NewAdministrative Coordinator Brown University HealthAdministrative CoordinatorProvidence, RI$24.29–$40.07 / hourThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Communicate with patient care unit - help utilize anesthesia staffing for inpatients that need to be done either next day or emergently. Communicate with other MD''s/Fellows/Clinical staff to coordinate anesthesia consults and follow ups font-weight: 400; font-size: 1.6rem font-weight: 400; font-size: 1.6remSchedules patients using the scheduling system.
Coder - Per Diem Westborough Behavioral Healthcare HospitalCoder - Per DiemWestborough, MAConducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bill are satisfied in a timely manner. Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization diagnosis treatments for Children, Special Needs, and Adult populations in both inpatient and outpatient settings.
Senior Consultant, Supplemental Health Sun Life FinancialSenior Consultant, Supplemental HealthWellesley Hills, MA$71,100–$106,700 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Revenue Integrity Specialist Top Prospect Group LLCRevenue Integrity SpecialistGreater Boston, MARevenue 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.
Revenue Integrity Specialist Care New England Health SystemRevenue Integrity SpecialistWarwick, 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. This role focuses on proactive review and resolution of missing or incorrect charges through daily monitoring of Epic Revenue Guardian reports and charge-related work queues, reconciliation of charges against clinical documentation, and collaboration with operational, clinical, and coding teams to ensure compliance with federal, state, and third-party payor guidelines.
Outpatient 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.
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.
Clinical Claim Review RN UnitedHealth Group Inc.Clinical Claim Review RNBoston, MARemote$29–$52 / hourThe Clinical Claim Review RN will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct by health care providers who submit claims for payment. Preferred Qualifications: Clinical or administrative experience in long term care, for example, nursing facility care delivery/administration and/or community-based LTC service programs like Home Health.
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.
Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteForward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationBoston, MA$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
Phlebotomist, Marlborough Hospital, 40hr, Eve(12pm-8:30pm) UMass Memorial Health Care IncPhlebotomist, Marlborough Hospital, 40hr, Eve(12pm-8:30pm)Marlborough, MA$17.69–$28.01 / hourExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Under the supervision of the Laboratory Medical Director, Director of Laboratory Services and Lead CLA performs patient phlebotomy, laboratory assistance and other duties as needed.
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.
Phlebotomist, Marlborough Hospital, 40hr, Eve(12pm-8:30pm) UMass Memorial HealthPhlebotomist, Marlborough Hospital, 40hr, Eve(12pm-8:30pm)Marlborough, MassachusettsExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Under the supervision of the Laboratory Medical Director, Director of Laboratory Services and Lead CLA performs patient phlebotomy, laboratory assistance and other duties as needed.
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).
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.
Outpatient Coder Dana-Farber Cancer Institute IncOutpatient CoderBROOKLINE, MARemote$55,600–$63,500 / yearWe strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. Maintains coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, AAPC/AHIMA seminars, and other educational forums.
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.