Brown University HealthCoding Quality Reviewer and Educator Brown University HealthCoding Quality Reviewer and EducatorProvidence, RI$67,724.80–$111,716.80 / yearThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Consistently apply the corporate values of respect, honesty and fairness with 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.
Brown University HealthCoding Validator Telecommute Brown University HealthCoding Validator TelecommuteProvidence, RI$28.95–$47.76 / hourWork with Practices/Clinics, Providers, Coding Team, Corporate Compliance, Risk Management, Contracting and Payers to help assure that all departments are consistently on the same page and able to provide accurate feedback to coders and providers. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Audit professional ambulatory medical records for multispecialty provider organization to assure billed codes are accurately supported by the documentation.
South County HospitalCoding Specialist I South County HospitalCoding Specialist IWakefield, RIMinimum Qualifications: • High School Diploma or equivalent • Demonstrated knowledge of medical terminology and anatomy • CPC or CPC-A Required 1 year prior experience in healthcare • Good computer skills, which includes knowledge of Microsoft office products and a broad experience with various EMRs. Under close supervision of the Coding Team Leader, performs review of clinical documentation and pertinent diagnostic results as appropriate from the medical record to extract data and assign appropriate ICD-10-CM and CPT 4/HCPCS codes for billing, internal and external reporting, research, and regulatory compliance.
Brown University HealthCoding Validator Telecommute IP Brown University HealthCoding Validator Telecommute IPProvidence, RI$31–$51.16 / hourProvides training for coding staff and educates facility healthcare professionals in the use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to the MS DRG, APR DRG and/or outpatient APC and other clinical data quality management. SUMMARY: Ensures accurate coding and data quality, creating consistency and efficiency in inpatient and/or outpatient services through ongoing performance of ICD-10-CM and/or CPT coding validation and accurate MS DRG, APR DRG and/or outpatient APC.
Brown University HealthSupervisor Coding Validation Brown University HealthSupervisor Coding ValidationProvidence, RIRemote$71,136–$117,353.60 / yearThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals. 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.
Brown University HealthCoding Specialist - Outpatient Telecommute Brown University HealthCoding Specialist - Outpatient TelecommuteProvidence, RI$24.29–$40.07 / hourMonitors 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.
Brown University HealthCoding Specialist Outpatient Telecommute-Surgical Coder Brown University HealthCoding Specialist Outpatient Telecommute-Surgical CoderCorporate Headquarters, RI$24.29–$40.07 / hourMonitors 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.
Brown University HealthClaims Follow up/Coding Denial Supervisor-CPC required Brown University HealthClaims Follow up/Coding Denial Supervisor-CPC requiredProvidence, RI$58,489.60–$96,491.20 / yearThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: High school graduate with knowledge of medical business office practices, human resource management/training, proficient in medical systems and additional training or experience in healthcare billing/coding.
CharterCare Health PartnersCoding Validator (E) CharterCare Health PartnersCoding Validator (E)Providence, RISummary: Under the general supervision of the Coding Manager, the Coding Validator will perform ongoing audits of inpatient and outpatient medical records to validate the accuracy of ICD-10-CM/PCS, CPT, HCPCs, POA indicators and modifiers. In depth and up-to-date knowledge and understanding of anatomy and physiology, medical terminology, patho-physiology and pharmacy in order to read, analyze and code the medical record.
Brown University HealthCoding Specialist - Inpatient Telecommute Brown University HealthCoding Specialist - Inpatient TelecommuteProvidence, RI$26.80–$44.21 / hourThe employee agrees to be accessible by telephone/e-mail within a reasonable time period during the agreed upon work schedule, and to formally maintain timely and accurate work and rest period records and to submit such work hours weekly to department management in accordance with Brown University Health's system wide written "Telecommuting" policy. 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.
MIKEL IncCODE 25 CM/ILS PROVISIONING ROLE MIKEL IncCODE 25 CM/ILS PROVISIONING ROLEMiddletown, RIInvestigation and documentation of issues with existing Allowance Parts Lists (APLs) as reported from Integrated Product Teams (IPTs), including both internal reviews and/or external integrator reviews, as necessary. Track feedback provided by NAVSUP and Defense Logistics Agency (DLA) for incorporation, reviewing all system APLs for applicability to ensure changes are consistent across baselines.
City of East ProvidencePLUMBING, MECHANICAL, AND ENERGY CODE INSPECTOR (Closed) City of East ProvidencePLUMBING, MECHANICAL, AND ENERGY CODE INSPECTOR (Closed)east providence, RIPlumbing, Mechanical, and Energy Code Inspector Union Affiliation: East Providence Professional, Managerial, and Technical Employees Association (EPPMTEA) Pay Grade: 41 \u2013 Starting Salary - $67,050 Description: 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.
City of East ProvidencePlumbing, Mechanical, and Energy Code Inspector (Closed) City of East ProvidencePlumbing, Mechanical, and Energy Code Inspector (Closed)East Providence, RISummary: 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.
