Billing representative jobs in Rhode Island - 190 jobs

SonSoft Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. SonSoft Inc is growing at a steady pace specializing in the fields of Software Development, Software Consultancy, and Information Technology Enabled Services. Job Description At least 7 years of experience in Guidewire product configuration/integration, solutions evaluation, validation and deployment At least 6 years of experience in problem definition, Architecture, Design and Implementation in a client facing role for US based Insurers Analytical and Communication skills Project, talent management, and thought leadership Experience and desire to work in a consulting environment that requires regular travel At least 7 years of IT experience in Insurance Domain with Guidewire expertise. Perform as a technical subject matter expert for Guidewire product. Analytical and Communication skills. Experience with project management Experience and desire to work in a management consulting environment that requires regular travel. Qualifications Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education. At least 7 years of experience with Information Technology. Additional Information Connect with me at ******************************************* ( For Direct Clients Requirements ) ** U.S. Citizens and those who are authorized to work independently in the United States are encouraged to apply. We are unable to sponsor at this time. Note:- This is a Full-Time & Permanent job opportunity for you. Only US Citizen, Green Card Holder, GC-EAD, H4-EAD & L2-EAD can apply. No OPT-EAD, H1B & TN candidates, please. Please mention your Visa Status in your email or resume. ** All your information will be kept confidential according to EEO guidelines.

SUMMARY: General supervision but according to established credit policies and procedures, interviews and registers patients for Emergency/Trauma Center or Ambulatory treatment by obtaining demographic, third-party insurance and related financial information, entering same to on-line computer system. Completes third-party documentation, discusses any existing balances for previous Hospital services rendered and makes preliminary determination on welfare eligibility. Request cash deposit approximating charge for scheduled services or co-insurance if applicable, and/or the co-payment required by third party coverage for clinic visits and outpatient ancillary service. Arranges payment terms. Contacts Patients Accounts Advocate, when applicable. Determines eligibility for free service when necessary. 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: Competes Hill-Burton application when patient lacks evidence of adequate health insurance coverage, according to established criteria for provision of uncompensated hospital services. Requires patient to sign statement of financial responsibility. Assists patient to apply for welfare coverage, if no coverage is obtained or if can not pay. Determines eligibility for Rhode Island Hospital free service for clinic visit only, using sliding scale and based on established guidelines for same.Advises Senior Patient Advocate of patients lacking health insurance coverage and/or sources of income sufficient to reimburse Hospital for services rendered.Completes documentation required to initiate commercial insurance, Workers' Compensation and/or CHAMPUS claims.Verifies third-party insurance plan numbers and benefit level. Documents all information obtained in PMAS accounting notes. Contacts insurance carrier when necessary to obtain treatment authorization and co-payment information.Obtains authorization for treatment from health maintenance organizations, verifying coverage as needed.Discusses existing Hospital account balances and arranges payment schedule for same. Requests evidence of coverage or requested payment ranging from partial to full cost for clinic visit or entire treatment series. Requires completion of Financial information to make payment arrangements when patient unable to pay entire amount. Upon determination that a liability claim exists, completes lien form and notes in PMAS accounting file.Collects cash/credit card payment for Outpatient/Emergency/Trauma services when possible.Posts payments to specific general ledger account.Prepares bank deposit for pickup by cashier twice daily.Determines priority of health insurance coverage.Registers all patients on-line by entering appropriate data to computer system via terminal. Embosses identification card in order to initiate or update patient Hospital record. In ambulatory registration, registers all patients for PAC Operating Room, clinics and ancillary areas. Takes APC Operating Room bookings and initiates all charge vouchers for out-patient procedures In Emergency Department registration, notifies appropriate security agency of emergency treatments resulting from assaults, gunshot wounds, animal bites, accidents and the like, according to Rhode Island State Department of Health regulations.Follows up on third-party documentation from Private Physician' offices and other hospital off-hour ancillary areas. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE:A level of knowledge generally obtained through completion of High School with additional math and computer courses.Well developed interpersonal and communication skills in order to obtain patient information and deal effectively with the public at point of contact.Persuasive collection techniques. Ability to tactfully set payment arrangement terms and collect money.Full knowledge of third party health insurance claims processing, coverage and documentation requirements.Math skills and the ability to operate on-line computer terminal.Acquired knowledge of Accounting Department patient billing systems.EXPERIENCEix to twelve months of previous clerical support experience is required, preferably in a setting that demonstrates ability to function effectively in high-volume clinics.Previous experience with on-line data entryccess system required.WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Working conditions are generally good, little discomfort due to noise, heat, and dust.SUPERVISORY RESPONSIBILITY: None. Pay Range: $21.26-$21.81 Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work Type: 8-Hour Shift: 4:00pm-12:30am, rotating weekends and holidays. Wk1- M/T/S Wk2- S/M/F Work Shift: Evening Driving Required: No Union: International Brotherhood Teamsters

