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
- ...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
- ...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 DemandsThis... ...and understanding of Third-Party Reimbursement.Working knowledge and strategic understanding...ReimbursementClaimsFull timePart timeWork at officeLocal areaFlexible hours
- ...The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update... ...management Support billing, reimbursement, coding, and claims workflows... ...options Long-term career path in healthcare administration Ideal Candidate...ReimbursementClaimsWork at office
- ...RI seeks a Referral and Authorization Specialist to oversee referrals and prior authorizations... ...and external offices to minimize claim denials and ensure payer compliance. The... ...supports timely patient care and optimized reimbursement by handling authorization requests,...ReimbursementClaims
- 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
- ...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
- ...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
- 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
- ...Financial Clearance Specialist plays a crucial role... ...performing services, reduces claim denials, ensures... ...safeguarding timely reimbursements from insurers. Duties... ...working in healthcare ~3 years of experience... ...Surprises Act and healthcare billing compliance. ~ Must...ReimbursementClaimsWork at office
- ...Third Party Specialist Under the direction of the A/R Supervisor... ...facilitates all phases of the billing process. Responsible for... ...submitting paper and electronic claims to all payers. Following up... ...to ensure appropriate reimbursement on claims. Duties & Responsibilities...ReimbursementClaimsLocal area
- ...In Home Wellcare, a Rhode Island home care agency, seeks a Billing & Authorization Specialist to handle daily medical/home care billing, verify authorizations, track insurance changes, and submit claims. The role requires on-site presence and familiarity with the RI Medicaid...ClaimsWork at office
- ...Referral and Authorization Specialist plays a vital and... ...performing services, reduces claim denials, ensures payer... ...while also optimizing reimbursement. The Referral and... ...experience working in healthcare. 3 years of experience... ...Act and healthcare billing compliance. Must have...ReimbursementClaimsWork at office
- ...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
- ...increasing access to preventive and primary healthcare. The Health Center has four locations... ..., flexible spending accounts, health reimbursement accounts, tuition reimbursement up to $... ...are covered under the Federal Tort Claims Act of 1992 and 1995. Covered providers...ReimbursementClaimsFull timeContract workPart timeLocal areaFlexible hoursWeekend work
$86.4k
...understanding, integration, and use of healthcare data and information technology in support... ..., disease states, clinical episodes, reimbursement episodes, pharamacy use, and care plans... ...~1+ years of working with healthcare claims data ~ Experience supporting academic...ReimbursementClaimsFor contractorsWork at officeLocal area$103.29k - $117.16k
...*Department**Department of Behavioral Healthcare, Developmental Disabilities & Hospitals#... ...Hospital Revenue Cycle Manager - Reimbursement & Billing to oversee reimbursement and billing operations... ...structure that supports accurate claims processing, tracking, and revenue...ReimbursementClaimsTemporary workWork at officeMonday to Friday- ...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
$71.1k - $97.8k
...experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and... ...are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your...ReimbursementClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...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
- ...of the EPIC Willow a plus). Knowledge of specialty pharmacy reimbursement: state, federal and commercial. Ability to maintain record... ...and compliance; possess 340B knowledge sufficient to audit a claim and assist in the event of an external audit. Complies with...ReimbursementClaimsDaily paidLocal area
- ...observation, surgery, ER, oncology and other services, while adhering to CMS, AHA and AMA standards. Responsibilities include analyzing records, assigning codes, and ensuring data integrity for reimbursement, reporting, and care planning. #J-18808-Ljbffr Care New EnglandReimbursement
- ...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
$107.36k - $166.75k
## Neuroscience Specialist (Providence, E - RI)Applylocations: Remote... ...Inc. is a global healthcare company with the corporate philosophy... ...staff on payer guidelines and reimbursement procedures to increase pull... ...processing fee, even if claimed you will be reimbursed, this...ReimbursementClaimsTemporary workWork at officeLocal areaRemote workWorldwideFlexible hours- ...Coordinator and Practice Manager. You will analyze dental records, follow coding guidelines, and support department staff as a coding/billing resource. Responsibilities include reviewing records, querying dentists for missing data, entering data into Dentrix, and...
- ...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
- ...role requires ARRT registration, a minimum of two years’ experience, and knowledge of mammography QA standards. Enjoy a generous benefits package including medical plans, paid time off, and ongoing education reimbursements. #J-18808-Ljbffr Rhode Island Medical ImagingReimbursementRelocation packageMonday to Friday
- Husch Blackwell in Providence, Rhode Island, is seeking a Billing Specialist responsible for coordinating the monthly billing cycle and issuing accurate invoices. The ideal candidate should have a strong background in legal billing and be able to handle various billing...
- Dean Auto Collision is seeking an Automotive Claims Adjuster in Providence, Rhode Island. This role focuses on evaluating auto insurance claims, negotiating settlements, and ensuring timely resolutions while adhering to company policies and industry standards. You will...Claims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Billing Specialist: Claims & Reimbursement Expert. Be the first to apply!
- healthcare claims Warwick, RI
- medical claims auditor Warwick, RI
- veterans claims Warwick, RI
- claims processing Warwick, RI
- reimbursement Warwick, RI
- healthcare billing Warwick, RI
- healthcare part time Warwick, RI
- preferred healthcare Warwick, RI
- healthcare ethics Warwick, RI
- accountant healthcare Warwick, RI