City of East ProvidencePLUMBING, MECHANICAL, AND ENERGY CODE INSPECTOR City of East ProvidencePLUMBING, MECHANICAL, AND ENERGY CODE INSPECTOReast providence, RIUnion Affiliation: East Providence Professional, Managerial, and Technical Employees Association (EPPMTEA) Pay Grade: 41 \u2013 Starting Salary - $67,050 Description: 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.
RIH Rhode Island HospitalSr Billing Specialist RIH Rhode Island HospitalSr Billing SpecialistRhode IslandMust 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.
Brown University HealthSr Billing Specialist Brown University HealthSr Billing SpecialistProvidence, RI$22.04–$36.37 / hourMust 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.
CVS Health CorpClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, RI$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. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
RIH Rhode Island HospitalOSR 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.
Day Kimball Healthcare IncMulti-Specialty Medical Biller, Full Time Days, 40 Hours, Central Business Office Day Kimball Healthcare IncMulti-Specialty Medical Biller, Full Time Days, 40 Hours, Central Business OfficePutnam, CTMulti-Specialty Medical Biller Required Skills and Qualifications Education: High School Diploma and 5 (five) years of Medical Billing and accounts resolutions experience OR Associates degree with 2 (two) years of relevant experience required. For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home.
Brown University HealthOSR 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.
CharterCare Health PartnersCoder, Outpatient CharterCare Health PartnersCoder, OutpatientProvidence, RICertification as a Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P) preferred Experience: Two years of hospital outpatient coding experience or related work experience preferred. Interprets clinical and diagnostic documentation and assigns appropriate ICD-10 (current edition) and / or CPT codes as well as modifiers, ED facility levels, Infusions/Injections and other charges as appropriate adhering to official coding guidelines.
RIH Rhode Island HospitalOutpatient Services Rep RIH Rhode Island HospitalOutpatient Services RepRhode 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.
Brown University HealthOutpatient 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:
Brown University HealthOutpatient Services Rep Brown University HealthOutpatient Services RepProvidence, 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.
Neighborhood Health Plan of Rhode IslandRN Clinical Auditor (43914) Neighborhood Health Plan of Rhode IslandRN Clinical Auditor (43914)Smithfield, RIQualifications: 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.
Care New EnglandCertified Inpatient Coder Care New EnglandCertified Inpatient CoderWarwick, 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, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Assigns diagnosis and procedure codes from all documentation including procedure notes, operative notes, consultation notes in the medical record using ICD-10-CM & ICD-10 PCS coding classification systems and independently quality checks own work.
Brown University HealthMG Authorization Specialist Brown University HealthMG Authorization SpecialistDartmouth, MA$19.03–$31.39 / 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. In addition to reviewing the medical history of potential patients, you verify information provided by their referring physicians and verify their insurance coverage.
TMH The Miriam HospitalBilling Specialist TMH The Miriam HospitalBilling 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: Review federal and state documentation for changes in billing regulations.
Brown University HealthBilling Specialist Brown University HealthBilling SpecialistProvidence, RI$19.97–$32.96 / 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: Review federal and state documentation for changes in billing regulations.
Brown University HealthSenior Director Enterprise Patient Access and Financial Clearance Brown University HealthSenior Director Enterprise Patient Access and Financial ClearanceProvidence, RIRemote$162,988.80–$268,881.60 / yearBachelor's degree in business, Health Information Management, Finance, Healthcare Administration, or related field; Minimum 8-10 years of progressive leadership in patient access, revenue cycle, or healthcare operations, with at least 5 years in a senior management role in a large, multi-entity health system. Director, Enterprise Patient Access & Financial Clearance (Hospital and Professional) provides enterprise-wide strategic and operational leadership for all front-end revenue cycle functions across hospital and professional billing environments.
Southcoast Health System IncPatient Accts Representative Southcoast Health System IncPatient Accts RepresentativeFairhaven, MA$17.22–$28.56 / hourNestled 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.
Yale New Haven HealthMA Yale New Haven HealthMAWesterly, RISchedule all patient in-house testing i.e. echocardiograms, nuclear studies, holter monitors requested by physician. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Blue Cross & Blue Shield of Rhode IslandLead Provider Payment Integrity Analyst Blue Cross & Blue Shield of Rhode IslandLead Provider Payment Integrity AnalystProvidence, 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.
CVS Health CorpMedical Scribe CVS Health CorpMedical ScribeProvidence, RI$17–$31.30 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Thundermist Health CenterPatient Service Representative - Dental - Woonsocket or West Warwick Thundermist Health CenterPatient Service Representative - Dental - Woonsocket or West WarwickWest Warwick, RISignificant 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.
Care New EnglandRevenue Integrity Specialist Care New EnglandRevenue Integrity SpecialistWarwick, 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, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. The Revenue Integrity Specialist may be a resource to coding, reimbursement, and departmental areas for questions related to charges, auditing and the charge master.
