Medicare Part B Claims & Compliance Coordinator
Hispanic Alliance for Career Enhancement
The Hispanic Alliance for Career Enhancement in Rhode Island is seeking a Medicare Part B Operations Coordinator to support the Revenue Cycle Team in accurate claims processing. This role entails compliance with CMS requirements, validating prescriber documentation, and managing records. The ideal candidate will have experience in pharmacy operations, strong organizational skills, and proficiency in MS Excel and Access. A High School Diploma is required; an Associate's Degree is preferred. This full-time role offers competitive salary and comprehensive benefits. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$23 - $30 per hour
...Job Type Part-time Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of experience to become part of a dynamic team. This is a great opportunity for individuals with prior claims investigation...ClaimsHourly payPart timeSecond jobWork at officeRemote workFlexible hoursNight shift- ...Essential Duties and Responsibilities Ensure compliance with state and federal food and packaging... ...for packaging compliance and claims validation (BPA free, No PFAS, recyclable... ...Education and/or Experience Bachelor's degree (B. S.) from four‑year college or university...Claims
$146k - $348k
...for insurance property claims, construction defect litigation... ...) Effectively coordinate with other team members... ...challenges or issues Ensure compliance of operations with all... ...(Geographical Tier B - Sample Locations -... ...prorated options for eligible part‑time employees). At...ClaimsContract workTemporary workPart timeFor subcontractorLocal areaImmediate startFlexible hours- ...with billing experience who wants to be part of a mission-driven company, get exposure... ...tracking insurance changes, and submitting claims. Because clients can change coverage... ...clock-ins through Axxess for accuracy and compliance. Authorization Management – Track, request...ClaimsWork at office
- ...will provide strategic legal guidance to claims professionals, manage outside counsel and... ..., and other litigation vendors Ensure compliance with litigation management guidelines, reporting... ...Information collected and processed as part of your Jobot candidate profile, and any...ClaimsLocal area
- ...customer knowledge to enhance positive customer relationships Use of established processes and procedures to aid in decision making Claims entry support as needed Knowledge, Skills, and Abilities Required: Demonstrate problem solving, decision-making, and...ClaimsPart time
- ...and customer-focused Dental Front Desk Coordinator to be the first point of contact for our... ...patients. In this role, you'll play a vital part in creating an exceptional patient... ...patients with insurance documentation and claim information. Maintain accurate patient...ClaimsWork at officeFlexible hours
$26.49 - $37.5 per hour
Job Overview National General, part of The Allstate Corporation, offers a range of insurance... ...Auto Adjuster or Appraiser to join our Claims team. Job Description In this role you... ...alternatives by reviewing regulatory compliance and fair claims practices; make decisions...ClaimsWork from homeVisa sponsorshipWork visa- ...A leading claims adjustment firm in Rhode Island is seeking Independent Insurance Claims Adjusters. This is an exciting opportunity to join a growing career and make a real difference by aiding individuals during challenging times. The role offers flexibility and autonomy...ClaimsFlexible hours
- A leading claims adjustment firm is seeking Independent Insurance Claims Adjusters to assist in recovery efforts from disasters. This rewarding career provides flexibility, autonomy, and competitive compensation. Candidates should be licensed adjusters, with preferred...ClaimsFlexible hours
- ...A leading claims adjusting firm in Seekonk, Massachusetts is looking for Independent Insurance Claims Adjusters to join their team. This role offers the chance to make a significant impact while providing support to those in need after disasters. The company provides...ClaimsFlexible hours
- ...Command Investigations, LLC is seeking an Insurance Claims Investigator with at least 1 year of field investigations experience to join a dynamic team. You will gather evidence, interview involved parties, and prepare comprehensive reports for client review across workers...Claims
- ...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 portal. You will work with Axxess, Inovalon, and NaviNet,...ClaimsWork at office
- ...Description Job Description Summary The Compliance and Risk Officer serves as the... ...Law, Anti-Kickback Statute, False Claims Act, Medicare, Medicaid, and FTCA requirements.... ...breaches, and unauthorized disclosures, and coordinate required notifications and reporting....Claims