SUMMARY: General supervision but according to established credit policies and procedures, interviews and registers patients for Emergency/Trauma Center or Ambulatory treatment by obtaining demographic, third-party insurance and related financial information, entering same to on-line computer system. Completes third-party documentation, discusses any existing balances for previous Hospital services rendered and makes preliminary determination on welfare eligibility. Request cash deposit approximating charge for scheduled services or co-insurance if applicable, and/or the co-payment required by third party coverage for clinic visits and outpatient ancillary service. Arranges payment terms. Contacts Patients Accounts Advocate, when applicable. Determines eligibility for free service when necessary. 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: Competes Hill-Burton application when patient lacks evidence of adequate health insurance coverage, according to established criteria for provision of uncompensated hospital services. Requires patient to sign statement of financial responsibility. Assists patient to apply for welfare coverage, if no coverage is obtained or if can not pay. Determines eligibility for Rhode Island Hospital free service for clinic visit only, using sliding scale and based on established guidelines for same.Advises Senior Patient Advocate of patients lacking health insurance coverage and/or sources of income sufficient to reimburse Hospital for services rendered.Completes documentation required to initiate commercial insurance, Workers' Compensation and/or CHAMPUS claims.Verifies third-party insurance plan numbers and benefit level. Documents all information obtained in PMAS accounting notes. Contacts insurance carrier when necessary to obtain treatment authorization and co-payment information.Obtains authorization for treatment from health maintenance organizations, verifying coverage as needed.Discusses existing Hospital account balances and arranges payment schedule for same. Requests evidence of coverage or requested payment ranging from partial to full cost for clinic visit or entire treatment series. Requires completion of Financial information to make payment arrangements when patient unable to pay entire amount. Upon determination that a liability claim exists, completes lien form and notes in PMAS accounting file.Collects cash/credit card payment for Outpatient/Emergency/Trauma services when possible.Posts payments to specific general ledger account.Prepares bank deposit for pickup by cashier twice daily.Determines priority of health insurance coverage.Registers all patients on-line by entering appropriate data to computer system via terminal. Embosses identification card in order to initiate or update patient Hospital record. In ambulatory registration, registers all patients for PAC Operating Room, clinics and ancillary areas. Takes APC Operating Room bookings and initiates all charge vouchers for out-patient procedures In Emergency Department registration, notifies appropriate security agency of emergency treatments resulting from assaults, gunshot wounds, animal bites, accidents and the like, according to Rhode Island State Department of Health regulations.Follows up on third-party documentation from Private Physician' offices and other hospital off-hour ancillary areas. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE:A level of knowledge generally obtained through completion of High School with additional math and computer courses.Well developed interpersonal and communication skills in order to obtain patient information and deal effectively with the public at point of contact.Persuasive collection techniques. Ability to tactfully set payment arrangement terms and collect money.Full knowledge of third party health insurance claims processing, coverage and documentation requirements.Math skills and the ability to operate on-line computer terminal.Acquired knowledge of Accounting Department patient billing systems.EXPERIENCEix to twelve months of previous clerical support experience is required, preferably in a setting that demonstrates ability to function effectively in high-volume clinics.Previous experience with on-line data entryccess system required.WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Working conditions are generally good, little discomfort due to noise, heat, and dust.SUPERVISORY RESPONSIBILITY: None. Pay Range: $21.26-$21.81 Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work Type: 40 Hour 4:00p-12:30a rotating every other weekend and holiday. WK1 Mon, Tues, Wed, Thu, Sat WK2 Sun, Tues, Wed, Thu, Fri Work Shift: Evening Driving Required: No Union: International Brotherhood Teamsters

