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JobsJobs in MassachusettsJobs in Fall River, MAHealthcare Jobs in Fall River, MAMedical Billing and Coding Jobs in Fall River, MACoding Jobs in Fall River, MA
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Coding Jobs in Fall River, MA

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    Jobs

    UnitedHealth Group Inc logo

    Prepay Coding Consultant UnitedHealth Group Inc

    Prepay Coding Consultant
    Plymouth, MA
    • $24–$43 / year

    The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.

    14 days ago

    Scratch & Intro to Coding Teaching Opportunities Concorde Education

    Scratch & Intro to Coding Teaching Opportunities
    Providence, Rhode Island
    • $50–$100 / hour

    Some programs provide established lesson plans and project guides, while others allow instructors flexibility to incorporate age-appropriate coding activities and creative projects that align with assignment objectives and school expectations. Assignment offers remain contingent upon factors including program availability, instructor qualifications, school partner approval, scheduling compatibility, successful completion of any legally required background review or clearance process, and final written assignment confirmation.

    12 days ago

    Coding Specialist Outpatient Telecommute-Surgical Coder Brown University Health

    Coding Specialist Outpatient Telecommute-Surgical Coder
    RI
    • $24.29–$40.07 / hour

    Monitors and resolves rejected accounts on the Claims Edit Report and e Clinical Works error reports by established timeframe researching coding conflicts including chargemaster, medical necessity and various other coding and billing issues. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics.

    30+ days ago
    Signature Healthcare logo

    Ambulatory Coding Lead Signature Healthcare

    Ambulatory Coding Lead
    West Bridgewater, MA

    Responsible for insuring accurate diagnosis and procedure coding as well as providing documentation and coding related feedback and educational services to providers and coders. Monitors coding productivity and assigns/prioritizes daily work schedules for Coding Specialists, Risk Coders and charge entry staff.

    30+ days ago

    Coding Instructor Home Helpers of South Shore

    Coding Instructor
    Belmont, MA, MA

    As part of our school outreach program, we offer classes in all surrounding public school districts of Acton, Westford, Concord, Lexington, Arlington, Bedford, Burlington and Belmont areas. An ideal candidate for this position will be someone who has completed or currently pursuing undergraduate/graduate in Computer Science or similar STEM related fields.

    30+ days ago
    New

    AI Pilot Vibe Coding Specialist Mind Rift

    AI Pilot Vibe Coding Specialist
    Providence, RI
    Remote

    Bachelor's or Master's Degree in Engineering, Applied Mathematics, Computer Science, or related technical fields is a plusPython web scraping: Build reliable scraping scripts using BeautifulSoup, Selenium (or equivalents) for multi-level sites, dynamic JS content (infinite scroll, AJAX), and API endpoints via provided proxyData extraction expertise: Navigate complex hierarchical structures (regions companies details), handling archived pages and varied HTML formatsData processing: Clean, normalize, and validate scraped data; deliver high-quality datasets in well-structured formats (CSV, JSON, Google Sheets) with clear, consistent presentationHands‑on experience with LLMs and AI frameworks to enhance automation and problem‑solvingStrong attention to detail and commitment to data accuracySelf‑directed work ethic with ability to troubleshoot independentlyEnglish proficiency: Upper‑intermediate (B2) or above (required)BenefitsGet paid for your expertise, with rates that can go up to $32/hour depending on your skills, experience, and project needsWork fully remote on your own schedule with just a laptop and stable internet connection. As a Vibe Code specialist, you'll handle data scraping tasks requiring technical precision for web extraction and processing, utilizing various tools such as our provided Apify and OpenRouter alongside your own resourceful approaches.

    1 day ago

    General Practice Care - Lead Veterinarian - Swansea , {State_Code Usvta

    General Practice Care - Lead Veterinarian - Swansea , {State_Code
    Swansea, Massachusetts

    An exceptional veterinary hospital, with a dedicated team, is seeking an experienced Lead Veterinarian to provide clinical leadership, oversee day -to -day medical operations, and ensure superior patient and client care to members of its community. This hospital is open to considering experienced veterinarians who are prepared to take on a senior clinical leadership role, overseeing team performance and working collaboratively with the practice manager and medical director.

