United States · Hybrid
$19/hr–$32/hr
SUMMARY: Under general supervision of the PFS Supervisor of Claims Follow-up and Denials, performs all duties necessary to properly follow up on outstanding claims and correct/re-process all denied claims to obtain timel…
Skills: Claims Follow-up, Denial Management, Third-party Billing, CPT Coding, ICD-10 Coding
United States · On-site
$19/hr–$32/hr
SUMMARY: The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision performs importing electronic remittance advices from clearing house and e-posting file. Reconciles exceptio…
Skills: Payment posting, Medical billing, Data entry, Reconciliation, Electronic remittance advice
United States · Remote OK
$29/hr–$48/hr
SUMMARY: Reports to PFS Manager responsible for audit and education. Performs coder and provider audits of ICD-10 codes, CPT codes and HCPCS codes. Prepares training materials and provides education as needed. Stays abre…
Skills: ICD-10 Coding, CPT Coding, HCPCS Coding, Medical Auditing, Clinical Documentation
United States · Remote OK
$29/hr–$48/hr
SUMMARY: Reports to PFS Manager responsible for audit and education. Performs coder and provider audits of ICD-10 codes, CPT codes and HCPCS codes. Prepares training materials and provides education as needed. Stays abre…
Skills: ICD-10 coding, CPT coding, HCPCS coding, Medical auditing, Clinical documentation
Providence, Rhode Island, United States · On-site
$100k–$165k/yr
The Leave Management Manager is responsible for the day-to-day administration and operational management of the organization's leave of absence programs. This role oversees leave case management processes, supervises lea…
Skills: Leave management, FMLA, ADA compliance, Case management, Team leadership
United States · Remote Solely
$68k–$112k/yr
SUMMARY: Under the direction of the Manager of Coding Policy and Education, research coding and documentation guidelines and creates/updates policies as needed. Develops Brown University Health training materials, works …
Skills: Medical coding, ICD-10-CM, CPT-4, HCPCS, Auditing
Brewer, Maine, United States · On-site
$116k–$191k/yr
SUMMARY: Reporting to the Vice President of Business Partnerships and Labor Relations, this position is responsible for leading one of the teams of HR Business Partners and Employee and Labor Relations Specialists, ensur…
Skills: Human Resources, Labor Relations, Employee Relations, Leadership, Strategic Planning
United States · Remote OK
$24/hr–$40/hr
SUMMARY: Reports to the Coding Manager. 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 Cod…
Skills: ICD-10-CM, CPT Coding, Medical Coding, 3M 360 Finder, HCPCS
Smithfield, North Carolina, United States · On-site
$128k–$162k/yr
SUMMARY: The advanced practice provider (APP) is accountable to facilitate a high-quality hospital experience and optimal care outcomes for cardiac patients and their families. The APP reports directly to the Manager for…
Skills: Cardiac care, Patient assessment, Physical examinations, Telemetry, EKG interpretation
United States · On-site
$19/hr–$31/hr
SUMMARY: Under the general supervision of the Supervisor, but according to established policies and procedures, interviews, pre-register/registers and admits patients. Financially clears accounts for Admission and other …
Skills: Patient registration, Insurance verification, Medical billing, Data collection, Customer service
Providence, Rhode Island, United States · On-site
$19/hr–$32/hr
SUMMARY: The Sr Patient Scheduler reports to the Manager Medical Imaging for The Miriam Hospital or the Diagnostic Imaging Center. These duties include preparation of patient records; registration and pre-registration ac…
Skills: Patient scheduling, Medical terminology, Data entry, Registration, Insurance verification
Providence, Rhode Island, United States · On-site
$39/hr–$65/hr
**Eligible for up to $20,000 Sign On Bonus** SUMMARY: Under the general supervision of the radiologists and the Manager Medical Imaging, and following established procedures, performs diagnostic procedures to assist the …
Skills: Ultrasound scanning, Diagnostic imaging, Patient care, Aseptic technique, Clinical data review
Providence, Rhode Island, United States · On-site
$61/hr–$77/hr
SUMMARY: The Nurse Practitioner or Physician Assistant is accountable to facilitate a quality hospital experience and outcome for patients within a cost-effective time frame. The Nurse Practitioner or Physician Assistant…
Skills: Cardiology, Patient Care, Care Coordination, Acute Care, Physical Assessment
Providence, Rhode Island, United States · On-site
$149k–$186k/yr
SUMMARY: Reports to the Director, Cardiovascular Services. Under the direction of the Clinical Director of Cardiology, and the Attending Physician of Records, is responsible for the organization of clinical services incl…
Skills: Clinical leadership, Staff scheduling, Performance evaluation, In-service education, Cardiac care
East Providence, Rhode Island, United States · On-site
SUMMARY: Responsible for providing his/her patients with care at the current level of quality and efficiency generally recognized by appropriate practice standards and guidelines applicable to facilities such as the Hosp…