Advanced Dermatology & Cosmetic SurgeryLocation Manager - East Greenwich, RI Advanced Dermatology & Cosmetic SurgeryLocation Manager - East Greenwich, RIEast Greenwich, RIBenefits packages, including medical, dental, STD, LTD, Life, and other voluntary benefit offerings (for employees working 30+ hours per week). Advanced Dermatology and Cosmetic Surgery's mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services.
Ipsen SAField Access Director, Rare Disease Ipsen SAField Access Director, Rare DiseaseProvidence, RI$165,000–$235,000 / yearEnsure 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.
Care New England Health SystemCertified Inpatient Coder Care New England Health SystemCertified Inpatient CoderWarwick, RIInteracts with physicians via coding queries to clarify conflicting/ambigous documentation within the medical record in order to accurately code patient diagnostic and procedural information Ensures that all data abstracted is consistent with guidelines outlined by JCAHO, and CMS, regional and local policy Ensure data is optimally coded for documentation capture, financial reimbursement, care planning, statistics and regulatory reporting Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition to ensure accurate reimbursement Demonstrates a comprehensive, expert-level of knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-10-CM, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines and other appropriate classification systems Demonstrates knowledge of anatomy, physiology pharmacology and pathophysiology to interpret general medical classifications for coding discharge data. Assigns diagnosis and procedure codes from all documentation including procedure notes, operative notes, consultation notes in the medical record using ICD-10-CM & ICD-10 PCS coding classification systems and independently quality checks own work.
RIH Rhode Island HospitalReferral Specialist RIH Rhode Island HospitalReferral 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. 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.
ImCheck Therapeutics SASField Access Director, Rare Disease ImCheck Therapeutics SASField Access Director, Rare DiseaseProvidence, RI$165,000–$235,000 / yearEnsure 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.
Brown University HealthReferral Specialist Brown University HealthReferral SpecialistProvidence, RI$19.03–$31.39 / 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. 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.
Thundermist Health CenterPatient Service Representative Dental Thundermist Health CenterPatient Service Representative Dentalsouth kingstown, RIGeneral 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, taking complete and accurate messages, and documenting appropriately. Takes complete and accurate messages, schedules appointments, takes charge of all aspects of registering patients, answers all incoming calls, collects charges for the office visit.
Southcoast Health System, Inc.NewWound Care Coordinator Southcoast Health System, Inc.Wound Care CoordinatorFall River, Massachusetts$18.73–$31.51 / hourThe duties may include but are not limited to schedule patient appointments including initial visits as well as follow-up, answer telephone, triage calls, take and relay messages, discuss patient charges and collect copayments, verify patient insurance and participate in the pre-authorization insurance process, and resolve a variety of routine questions, inquiries, from patients, physicians and other hospital personnel while maintaining the highest level of customer service and timeliness with follow-up. Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home.
Care New England Health SystemHIM Certified Coder Per Diem Care New England Health SystemHIM Certified Coder Per Diemprovidence, 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, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Specifications: High school graduation plus active certification as a Certified Coding Specialist (CCS) with evidence of additional education in Medical Terminology and Anatomy & Physiology required.
Care New England Health SystemHIM Coder 40D Care New England Health SystemHIM Coder 40DProvidence, 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, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Specifications: High school graduation plus active certification as a Certified Coding Specialist (CCS) with evidence of additional education in Medical Terminology and Anatomy & Physiology required.
Blue Cross & Blue Shield of Rhode IslandNewMedical Policy Analyst Blue Cross & Blue Shield of Rhode IslandMedical Policy AnalystProvidence, 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.
Sturdy Memorial HospitalMedical Biller - Full-time Sturdy Memorial HospitalMedical Biller - Full-timeAttleboro, MA$21.06–$31.96 / hourWorking under the supervision of the Revenue Cycle Manager and Lead Biller will share the responsibilities of being accessible to physicians, staff and patients regarding billing questions; assures that all billing functions are completed in a timely fashion and develops billing goals. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education.
Day Kimball Healthcare IncRN Clinical Documentation Specialist - Ensemble Health Partners Day Kimball Healthcare IncRN Clinical Documentation Specialist - Ensemble Health PartnersPutnam, CTExperience We Love: Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, or Emergency Department experience Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations Ability to organize and present information clearly and concisely; excellent computer and keyboarding skills; high degree of prioritization skills. Job Responsibilities: Completes initial patient medical record review within 24-48 hours of patient's admission; completes subsequent reviews of patient's medical record reviews every 24-48 hours and enters review findings in CDE software system Assigns Principal diagnosis, CC/MCC (complication and comorbidity/major complication and comorbidity), evaluate for Severity of Illness (SOI) and Risk of Mortality (ROM) on all patients while in-house.
Ensemble Health PartnersRN Clinical Documentation Specialist - Referrals Ensemble Health PartnersRN Clinical Documentation Specialist - ReferralsPutnam, ConnecticutEducates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record. Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials.