Diedre Moire Corp.NewIns Claims Specialist Medical Malpractice - Cranston, RI Diedre Moire Corp.Ins Claims Specialist Medical Malpractice - Cranston, RICranston, RI$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
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.
Brown University HealthNewBilling 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. Experience: One - two years' experience in health care/patient accounting or relevant setting; or equivalent combination of training and relevant work experience.
Performance Physical TherapyBilling Specialist Performance Physical TherapyBilling SpecialistProvidence, RIMore About Us We develop leading-edge physical therapists who practice at the top of their license, acting as primary care providers for musculoskeletal disorders and challenging themselves and their patients to reach new goals. Billing Specialist Providence RI - Administrative 05 Highbar Operations & Support Openings - Revenue Cycle Management Full Time Hourly On-site apply for this job.
Michael Page InternationalQuality Engineer - Medical Device - Westerly, RI Michael Page InternationalQuality Engineer - Medical Device - Westerly, RIWesterly, RI$90,000–$110,000 / yearFull timeClient Details Our client is a global manufacturing partner supporting cutting‑edge medical technology used in critical healthcare applications. As a Quality Engineer, you'll partner cross‑functionally with engineering, manufacturing, and operations to ensure product and process excellence in a regulated environment.
Michael PageQuality Engineer - Medical Device - Westerly, RI Michael PageQuality Engineer - Medical Device - Westerly, RIWesterly, RI$90,000–$110,000 / yearAs a Quality Engineer, you'll partner cross‑functionally with engineering, manufacturing, and operations to ensure product and process excellence in a regulated environment. Our client is a global manufacturing partner supporting cutting‑edge medical technology used in critical healthcare applications.
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.
CVS Health CorpNewClaim 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.
Brown University HealthNewOutpatient 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. 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.
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.
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.
ImCheck Therapeutics SASNewField 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.
Ipsen SANewField 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 SystemRevenue Integrity Specialist Care New England Health SystemRevenue 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 nations 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.
Brown University HealthNewReferral 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.
CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)RI$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Care New EnglandThird Party Specialist Care New EnglandThird Party 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 top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Demonstrates knowledge of accounts receivable payment policies and hospital contracts as they relate to billing, collection, follow-up, claim reimbursement, patient liability, and local, state and federal programs.
Brown University HealthNewNurse Practioner Brown University HealthNurse PractionerProvidence, RI$127,504–$161,782.40 / yearSUMMARY: As a member of the Comprehensive Spine Center team, reporting to the attending physicians, performs physical examinations, interprets laboratory and diagnostic tests, formulates a differential diagnosis, and establishes a working diagnosis, develops a treatment plan for neurosurgical, physiatry and pain conditions within the scope of practice and in conjunction with the neurosurgeon, physiatrist, and pain specialist. Programs intrathecal medication delivery systems (pumps), performs pump refills, performs status checks during and after intrathecal system trials and implant procedures, carefully documents all patient encounters and monitors subjective pain levels and objective functional status, and follows evidenced based, nationally accepted guidelines as well as strict policies and procedures for management of pumps patients.
Yale New Haven HealthPhysician, Gastroenterology | Westerly, RI | ** 75K Signing Bonus** Yale New Haven HealthPhysician, Gastroenterology | Westerly, RI | ** 75K Signing Bonus**Westerly, Rhode IslandYale New Haven Health includes Yale New Haven, Bridgeport, Greenwich, Lawrence + Memorial, and Westerly hospitals; several specialty networks; and Northeast Medical Group, a physician-led multi-specialty group with over 1,000 physician. Valid American Board certification in Gastroenterology and renewed (if needed) prior to Expiration Valid and unrestricted Connecticut and Rhode Island medical license BLS certification Valid DEA registration and Controlled Substance Certificate.
Yale New Haven Health System - Korn FerryGastroenterologist Opportunity at Yale New Haven Health: Westerly, RI Yale New Haven Health System - Korn FerryGastroenterologist Opportunity at Yale New Haven Health: Westerly, RIWesterly, RIValid American Board certification in Gastroenterology and renewed (if needed) prior to Expiration Valid and unrestricted Connecticut and Rhode Island medical license BLS certification Valid DEA registration and Controlled Substance Certificate . Degree of MD or DO with Gastroenterology Board Certification Physician agrees to maintain specialty certification, and subspecialty certification in Gastroenterology, fulfilling all necessary qualifications.
AbbVie IncNewField Reimbursement Manager Advanced Parkinsons AbbVie IncField Reimbursement Manager Advanced ParkinsonsProvidence, RIApplicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law.