Skills: Clinical Competence, Patient Care, Medical Record Documentation, Clinical Privileges, Medical Practice Standards
Providence, Rhode Island, United States · On-site
$19/hr–$32/hr
SUMMARY: The Sr Patient Scheduler reports to the Manager Medical Imaging for The Miriam Hospital or the Diagnostic Imaging Center.These duties include preparation of patient records; registration and pre-registration act…
Skills: Patient scheduling, Medical terminology, Data entry, Registration, Insurance verification
United States · Remote Solely
$68k–$112k/yr
SUMMARY: Under the direction of the Manager of Coding Policy and Education, research coding and documentation guidelines and creates/updates policies as needed. Develops Brown University Health training materials, works …
Skills: Medical coding, ICD-10-CM, CPT-4, HCPCS, Auditing
Providence, Rhode Island, United States · On-site
$39/hr–$65/hr
**Eligible for up to $20,000 Sign On Bonus** SUMMARY: Under the general supervision of the interventional radiologists and the Manager, Medical Imaging, and following established procedures, perform vascular and interven…
Skills: Interventional radiology, Vascular imaging, Angiography, Aseptic techniques, Patient positioning
Providence, Rhode Island, United States · On-site
$31/hr–$51/hr
SUMMARY: Under general supervision of the Cardiopulmonary Pulmonary Rehabilitation Program Manager, Program Supervisor and the Medical Director and in accordance with established policies and procedures, evaluates, provi…
Skills: Cardiac rehabilitation, Pulmonary rehabilitation, Physical assessment, Patient care planning, Hemodynamic monitoring
Cranston, Rhode Island, United States · Hybrid
SUMMARY: Under general direction and within established Brown University Health policies and procedures, maximizes reimbursement from contracted payers through analysis, tracking and trending of denials using available m…
Skills: Denials management, Claims administration, Financial analysis, ICD-10 coding, CPT-4 coding
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The representative is responsible for reviewing, correcting, and appealing denied claims to ensure timely reimbursement for physician services. They also resolve outstanding, underpaid, or overpaid claims while maintaining HIPAA compliance and identifying denial trends.
Candidates must have a high school diploma and one to three years of experience in professional or hospital insurance follow-up. Proficiency in third-party billing, CPT, ICD-10, and Microsoft Office applications is required.
SUMMARY:
Under general supervision of the PFS Supervisor of Claims Follow-up and Denials, performs all duties necessary to properly follow up on outstanding claims and correct/re-process all denied claims to obtain timely reimbursement of each third-party claim and ensure the financial stability of a large multi-specialty, multi-state physician practice.
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.
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:
Instill Trust and Value Differences
Patient and Community Focus and Collaborate
RESPONSIBILITIES:
Position can be fully remote, hybrid or in-office. Manager will approve work arrangements.
MINIMUM QUALIFICATIONS:
BASIC KNOWLEDGE:
EXPERIENCE:
SUPERVISORY RESPONSIBILITY:
None
EEO Statement:
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
Daily Hours:
8 hoursOne of the largest nonprofit, academic, multi-specialty medical groups in RI.
Brown Medicine is a nonprofit primary care, specialty outpatient and sub-specialty medical group practice with over 200 physicians and multiple patient care locations across the state of Rhode Island. Brown Medicine is affiliated with Brown University’s Warren Alpert Medical School, along with five other medical practices, to form Brown Physicians, Inc. (BPI), a physicial-led nonprofit federation. Employing more than 500 doctors, BPI enables a new level of coordination for clinical care, research and teaching in southern New England.
Offices: 110 Elm Street, 2nd Floor, Providence, RI 02903, US · 1454 S County Trail, East Greenwich, RI 02818, US · 375 Wampanoag Trail, East Providence, RI 02915, US · 593 Eddy Street, Providence, RI 02903, US · 164 Summit Avenue, Fain Building, 3rd Floor, Providence, RI 02906, US
One of the largest nonprofit, academic, multi-specialty medical groups in RI.
Brown Medicine is a nonprofit primary care, specialty outpatient and sub-specialty medical group practice with over 200 physicians and multiple patient care locations across the state of Rhode Island. Brown Medicine is affiliated with Brown University’s Warren Alpert Medical School, along with five other medical practices, to form Brown Physicians, Inc. (BPI), a physicial-led nonprofit federation. Employing more than 500 doctors, BPI enables a new level of coordination for clinical care, research and teaching in southern New England.
Offices: 110 Elm Street, 2nd Floor, Providence, RI 02903, US · 1454 S County Trail, East Greenwich, RI 02818, US · 375 Wampanoag Trail, East Providence, RI 02915, US · 593 Eddy Street, Providence, RI 02903, US · 164 Summit Avenue, Fain Building, 3rd Floor, Providence, RI 02906, US
