Revenue Cycle Specialist PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THERevenue Cycle SpecialistWarwick, RIOverview: The Revenue Cycle Specialist manages the financial aspects of patient care by accurately coding diagnoses and treatments, submitting claims to insurance companies, addressing billing inquiries, resolving all payment denials, ensuring timely and accurate reimbursement, while meeting department productivity and quality requirements. Employee must be able to give accurate/tactful explanations to visitors, patients, and fellow workers and remain professional in stressful situations; accurately recognize names, detect/avoid errors in scheduling and message taking; exhibit the courtesy required to work productively with others under stressful conditions; exercise patience.
LPN/LVN Prior Authorization Specialist Iconma LLCLPN/LVN Prior Authorization SpecialistRIThe Licensed Practical Nurse is a graduate of a school of Practical or Vocational Nursing, approved by the State Agency and/or accredited by the National League for Nursing (Accrediting Commission (NLNAC)) at the time the program was completed by the applicant. The LPN/LVN must have a full, active and unrestricted license as a Licensed Practical or Vocational Nurse in a State, Territory or Commonwealth of the United States or District of Columbia.
NewPatient Support Advocate - Pharmacy Technician - Rhode Island Licensed Shields Health SolutionsPatient Support Advocate - Pharmacy Technician - Rhode Island LicensedPawtucket, RIPrior Authorization • Pharmacy Technician • Patient Assistance Programs • Medication Access • Insurance Verification • Pharmacy Operations • Specialty Pharmacy • Patient Advocacy • Medication Adherence • Financial Assistance Programs • Copay Assistance • Claims Adjudication • Healthcare Support • Pharmacy Benefits • EMR Documentation • Patient Care Coordination. Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms.
Outside Auto Appraiser The Travelers CompaniesOutside Auto AppraiserProvidence, RI$63,800–$105,400 / yearAs an Outside Auto Appraiser, you are responsible for physically inspecting damaged vehicles, estimating repair costs, working closely with repair facilities, and determining and settling the actual cash value of total loss vehicles to ensure accurate and timely claim settlements. Evaluate and settle vehicle total losses by determining actual cash value (ACV) through market research, comparable vehicle analysis, and application of appropriate valuation tools and methodologies.
Job File Coordinator ServproJob File CoordinatorTaunton, Massachusetts$23–$28 / hourWe’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. Job Description: Perform all job file coordination tasks related to customer calls, job monitoring, tracking, project manager communications, and audits of jobs.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerNew Bedford, MA$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Outside Auto Appraiser TravelersOutside Auto AppraiserRhode IslandAs an Outside Auto Appraiser, you are responsible for physically inspecting damaged vehicles, estimating repair costs, working closely with repair facilities, and determining and settling the actual cash value of total loss vehicles to ensure accurate and timely claim settlements. Inspect and assess vehicle damage resulting from accidents, weather events, or other covered losses by conducting thorough virtual or on-site inspections at body shops or customer locations.
Sr. Billing Specialist Brown University HealthSr. Billing SpecialistRI$22.04–$36.37 / 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. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Performs patient insurance billing duties such as researching claims in system, including review and verification of patient account information against insurance program specifications.
Sr. Billing Specialist Brown Health Medical GroupSr. Billing SpecialistRhode 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. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Performs patient insurance billing duties such as researching claims in system, including review and verification of patient account information against insurance program specifications.
Highline Warranty Administrator Murgado Automotive GroupHighline Warranty AdministratorBarrington, Rhode IslandProblem Resolution : Addressing and resolving any issues or discrepancies related to warranty claims Coordination : Working closely with service advisors and technicians to verify warranty coverage and ensure timely claim submission Communication: Communicate effectively with customers, dealers, and manufacturers regarding warranty claims. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Absence Management Specialist Unit Leader MetLife IncAbsence Management Specialist Unit LeaderWarwick, RI$55,600–$99,300 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Risk Management Professional - Insurance Risk Trimble IncRisk Management Professional - Insurance RiskRI$99,600–$137,000 / yearWhat Makes This Role Great: This role provides complete, high-impact ownership over Trimble's global multi-line insurance programs, allowing you to directly shape our risk transfer strategies, design innovative coverage structures, and lead multi-million dollar annual renewals. Working closely with executive leadership, you will optimize our Total Cost of Risk (TCOR) and implement forward-thinking risk transfer strategies that ensure our expanding enterprise remains resilient, secure, and fully protected.
Professional Biller II Care New England Health SystemProfessional Biller IIWarwick, Rhode IslandFull timeAbout Us: Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Listens to patients issues, accesses the patient’s account and either explains transactions as documented, or works with the patient to identify incorrect items that prevent the billing from being paid appropriately.
Third Party Analyst Care New England Health SystemThird Party AnalystWarwick, RICare New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation's top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.
Director Payment Integrity Blue Cross & Blue Shield of Rhode IslandDirector Payment IntegrityProvidence, Rhode Island$116,900–$187,100 / yearTo 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.
Personal Lines Client Service Specialist GallagherPersonal Lines Client Service SpecialistDartmouth, MassachusettsFull timeYou’ll apply practical experience in client-facing customer service (preferred) and use Microsoft Office tools like Excel, PowerPoint, Outlook, and Word proficiently. Bachelor's degree with 0+ years client service and/or claims management experience OR High School degree/GED with 3+ years client service and/or claims management experience.
Supervisor Billing Neurosurgery Brown University HealthSupervisor Billing NeurosurgeryRI$53,060.80–$87,547.20 / yearPRINCIPAL DUTIES AND RESPONSIBILITIES: Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another. The incumbent collaborates with providers, practice leadership, Patient Financial Services, and third-party payers to maximize revenue capture and support efficient billing operations.
Supervisor Billing Neurosurgery Brown Health Medical GroupSupervisor Billing NeurosurgeryRhode IslandBrown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another. The incumbent collaborates with providers, practice leadership, Patient Financial Services, and third-party payers to maximize revenue capture and support efficient billing operations.
Lead Director, Stop Loss Relationship Management CVS Health CorpLead Director, Stop Loss Relationship ManagementRI$100,000–$231,540 / yearThe role will centralize accountability for stop loss-related funding decisions, risk acceptance, issue resolution, and carrier engagement, ensuring clearer governance, faster resolution of high-cost claim issues, and improved predictability across the stop loss ecosystem. The ideal candidate is a strong enterprise relationship leader with deep experience managing complex, cross-functional programs, executive-level stakeholders, financial risk, operational escalations, and external partner performance.
Patient Care Coordinator BeltonePatient Care CoordinatorCranston, Rhode IslandCheck patients in and out, collect and record payments, track revenue and accounting activities to include: end of day close, bank deposits, posting of charges, entering invoices, payments and insurance claim processing. Work with the hearing care provider on grassroots marketing efforts that may include compiling physician packets, coordinating educational seminars, and sending recall letters.