    15 days ago

    General Practice Care - Associate Veterinarian - North Kingstown , {State_Code Usvta

    General Practice Care - Associate Veterinarian - North Kingstown , {State_Code
    North Kingstown, Rhode Island

    An exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.

    15 days ago

    Urgent Care - Associate Veterinarian - Buzzards Bay , {State_Code Usvta

    Urgent Care - Associate Veterinarian - Buzzards Bay , {State_Code
    Buzzards Bay, Massachusetts

    An exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. This hospital is open to considering veterinarians who are experienced, as well as new graduates who are interested in exploring Urgent Care practice.

    15 days ago

    Emergency Care - Associate Veterinarian - Swansea , {State_Code Usvta

    Emergency Care - Associate Veterinarian - Swansea , {State_Code
    Swansea, Massachusetts

    An exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. The ideal team member for this hospital is a veterinarian who thrives in high -volume environments and remains calm and levelheaded under pressure!

    15 days ago

    General Practice Care - Associate Veterinarian - Swansea , {State_Code Usvta

    General Practice Care - Associate Veterinarian - Swansea , {State_Code
    Swansea, Massachusetts

    An exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.

    15 days ago
    New

    Remote AI Training Engineer - Code & Train Models DataAnnotation

    Remote AI Training Engineer - Code & Train Models
    Providence, RI
    Remote

    A leading AI development company is seeking proficient programmers to contribute to cutting-edge AI systems while enjoying fully remote work opportunities. Candidates should have fluency in English and preferred experience in Kotlin, along with strong skills in other programming languages.

    Today

    Plumbing, Mechanical, and Energy Code Inspector (Closed) City of East Providence

    Plumbing, Mechanical, and Energy Code Inspector (Closed)
    East Providence, RI

    Summary: Under the general supervision of the Building Official, the Plumbing Mechanical and Energy Code Inspector performs technical work inspecting plumbing and mechanical installations for conformity with BOCA Basic Plumbing Code, BOCA Basic Mechanical Code, State regulations, and City Ordinances. • Knowledge of warm air heating, ventilating, and air conditioning systems, steam and hot water heating systems, boiler and pressure vessel maintenance and inspection, mechanical, refrigeration, gas, liquid, and solid fuel piping and equipment, and air pollution control equipment.

    30+ days ago

    Administrative Assistant-Medical Billing Providence Comprehensive Treatment Center

    Administrative Assistant-Medical Billing
    Providence, Rhode Island
    • $19.66–$22.61 / hour
    • Full time

    Providence Comprehensive Treatment Center (CTC), located in Providence, RI, is part of Acadia Healthcare's Comprehensive Treatment Centers—the nation's leader in medication-assisted treatment (MAT) for individuals seeking recovery from Opioid Use Disorder. Familiarity with MAT Protocols and Guidelines: The billing specialist should understand how Medication-Assisted Treatment works, including services like opioid substitution therapy (e.g., methadone, buprenorphine) and how these treatments are billed differently from other medical services.

    23 days ago

    Administrative Assistant-Medical Billing Acadia Healthcare Co Inc

    Administrative Assistant-Medical Billing
    Providence, RI
    • $19.66–$22.61 / hour

    Our Team: Providence Comprehensive Treatment Center (CTC), located in Providence, RI, is part of Acadia Healthcare''s Comprehensive Treatment Centers-the nation''s leader in medication-assisted treatment (MAT) for individuals seeking recovery from Opioid Use Disorder. Your Job as an Administrative Support/Medical Biller: The Administrative Support/Medical Biller role will perform routine administrative functions such as preparing correspondence and reports, scheduling appointments, organizing and maintaining paper and electronic files, or providing information to patients or visitors.