Yale New Haven HealthPharmacy Student Intern Yale New Haven HealthPharmacy Student InternWesterly, RIProficiency in mathematical calculations; accuracy; problem solving; attention to detail; knowledge of computer applications including word processing and spreadsheets; ability to learn quickly in a fast-paced environment; ability to learn or perform pharmaceutical compounding, repackaging and labeling including manipulation of raw drug products using appropriate technique: ability to work with computer and technology equipment including the ability to perform basic troubleshooting functions. Financial and Payment: Departmental Goal for Pharmacy Technicians\n \nQualifications\n \nEDUCATION\n \nHigh school diploma required and must be currently enrolled in an accredited College of Pharmacy program or pre-pharmacy program\n \nEXPERIENCE\n \nInpatient hospital pharmacy experience is preferred, but not required\n \nLICENSURE\n \nCurrent registration or eligibility to be registered as a Pharmacy Intern in the State of Connecticut as outlined by the Dept.
Care New England Medical GroupPractice Administrator, Physician Practice Care New England Medical GroupPractice Administrator, Physician PracticeProvidence, 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. Collaborates with the Executive Director Operations to enhance existing services and/or implement new business strategies to build and maintain desired patient panel levels for both new and existing physicians/providers.
HealthDriveAudiologist HealthDriveAudiologistNewport, Rhode IslandHealthDrive delivers on-site podiatry, optometry, dentistry, audiology, and behavioral health services to residents in long-term care, skilled nursing and assisted living facilities. Traditional daily patient care will include comprehensive diagnostic audiological examinations, hearing aid evaluations, hearing aid selections and repair.
Care New England Health SystemPractice Administrator, Physician Practice Care New England Health SystemPractice Administrator, Physician PracticeProvidence, 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. • Ensures the development and implementation of approved annual practice plans, goals and objectives for each practice/program, based on the strategic plan of CNE and CNEMG, with a focus on: • Increasing revenue • Implementing cost controls to improve net margin where applicable • Expanded services • Addition of new providers • Patient access and satisfaction • Employee engagement • Provider engagement.
Manufacturing IncShipping & Receiving Coordinator Manufacturing IncShipping & Receiving CoordinatorLincoln, Rhode IslandThis role is data-driven and physical, requiring you to accurately weigh inventory, calculate dimensional weights, and manage real-time scheduling to ensure every carrier pickup is maximized for efficiency and cost-effectiveness. Online Shipping Management: Process all outbound small-parcel shipments using UPS and FedEx online portals, ensuring correct service levels (Ground, Express, International).
Yale New Haven HealthPer Diem Certified Pharmacy Technician Yale New Haven HealthPer Diem Certified Pharmacy TechnicianWesterly, Rhode IslandThe pharmacy technician will also dispense and deliver a daily medication cart fill, review billing exception reports and apply medication charges as appropriate, coordinate the review and filing of automated dispensing machine reports, monitor and record various temperature and IV room logs, maintain stock levels in the IV room, assist with maintenance of bar-code libraries, empty automated dispensing machine return bins, assist with automated dispensing machine controlled substance discrepancy resolution, prepack liquid and solid oral dose form medications, conduct monthly unit inspections, assist with training new employees and pharmacy students, conduct monthly unit inspections, remove outdated medications from inventory, assist with optimization of medication inventory on assigned units, work with pharmacist to ensure adequate supply of titratable medications. The Pharmacy Technician, under the direct supervision of a pharmacist, compounds and dispenses medications and other pharmaceutical supplies to hospital inpatients and employees.
Yale New Haven HealthPharmacy Technician - Per Diem* Yale New Haven HealthPharmacy Technician - Per Diem*Westerly, RIThe pharmacy technician will also dispense and deliver a daily medication cart fill, review billing exception reports and apply medication charges as appropriate, coordinate the review and filing of automated dispensing machine reports, monitor and record various temperature and IV room logs, maintain stock levels in the IV room, assist with maintenance of bar-code libraries, empty automated dispensing machine return bins, assist with automated dispensing machine controlled substance discrepancy resolution, prepack liquid and solid oral dose form medications, conduct monthly unit inspections, assist with training new employees and pharmacy students, conduct monthly unit inspections, remove outdated medications from inventory, assist with optimization of medication inventory on assigned units, work with pharmacist to ensure adequate supply of titratable medications. The Pharmacy Technician, under the direct supervision of a pharmacist, compounds and dispenses medications and other pharmaceutical supplies to hospital inpatients and employees.
LifespanNewPatient Service Rep- Providence Urgent Care LifespanPatient Service Rep- Providence Urgent CareProvidence, RI$18.13–$29.90 / hourThe Patient Service Representative greets patients, performs registration check-in functions, answers phones, schedules patient appointments, obtains referrals and authorizations, processes forms, and performs discharge process. 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.
RestorixHealthNewWound Care Nurse - LPN- Full Time RestorixHealthWound Care Nurse - LPN- Full TimeNorth Providence, RIUtilizing the Nursing Process, the Licensed Practical Nurse (LPN) plans, implements, directs, and evaluates patient care to achieve optimal outcomes. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally, and vertically.
Encore Fire ProtectionManager of Financial Planning & Analytics Encore Fire ProtectionManager of Financial Planning & AnalyticsPawtucket, Rhode Island
Comprehensive Rehab ConsultantsSupervising/Collaborating Physician - Physiatrist/PM&R Comprehensive Rehab ConsultantsSupervising/Collaborating Physician - Physiatrist/PM&RWarwick, RIRemote$1,500At Comprehensive Rehab Consultants, we focus on the quality of care and provide our healthcare professionals the support, respect, and responsibility their advanced medical degree deserves. Function as a healthcare provider for patients in a short-term rehab setting within Skilled Nursing Facilities.
BrightSpring Health ServicesNewScheduler Home Health/Home Infusion BrightSpring Health ServicesScheduler Home Health/Home InfusionEAST PROVIDENCE, RI$24–$27 / hourThe Scheduler is responsible for the coordination and scheduling of Amerita and Subcontracted Agency (SUB) nursing visits, approving submitted nursing documents, creating nursing delivery tickets, tracking Plans of Treatments, and managing SUB authorizations and invoices. Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.
LifespanNewUnit Secretary LifespanUnit SecretaryProvidence, RI$20.48–$20.98 / hourEnters verbal orders from physicians in the computer system within the limits of the US role which includes dietary orders, lab orders, radiology orders (restricted to diagnostic x-rays only), admit status orders, transfer orders, change of doctor and hospital service orders. Performs all aspects of the US role accurately, including but not restricted to, patient types codes, discharge disposition codes, observation and inpatient status, patient services charges, calls consults when indicated, updates dietary rounds reports.
Atria Senior Living - Aquidneck PlaceNewAdministrative Assistant Atria Senior Living - Aquidneck PlaceAdministrative AssistantPortsmouth, Rhode Island$19–$22.80 / hourAssists the Community Business Director with human resource functions such as new hire orientation, enrollment and plan changes; maintaining of personnel files (with controlled access to files under the direction and supervision of the Community Business Director or Executive Director) and tracking of FMLA, Worker’s Compensation, and other programs as assigned. Assists the Community Business Director with payroll functions by running daily punch reports, correcting missed punch corrections and supporting pay period end functions and filing; train staff to proper time clock procedures.
Brown University HealthNewSr Phlebotomist Outreach Brown University HealthSr Phlebotomist OutreachEast Providence, RI$19.03–$31.39 / hourPatient Registration including Patient Identification and verification, Patient Look-up, enter patient demographics, insurance information, guarantor, PCP, ordering provider, order tests, enter diagnostic codes, ordering provider following established policies and procedures for patient identification and verification, registration, test orders, medical necessity, and document scanning. Such testing may include dipstick or tablet urinalysis, fecal occult blood, visual color-comparison analysis for ovulation or pregnancy, blood glucose using glucose monitoring devices, blood cholesterol test and the like.
Brown University HealthNewED Patient Care Technician Brown University HealthED Patient Care TechnicianProvidence, RI$23.20–$23.66 / hourPerforms all aspects of the Secretary role accurately, including but not restricted to, patient types of codes, discharge dispositions codes, observation and inpatient status, patient services charges, calls consults when indicated, updates dietary rounds reports. Brown University Health employees are expected to embrace Brown University Health's mission of "Delivering health with care" and successfully role model Brown University Health's values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another.
Atria Senior Living Group IncNewAdministrative Assistant Atria Senior Living Group IncAdministrative AssistantPortsmouth, RIAssists the Community Business Director with human resource functions such as new hire orientation, enrollment and plan changes; maintaining of personnel files (with controlled access to files under the direction and supervision of the Community Business Director or Executive Director) and tracking of FMLA, Worker's Compensation, and other programs as assigned. Assists the Community Business Director with payroll functions by running daily punch reports, correcting missed punch corrections and supporting pay period end functions and filing; train staff to proper time clock procedures.
Brown University HealthNewRadiology Tech Assistant Brown University HealthRadiology Tech AssistantProvidence, RI$21.33–$22.27 / hourSUMMARY: Under the general supervision of the Lead Technologist or Manager Medical Imaging and in accordance with established policies and procedures, transports patients requiring radiographic procedures, works directly with imaging technologist and radiologists to facilitate and help assure high-quality imaging services to patients. Performs other related duties such as but not limited to assisting the department secretary, answering telephones, relaying messages, photocopying, data entry, and delivering forms and/or supplies to other areas within Diagnostic Imaging.
Care New England Health SystemRevenue Cycle Associate Biller Care New England Health SystemRevenue Cycle Associate BillerWarwick, 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. Duties include but are not limited to handling and distributing daily mail, preparing payments for posting, processing billing information requests from third parties and patients, researching and issuing patient refunds, researching and updating patient addresses, maintaining spreadsheets and providing support for billing, collection and customer service functions.