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Case Worker

Providence,RI

524 Case Worker jobs in Providence,RI

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Patient Care Coordinator

Highbar Physical Therapy

Seekonk, MA 02771

$18/hr
Flexible Schedule
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Earn Cash with Gopuff In Your Free Time

goPuff

Seekonk, MA 02771

~ 12 min OnsiteFlexible Schedule

  • Be at least 21 years or older
  • Valid U. S. driver's license
  • Vehicle with insurance + registration in your name
  • Smartphone
  • Willing & able to pass a pre-paid alcohol delivery training course (where applicable)
  • Valid driver's license
  • Minimum auto insurance
  • Complete a background check
  • Their own reliable car
  • Data + text plan.
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New, Posted 18 hours ago
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Patient Financial Services Representative/Hospital Billing

South Shore Health

Whitman, MA 02382

~ 52 min Onsite

  • Candidates must reside in MA, RI, CT or NH to be considered
  • Position is based in Weymouth, MA
  • Knowledge of healthcare billing, insurance plans, codes, and reimbursement methodologies
  • Proficiency in data entry and basic computer skills, including Microsoft Office Suite
  • Excellent organizational and multitasking skills
  • Strong interpersonal and communication skills
  • Strong analytical and independent decision-making skills
  • Minimum Education High school graduate or above
  • Minimum Work Experience 2 years of hospital and/or physicians billing preferred
  • Hybrid or remote work options may be available
  • Notifies manager of any changes that would affect claim submission
  • Maintain compliance with federal, state, payer, and organizational billing regulations
  • Monitor payer policy updates and communicate changes that may impact billing, collections, denials, or reimbursement processes
  • Evaluates daily claim file using Claim Edit and Charge Review Work queues for submission of UB-04 and 1500 claim forms
  • Initiate claim corrections as defined payer regulation and hospital policy
  • Works external claim edits from Clearinghouse and resubmits claims through EPIC
  • Initiate collection of aged accounts receivable through Epic work queues while prioritizing accounts based on organizational goals and aging criteria
  • Unresolved and incomplete accounts require insurance company contact by phone, e-mail or designated web site to resolve outstanding balances
  • Collaborate with denial management staff for accounts that require clinical intervention for an appeal process
  • Collaborate with clinical departments, patient access and other departments as needed to resolve account issues
  • Generate technical appeals as needed for account resolution
  • Provide to manager a detail account history for any account that is considered uncollectable
  • Document all actions taken within the EPIC account notes section and/or follow up/denial activities note section
  • Documentation is required at least every 30 days for all accounts requiring follow-up
  • Escalates payer related issues to Provider Representative for resolution and participate in monthly meetings
  • Must maintain defined quality and productivity measures
  • Evaluate current processes, identify denial or payment trends and escalate to Management
  • Handle payer 277 rejections and resubmit through EPIC system
  • Reconcile account balances and ensure appropriate adjustments are applied according to established policies
  • Review credits work queues for resolution of overpayments and undistributed payments
  • Review credit balances in assigned work queues and request refunds or payer retraction as needed
  • Communicate with patients as needed for additional insurance or other information needed in order to process a claim
  • Generate phone calls or letters as needed to obtain necessary insurance or other related information, prior to an account being placed in self-pay
  • Obtain proper verification of predefined patient demographic information and maintain documentation in order to verify identity
  • Embraces technological solutions to work processes and practices
  • Uses the Mytime payroll system to enter time worked, sick days, vacations and holidays
  • Uses Epic functionality
  • Uses MS Outlook as a communication tool
  • Access provider web sites for verification of accounts
  • Access SharePoint and OneDrive for stored files
  • Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment
  • Successfully answers safety questions in the annual mandatory education packet
  • Maintains a neat, organized work environment
  • Adheres to respiratory etiquette guidelines
  • Assist with identifying workflow improvements to enhance operational efficiency
  • Assist leadership with special projects, audits, and process improvement initiatives
  • Other duties as assigned by Management in accordance with department needs
  • Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization
  • Embraces technological advances that allow us to communicate information effectively and efficiently based on role
  • Complete necessary training sessions required for the Billing System and assigned accounts within Follow Up and Denial work queues
SmartExplore AI is experimental.
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New, Posted 1 day ago
iHire
Patient Care Technician

Emerson Health

Concord, MA 01742

$19-$25/hr
New, Posted 22 hours ago
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Case Dock Laborer 3rd Shift

Garelick Farms

Franklin, MA 02038

$20.75/hr
~ 32 min Onsite

  • High school diploma or equivalent preferred
  • Certification and/or License – may be required during course of employment
  • Must be able to read, write and speak English
SmartExplore AI is experimental.
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Integrated Behavioral Health Clinician-1

Providence Community Health

Providence, RI 02904

Licensed Professional Counselor

Headway

Providence, RI

$117/hr
Onsite

  • Licensed Professional Counselor
  • You're a fully-licensed Professional Counselor at a Master's level or above with LPC, LPCC, LCPC, LCPCS, LPCC-S licensure (accepted on a state by state basis)
  • A valid NPI number
  • Malpractice insurance
SmartExplore AI is experimental.
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Assistant Manager

Core Development and Management-Planet Fitness

Johnston, RI 02919

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Starbucks Barista (T2267)

Target Stores

South Easton, MA 02375

Flexible Schedule
New, Posted 2 hours ago
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Project Management Job Training Program

Year Up United

Pawtucket, RI 02862

$525/wk
~ 8 min Onsite

  • A high school graduate or GED recipient
  • Eligible to work in the U.S.
  • Available Monday-Friday throughout the duration of the program
  • Highly motivated to learn technical and professional skills
  • Have not obtained a Bachelor?s degree
SmartExplore AI is experimental.
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