    21 days ago

    Medical Billing / Claims Administrator Ametros Financial

    Medical Billing / Claims Administrator
    Massachusetts

    Handle inbound and outbound calls, emails, and chats related to claims, coverage guidelines, and provider inquiries providing expert-level support and guidance to a wide variety of audiences. The Claims Specialist plays a critical role in the end-to-end management of member claims, ensuring accuracy, timeliness, and compliance across all claim-related activities.

    30+ days ago

    Sr Billing Specialist RIH Rhode Island Hospital

    Sr Billing Specialist
    Rhode Island

    Must use and have knowledge of courteous telephone technique and good customer service skills.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inThe interpersonal skills to exchange factual information with patients and outside agencies with cultural sensitivity and professionalism.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inEXPERIENCE:p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inTwo years’ related experience coding and billing using dental billing software and demonstrated expertise and accuracy of code assignment. Training in CDT coding, anatomy, physiology, and dental terminology.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inExperience with Dental software, preferably Dentrix.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inDemonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages.

    30+ days ago

    Sr Billing Specialist Brown University Health

    Sr Billing Specialist
    Providence, RI
    • $22.04–$36.37 / hour

    Must use and have knowledge of courteous telephone technique and good customer service skills.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inThe interpersonal skills to exchange factual information with patients and outside agencies with cultural sensitivity and professionalism.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inEXPERIENCE:p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inTwo years' related experience coding and billing using dental billing software and demonstrated expertise and accuracy of code assignment. Training in CDT coding, anatomy, physiology, and dental terminology.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inExperience with Dental software, preferably Dentrix.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inDemonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages.

    30+ days ago

    Outpatient Services Rep RIH Rhode Island Hospital

    Outpatient Services Rep
    Rhode Island

    Brown 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 data Prints reports using both the online scheduling and billing systems.

    20 days ago

    Outpatient Services Rep Brown University Health

    Outpatient Services Rep
    Providence, RI
    • $21.90–$22.91 / hour

    Brown 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 data Prints reports using both the online scheduling and billing systems.

    19 days ago
    New

    Insurance Authorization Specialist South Shore Therapies

    Insurance Authorization Specialist
    Massachusetts

    Insurance Authorization Specialist – 30 to 40 hrs Pay: $22-$24/hr Job description: South Shore Therapies, a premier pediatric OT and Speech practice, is seeking an Insurance Authorization Specialist to join our billing and authorization administration team. Expertise in medical terminology, coding systems, and managed care procedures will be vital in facilitating smooth patient care coordination and reimbursement processes.

    6 days ago

    Hospital Billing Operator Deloitte Touche Tohmatsu Ltd

    Hospital Billing Operator
    MA
    • $70,000–$90,000 / year

    Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

    30 days ago
    CVS Health Corp logo

    Special Investigation Unit (SIU) Manager CVS Health Corp

    Special Investigation Unit (SIU) Manager
    RI
    • $54,300–$159,120 / year

    The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state regulators.

    9 days ago

    Payment Integrity Program Development Manager Devoted Health Services

    Payment Integrity Program Development Manager
    Massachusetts
    Remote

    That’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).

    24 days ago
    Neighborhood Health Plan of Rhode Island logo

    RN Clinical Auditor (43914) Neighborhood Health Plan of Rhode Island

    RN Clinical Auditor (43914)
    Smithfield, RI

    Qualifications: Required: • Registered Nurse with an active, current, unrestricted license in RI in good standing • Minimum of three (3) years experience in healthcare coding directly related to determining appropriate diagnosis, procedure and other codes used in billing for services, utilization management, medical record auditing, or health care quality improvement • Knowledge of clinical medical record documentation requirements • A high-level knowledge of medical terminology • Proficient with various technology software tools, including Microsoft Office • Excellent written and verbal communication skills, and strong attention to detail • Ability to maintain confidentiality • Ability to take direction and support a multitude of individuals • Ability to work independently and prioritize activities. Preferred: • Working knowledge of fraud, waste and abuse policies and practices • Evaluation and management coding and auditing expertise • Knowledge of Behavioral Health billing & coding guidelines and/or regulatory guidelines • Electronic medical record review experience • Electronic investigative case management and/or healthcare claims data mining tool experience.

