NewOSR RIH Rhode Island HospitalOSRRhode IslandBrown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. Evaluates file prior to schedule visit and follows up with other Hospital departments to obtain missing dataPrints reports using both the online scheduling and billing systems.
Diagnostic Imaging Registrar South Shore Health Systems IncDiagnostic Imaging RegistrarWeymouth, MA$18.18–$24.47 / hour3. Greets and receives patients, escorts patients to specific areas, assists patients into wheelchair and pushes wheelchair patients to designated hospital departments. Makes all necessary changes to an exam in the event of a missed or inaccurate entry, makes all necessary changes to the exam information in all computer systems to effect proper flow of correlated.
Certified Professional Coder, Full Time Days, 40 Hours, Central Business Office Day Kimball Healthcare IncCertified Professional Coder, Full Time Days, 40 Hours, Central Business Officeputnam, CTCertified Professional Coder Job Summary Under the general supervision of the Director of Professional Revenue Cycle, the Certified Professional Coder performs all phases of abstracting, diagnosis coding, charge capture and posting through record analysis. Conduct quarterly chart audits; in collaboration with the Director of Professional Fee Revenue Cycle, provide one-on-one or small group education to clinical staff on audit results while maintaining professionalism.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistMA$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Payment Integrity Program Development Senior Manager – Clinical & Facility Specialist Devoted Health ServicesPayment Integrity Program Development Senior Manager – Clinical & Facility SpecialistMassachusettsRemoteData Hypothesis Validation: Perform primary data analysis (utilizing modern AI tools for SQL query generation) to test your clinical hypotheses across clinical settings, prove financial viability on real-world datasets, and design parameters that prevent provider abrasion. Cross-Functional Policy Leadership: Pitch your original clinical concepts to directors and executive stakeholders; drive consensus across Clinical Operations, SIU, Claims, and Legal to approve novel policy interpretations and rule architectures.
Outpatient Service Rep - Per Diem Brown University HealthOutpatient Service Rep - Per DiemProvidence, RI$21.90–$22.91 / hour14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxDemonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages.font-size: 14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxMust have knowledge of medical billing routines for physician office practice.font-size: 14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxMust also have knowledge of medical terminology, diagnosis codes, and procedure codes.font-size: 14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxMust use and have knowledge of courteous telephone technique and good customer service skills.font-size: 14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxEXPERIENCE:font-size: 14pxfont-size: 14pxSix months experience coding and billing using online billing system.font-size: 14pxfont-size: 14pxfont-size: 14pxfont-size: 14pxWORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:font-size: 14pxfont-size: 14pxWalking, sitting, standing throughout the day in clinic setting.font-size:
Outpatient Services Rep Brown University HealthOutpatient Services RepProvidence, RI$21.90–$22.91 / hourBrown University Health employees are expected to successfully role model the organization''s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. Evaluates file prior to schedule visit and follows up with other Hospital departments to obtain missing dataPrints reports using both the online scheduling and billing systems.
OSR Brown University HealthOSRProvidence, RI$21.26–$21.81 / hourBrown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. Evaluates file prior to schedule visit and follows up with other Hospital departments to obtain missing dataPrints reports using both the online scheduling and billing systems.
Payment Integrity Program Development Manager Devoted Health ServicesPayment Integrity Program Development ManagerMassachusettsRemoteThat’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. (Note: We provide modern AI tools to generate and edit SQL scripts; you do not need to be a software expert, but you must possess the ability to read, interpret, and understand data scripts to validate results and analyze proof-of-concept datasets).
Medical Billing Specialist Medical Billing Specialists, Inc.Medical Billing SpecialistNorwood, MAFull timeIt is essential to follow the constantly changing policies of various insurance payers in order to proactively anticipate operational and workflow-related changes that the billing operation must adhere to in order to avoid unnecessary denials and loss of provider reimbursement. The company is a reputable third-party medical billing firm providing comprehensive billing and consulting services to clients across a wide range of provider specialties.
Outpatient Services Rep LEP RIH Rhode Island HospitalOutpatient Services Rep LEPRhode IslandUses non-English language skills and oral communications to provide high level of culturally appropriate customer service to those patients and families who have limited English proficiency, explaining clinic procedures, obtaining demographic and financial information in order to complete registration and related forms and records. Prepares and maintains related reports using both the online scheduling and billing systemsMay respond to telephone callsnquiries by rotating into a centralized setting (i.e., a call room).Performs all duties in accordance with the Hospital’s mission, the defined role of ambulatory care and defined administrative/clerical rules, procedures and policies.
Director Payment Integrity Blue Cross & Blue Shield of Rhode IslandDirector Payment IntegrityProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Medical Biller / Charge Entry Specialist (PT/FT) Eye Care SpecialistsMedical Biller / Charge Entry Specialist (PT/FT)Norwood, MAFull timePosition Summary (Onsite only)Eye Care Specialists is a busy multi-specialty ophthalmology practice with 7 physicians and 3 locations in Norwood and Norfolk.
Outpatient Services Rep LEP Brown University HealthOutpatient Services Rep LEPProvidence, RI$22.35–$23.37 / hourUses non-English language skills and oral communications to provide high level of culturally appropriate customer service to those patients and families who have limited English proficiency, explaining clinic procedures, obtaining demographic and financial information in order to complete registration and related forms and records. Prepares and maintains related reports using both the online scheduling and billing systemsMay respond to telephone callsnquiries by rotating into a centralized setting (i.e., a call room).Performs all duties in accordance with the Hospital's mission, the defined role of ambulatory care and defined administrative/clerical rules, procedures and policies.
Advanced Practice Provider Surgery PD NPT Newport HospitalAdvanced Practice Provider Surgery PDRhode IslandAble to perform routine history and physical examinations, integrating laboratory data, EKG, CXR, stress testing, echocardiograms and other diagnostic tests when formulating a plan of care in partnership with other members of the care team, patients and families. BASIC KNOWLEDGE : Graduated from a Physician Assistant program with a master’s degree and has current board certification from the NCCPA or graduated from a master’s program for nurse practitioners and has current board certification from ANCC or AANP.
Advanced Practice Provider RIH Rhode Island HospitalAdvanced Practice ProviderRhode IslandThe APP reports directly to the Manager for APPs and the inpatient Medical Director for the Division of Cardiology and manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings. RESPONSIBILITIES: Delivers high-quality, cost-effective care incorporating guideline-directed medical therapy (GDMT) in a timely, efficient, and equitable manner to facilitate optimal care outcomes for a patient population with acute cardiac diseases.
Nurse Practitioner Brown Health Medical GroupNurse PractitionerRhode IslandThe APP reports directly to the Manager for APPs and the inpatient Medical Director for the Division of Cardiology and manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings. Delivers high-quality, cost-effective care incorporating guideline-directed medical therapy (GDMT) in a timely, efficient, and equitable manner to facilitate optimal care outcomes for a patient population with acute cardiac diseases.
NewDiagnostic Imaging Registrar-1 South Shore HealthDiagnostic Imaging Registrar-1Weymouth, MAMakes all necessary changes to an exam in the event of a missed or inaccurate entry, makes all necessary changes to the exam information in all computer systems to effect proper flow of correlated. Assists, retrieves, and maintains a patient’s medical history relating to Breast Care Services, MRI, US and/or previous x-ray exams.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteMARemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
Senior Manager, Corporate Compliance - Risk Adjustment CVS Health CorpSenior Manager, Corporate Compliance - Risk AdjustmentWoonsocket, RI$75,400–$165,954 / yearThis position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements. As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements.