bills in a timely manner, confirms eligibility... ...policies, regulations, rules and reimbursement. Duties & Responsibilities Obtains accurate... ...personnel as needed. Submits claims in a timely manner. Research payment sources...ReimbursementClaimsWork at officeImmediate start
$106.9k - $147k
...unit cost financial impacts, provider reimbursement analytics, and actual-to-expected cost... ...actionable insights using actuarial methods, claims data, reimbursement assumptions, and... ...Preferred Qualifications Healthcare claims knowledge Provider reimbursement...ReimbursementClaimsFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...customer service to patients, caregivers, and healthcare team members. Communicates directly... ...by entering data, adjudicating test claims, and preparing follow-up action plans.... ...Strong understanding of pharmacy reimbursement across state, federal, and commercial payers...ReimbursementClaimsTemporary work
$60.8k - $82.9k
...ensure accurate and timely billing, compliance with regulatory... ...applications utilized for billing and claims management. Identify and... ...denials and accelerate reimbursements. Collaborate with FSU, IT... ...more years of experience in healthcare revenue cycle and EDI,...ReimbursementClaimsBi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- East Bay Community Action Program (EBCAP) is seeking a Billing Specialist in East Providence, Rhode Island. In this part-time role, you will... ...billing of medical and dental services. You will handle electronic claims, monitor for unpaid claims, and appeal denied claims. Strong...ClaimsPart time
- ...Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of... ...Eligible team members can also receive reimbursement for qualified adoption and surrogacy... ...navigate challenges, from insurance claims to medication management, with ease...ReimbursementHourly payFlexible hours
- ...and resolving denied or unpaid claims, the Analyst ensures accurate, timely reimbursement. This role collaborates closely... ...various stakeholders to streamline billing processes. Additionally, the... ...professional development. Stay current on healthcare billing regulations and payer...ReimbursementClaims
- ...and Payroll Departments, Accounts Payable, and Federal Medicare Reimbursement Program. # Assures the accurate and timely completion of... ...federal laws and regulations regarding Medicaid reimbursement claims. # Monitor and maintain cash control and disbursement reconciliations...ReimbursementClaimsWork at officeLocal area
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