    30+ days ago

    Outpatient Service Rep - Per Diem Brown University Health

    Outpatient Service Rep - Per Diem
    Providence, RI
    • $21.90–$22.91 / hour

    14pxfont-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:

    30+ days ago

    Outpatient Services Rep LEP RIH Rhode Island Hospital

    Outpatient Services Rep LEP
    Rhode Island

    Uses 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. As needed, provides customer assistance to patients with limited-English proficiency (LEP) through use of second language skills (non-English) to explain basic information regarding clinic policies and procedures, billing procedures and to assist in completing registration and related forms.

    20 days ago
    Top Prospect Group LLC logo

    Revenue Integrity Specialist Top Prospect Group LLC

    Revenue Integrity Specialist
    Greater Boston, MA

    Revenue Integrity Specialist (Professional Billing) Position Overview Serves as a Charge Generation Tracker (CGT) and regulatory resource to ensure compliance with coding and billing guidelines. Acts as a primary resource for providers and staff, supporting revenue integrity, charge capture, and coding accuracy.

    9 days ago

    Physician Assistant Cardiology TMH The Miriam Hospital

    Physician Assistant Cardiology
    Rhode Island

    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 chronic cardiac diseases. The ambulatory advanced practice provider (APP) is responsible for providing patient- and family-centered care that is consistently high-quality and cost effective to ensure optimal care outcomes for patients with cardiac diseases.

    16 days ago
    UnitedHealth Group Inc logo

    Chief Pharmacist- Atrius Health UnitedHealth Group Inc

    Chief Pharmacist- Atrius Health
    Plymouth, MA

    Leads and manages the daily operations of the department and prioritizes direction to ensure pharmacy success by executing strategy motivating and inspiring team maximizing contributions executing daily tasks supporting the team and building rapport with clinicians colleagues clinical departments and patients to improve Capture. Responsible to ensure pharmacists verify authenticity of prescriptions resolve prescription discrepancies and clarifications validate prescription order entry proper labeling and filling of medication container and ensuring processes in place for accurate shipping and delivery.

    30+ days ago

    Outpatient Services Rep LEP Brown University Health

    Outpatient Services Rep LEP
    Providence, RI
    • $22.35–$23.37 / hour

    Uses 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.

    7 days ago

    Physician Assistant Cardiology Brown University Health

    Physician Assistant Cardiology
    Providence, RI
    • $127,504–$161,782.40 / year

    PRINCIPAL DUTIES AND RESPONSIBILITIIES: 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 chronic cardiac diseases. SUMMARY: The ambulatory advanced practice provider (APP) is responsible for providing patient- and family-centered care that is consistently high-quality and cost effective to ensure optimal care outcomes for patients with cardiac diseases.

    22 days ago

    Health Information Program Coordinator III - Pocasset Mental Health Center Commonwealth of Massachusetts

    Health Information Program Coordinator III - Pocasset Mental Health Center
    MA

    Program Coordinator III'',''Program Coordinator III'',''United States-Massachusetts-Pocasset-830 County Road'',''United States-Massachusetts-Pocasset-830 County Road'',''Administrative Services'',''Administrative Services'',''Department of Mental Health'',''Department of Mental Health'',''Full-time'',''Full-time'',''Day'',''Day'',''Jul 8, 2026, 10:08:30 AM'',''Jul 8, 2026, 10:08:30 AM'',''1'',''1'',''115,284.78'',''78,834.86'',''115,284.78'',''Yearly'',''Christina Hyppolite, christina.r.hyppolite@mass.gov'',''Christina Hyppolite, christina.r.hyppolite@mass.gov'',''8572835830'',''06-NAGE - Professional Admin.'',''06-NAGE - Professional Admin.'',''No'',''No'',''No'',''No'',''false'',''1088315'',''1088315'',''true'',''1088315'',''false'',''Submission for the position: Health Information Program Coordinator III - Pocasset Mental Health Center - (Job Number: 260004O2)'',''false'',''1088315'',''false'',''true''. MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) four years of full-time, or equivalent part-time, professional, administrative or managerial experience in business administration, business management or public administration the major duties of which involved program management, program administration, program coordination, program planning and/or program analysis, and (B) of which at least one year must have been in a supervisory capacity, or (C) any equivalent combination of the required experience and the substitutions below.