- ...community practice. Bilingual preferred. H1-b and Green card sponsorship candidates are... ...employees and some benefits are included for part-time employees. CCAP providers are covered under the Federal Tort Claims Act of 1992 and 1995. Covered providers have statutory...ClaimsFull timeContract workPart timeLocal areaFlexible hoursWeekend work
- ...a caseload of a minimum of 25 client visits per week. ● Coordinate services with case managers, families, work personnel, medical... ...departments to aid your client in onboarding, scheduling, billing, claim processing, and technology that makes life easier. ●...ClaimsFull timePart timePrivate practiceWork at officeWork from homeFlexible hours
$65k - $88.6k
...Become a part of our caring community The Fraud... ...Waste Professional 2 coordinates investigation with law... ...payment methodologies, claims, submissions, and... ...life for people with Medicare and Medicaid, families... ...affirmative action, in compliance with Section 503 of the...ClaimsFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-...ClaimsFlexible hours
$48.3k - $65.9k
...Become a part of our caring community Code Edit... ...on adjudicated claims that contain a code editing... ...recovery. The Medical Coding Coordinator performs advanced... ...Experience with Medicare and Medicaid coding guidelines... ...action, in compliance with Section 503 of the...ClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$71.1k - $97.8k
...Become a part of our caring community The Inpatient Medical... ...to review inpatient hospital claims for proper reimbursement, handle... ...of life for people with Medicare and Medicaid, families, individuals... ...take affirmative action, in compliance with Section 503 of the...ClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$223.8k - $313.1k
...Become a part of our caring community The Medical Director... ...background and reviews health claims. The Medical Director work assignments... ...or inpatient review (Medicare Advantage, Managed Medicaid,... ...take affirmative action, in compliance with Section 503 of the Rehabilitation...ClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work- ...systems-focused, numerical compliance position designed to... ...for all full-time, part-time, coaching, and auxiliary... ...life, disability, 403(b) retirement plans, and... ..., including vendor coordination, system configuration,... ...Worker’s Compensation claims, OSHA logging, and state...ClaimsFull timePart timeSeasonal workWork at officeLocal areaImmediate startWork visaFlexible hours
$40k - $55k
...Description We are seeking a detail-oriented and experienced Automotive Claims Adjuster to join our team. This role involves evaluating auto... ...to evaluate vehicle damage and determine repair costs. Coordinate with auto body repair shops, auto restoration specialists, and...ClaimsFull timeFlexible hours- ...Claims AdjusterAt Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than... ...celebrates the impact of your work. Because when you're here, you're part of something bigger. You're part of a team that shows up, stands...ClaimsLocal areaRemote work
- ...with major insurers, including exclusive Medicare and Medicare Advantage accessGuaranteed Pay... ...for completed sessions, regardless of claim status we guarantee pay for no-shows.Clinical... ...or minimal time commitments.Job Types: Part-time, Contract Pay: Up to $248 per hour (...ClaimsBi-weekly payHourly payContract workPart timeCasual workWork at office
$45.55k - $47.65k
...Hospital for services rendered.Completes documentation required to initiate commercial insurance, Workers’ Compensation and/or CHAMPUS claims.Verifies third-party insurance plan numbers and benefit level. Documents all information obtained in PMAS accounting notes....ClaimsPart timeShift workAfternoon shift- ...Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and... ...confidentiality and follow HIPAA, privacy, and company compliance guidelines Perform general administrative tasks including data...ClaimsWork at office
$105k - $130k
...satisfactorily with the following: proactively work independently and as part of a team; demonstrate strong legal research and analytical... ...and court appearances; and, interact directly with clients, claim professionals, opposing counsel, colleagues and staff. Our Firm...ClaimsFull time- ...A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters... ...to client Maintain acceptable product quality through compliance with established Best Practices of client Preferred but Not...ClaimsImmediate startRemote work
$115k - $190k
...construction defect, commercial trucking, and employment-related claims Qualifications J.D. required Active Rhode Island bar admission... ...appearances Able to manage cases independently while working well as part of a team Active Massachusetts, New Hampshire, or Connecticut...ClaimsFull timeWork at officeWork from homeFlexible hours
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