    7 days ago
    New

    Inpatient Certified Coder Care New England Health System

    Inpatient Certified Coder
    Warwick, Rhode Island
    • Part time

    About 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. Job Summary: The role of a Certified Inpatient Coder at Care New England is to ensure accurate coding and abstracting of all inpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record.

    3 days ago

    Certified Inpatient Coder Care New England Health System

    Certified Inpatient Coder
    Warwick, Rhode Island
    • Full time

    About 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. Job Summary: The role of a Certified Inpatient Coder at Care New England is to ensure accurate coding and abstracting of all inpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record.

    29 days ago

    Patient Accts Representative Southcoast Health System Inc

    Patient Accts Representative
    Fairhaven, MA
    • $17.22–$28.56 / hour

    Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home. Under the supervision of the Manager, Patient Accounts Third Party and Team Leader, the Patient Accounts Representative is responsible for the appropriate billing and collections of receivables for Southcoast Hospitals Group.

    30+ days ago

    Lead Provider Payment Integrity Analyst Blue Cross & Blue Shield of Rhode Island

    Lead Provider Payment Integrity Analyst
    Providence, Rhode Island

    To 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.

    30+ days ago

    Senior Fullstack Engineer Third-Party Job Posts

    Senior Fullstack Engineer
    Massachusetts
    Remote
    • $145,000–$165,000 / year

    Our team tackles complex integration challenges that directly impact revenue for thousands of hotels worldwide, from building rock-solid connections with major OTAs to ensuring every booking flows seamlessly and securely. We're 650+ employees across 40+ countries, bringing together elite engineers, AI architects, world-class designers, and hospitality veterans to solve challenges others haven't dared to tackle.

    30+ days ago

    Field Access Director, Rare Disease Ipsen SA

    Field Access Director, Rare Disease
    Providence, RI
    • $165,000–$235,000 / year

    Ensure access pull-through for all Ipsen Rare Disease therapies by proactively educating HCPs, office staff, and specialty pharmacy partners on coverage requirements, payer policies, prior authorization pathways, and patient out-of-pocket costs across commercial, Medicare Part D, and Medicaid channels. The FAD provides education and reimbursement support to Healthcare Providers (HCPs), healthcare institutions, prior authorization staff, and financial counselors, and addresses patient-specific access challenges including affordability, prior authorization, coverage gaps, and reimbursement.

    30+ days ago

    Billing Clerk Aspire Behavioral Health and Developmental Disability Services

    Billing Clerk
    MA

    QUALIFICATIONS: Knowledge of basic accounting, data entry, balancing accounts, ability to follow processing guidelines according to agency procedures, ability to use appropriate software (e.g., MS Office, EMR), ability to handle money and checks, skills in basic math, ability to address patients/customers in a courteous and professional manner, knowledge of billing policies and procedures. Communicates with insurance providers to reach resolutions for billing issues and reports to appropriate staff and CIMO of all issues that will cause a claim rejection, billing, coding and use of modifier issues and errors.

    30+ days ago

    Referral Specialist RIH Rhode Island Hospital

    Referral Specialist
    Rhode Island

    Brown 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. Acts as a liaison/resource with patients, referring providers, community providers and practice team members regarding referral issues utilizing the highest level of customer service.

    30+ days ago
    New

    Outpatient Service Representative RIH Rhode Island Hospital

    Outpatient Service Representative
    Rhode Island

    Brown 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: 1. white-space:pre Schedules patients using the hospital's scheduling system.

    6 days ago

    Patient Service Representative - Dental - Woonsocket or West Warwick Thundermist Health Center

    Patient Service Representative - Dental - Woonsocket or West Warwick
    West Warwick, RI

    Significant Job Functions Prepares patient records for dental visits Verifies dental insurance and patient copays due at the dental visit Responsible for complete and accurate data entry of all information, which includes patient registration, encounter billing information, and changes in insurance information Correctly identifies appropriateness of appointment scheduling Confirmation calls Responsible for assisting in answering all incoming calls, taking accurate messages Collects payments, obtains referrals to specialist, and schedules upcoming appointments when necessary Provides reports of daily productivity and daily collection to the Practice Manager. General Responsibilities The Dental Patient Service Representative is responsible for welcoming and assisting patients with scheduling of appointments, taking charge of all aspects of registering the patient, answering all incoming calls, collecting charges, and documenting appropriately.

    30+ days ago
    New

    Revenue Compliance Auditor Brown University Health

    Revenue Compliance Auditor
    Providence, RI
    • $71,136–$117,353.60 / year

    The core Success Factors include:Instill Trust and Value DifferencesPatient and Community Focus and CollaborateRESPONSIBILITIES:Consistently applies the corporate values of respect, honesty and fairness and the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly, geographically accessible and high-value services within the environment of a comprehensive integrated academic health system. Brown 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.

    Today
    New

    Supervisor of TPC and CCBHC Revenue Cycle Care New England Health System

    Supervisor of TPC and CCBHC Revenue Cycle
    Warwick, Rhode Island
    • Full time

    Job Summary: The Supervisor of TPC and CCBHC Revenue Cycle is an operational leader responsible for supporting the day-to-day revenue cycle functions for The Providence Center (TPC) and Certified Community Behavioral Health Clinic (CCBHC) services. Knowledge, Skills, & Abilities: Revenue Cycle Knowledge (Behavioral Health Focus): Understanding of revenue cycle processes within behavioral health, outpatient, or community-based settings, including billing, collections, and accounts receivable follow-up.

    2 days ago

    Field Access Director, Rare Disease ImCheck Therapeutics SAS

    Field Access Director, Rare Disease
    Providence, RI
    • $165,000–$235,000 / year

    Ensure access pull-through for all Ipsen Rare Disease therapies by proactively educating HCPs, office staff, and specialty pharmacy partners on coverage requirements, payer policies, prior authorization pathways, and patient out-of-pocket costs across commercial, Medicare Part D, and Medicaid channels. The FAD provides education and reimbursement support to Healthcare Providers (HCPs), healthcare institutions, prior authorization staff, and financial counselors, and addresses patient-specific access challenges including affordability, prior authorization, coverage gaps, and reimbursement.

    30+ days ago
    UnitedHealth Group Inc logo

    Physical Therapist UnitedHealth Group Inc

    Physical Therapist
    MA

    Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. As members of the Optum family of businesses we are dedicated to helping people feel their best including our team members who create meaningful connections with patients their families each other and the communities we serve.

    30+ days ago
    UnitedHealth Group Inc logo

    Licensed Practical Nurse (LPN) Family Medicine Atrius Health Plymouth (Per Diem) UnitedHealth Group Inc

    Licensed Practical Nurse (LPN) Family Medicine Atrius Health Plymouth (Per Diem)
    Plymouth, MA

    Clinical › Corporate and business operations › Customer and support services › Early careers› Sales and account management › Technology and data› Physicians› Advanced practice clinicians› Pharmacy› Behavioral health› Nursing› Medical coding› Clinical support› U.S. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.

    30+ days ago
    New

    Outpatient Service Representative Brown University Health

    Outpatient Service Representative
    Providence, RI
    • $21.90–$22.91 / hour

    Brown 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: 1. white-space:pre Schedules patients using the hospital''s scheduling system.

    6 days ago
    CVS Health Corp logo

    Fraud Waste and Abuse - Sr. Analyst CVS Health Corp

    Fraud Waste and Abuse - Sr. Analyst
    MA
    • $46,988–$112,200 / year

    Activities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.

    30+ days ago
    12

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