Highbar Physical Therapy is Hiring! Help us revolutionize the Physical Therapy industry! Highbar is a leading outpatient physical therapy practice experiencing significant growth with locations across New England. We've evolved our name to reflect the standard of care we've always provided and demonstrate how we are different. We bring together the science of musculoskeletal health with the art of individualized care, consistently delivering life-changing outcomes for our patients. The Billing Specialist is responsible for all revenue cycle activities which include: posting payments, analyzing explanation of benefit (EOB) statements and monitor accounts receivables. The billing specialist will maintain compliance with insurance companies and notify the Senior billing specialist when further investigation is necessary. The role also includes quality monitoring to ensure clean claim processing. What You'll Do: Receive and post patient payments and schedule visits when necessary Apply insurance payments to patient accounts Follow up with insurance companies when claims are incorrectly denied, submit appeals and revise account information when necessary Regularly review and maintain up to date knowledge of insurance guidelines Guide and assist Patient Care Coordinators through difficult accounts Provide information and assist patients when help is needed by researching and resolving billing problems or issues Communicate and provide information to attorneys regarding medical records and patient balances Qualifications: High school diploma or general education degree (GED) Basic knowledge of billing and/or account receivable experience Billing and coding certification preferred. Take the next step in your career with Highbar Physical Therapy - Apply today! More 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. Highbar is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, gender, gender identity, sexual orientation, disability, age, or veteran status.

# Summary:#Under supervision of the Billing Supervisor, the Billing Specialist performs billing duties necessary to ensure accurate management of account receivables.# This includes any number or combination of responsibilities (those listed below) on any given business day, including the investigation and resolution of denials from third party payers; the posting of payments, denials, and/or correspondence into various patient accounting systems; the posting of charges into said patient accounting systems; and the acknowledgement and settlement of patient/client billing inquiries.#This position is primarily work from home, with occasional#scheduled office time.# # Education:#High school level of education or equivalent. College coursework and/or Medical Billing Certification preferred. # Experience:#A minimum of two (2) years# experience in a fast-paced medical office, billing service, or physician practice environment. Adept at all aspects of third party billing. Multi-specialty billing experience preferred.# Summary: Under supervision of the Billing Supervisor, the Billing Specialist performs billing duties necessary to ensure accurate management of account receivables. This includes any number or combination of responsibilities (those listed below) on any given business day, including the investigation and resolution of denials from third party payers; the posting of payments, denials, and/or correspondence into various patient accounting systems; the posting of charges into said patient accounting systems; and the acknowledgement and settlement of patient/client billing inquiries. This position is primarily work from home, with occasional scheduled office time. Education: High school level of education or equivalent. College coursework and/or Medical Billing Certification preferred. Experience: A minimum of two (2) years' experience in a fast-paced medical office, billing service, or physician practice environment. Adept at all aspects of third party billing. Multi-specialty billing experience preferred.

Who We Are At Encore Fire Protection, we are proud to be the east coast's largest full-service fire protection company, serving over 90,000 customers from Maine to Louisiana. With a team of over 2,200 dedicated employees, we provide innovative, customized fire suppression, fire sprinkler, and fire alarm solutions that protect lives and properties every day. Our goal is to deliver superior experience to those who trust us to safeguard what matters most. We are passionate about continuous growth, innovation, and maintaining a culture that thrives on success and commitment to safety. Our mission? To be the best fire protection company the industry has ever seen. Position Overview: Encore Fire Protection is seeking a Contract Billing Specialist to join our high-performing finance team at our Pawtucket, RI headquarters. This is a great opportunity for a detail-oriented professional with strong experience in AIA and construction billing to thrive in a dynamic, fast-paced environment. As a Contract Billing Specialist, you will take ownership of the full billing cycle for a portfolio of over 80 active construction projects, ensuring accurate and timely invoicing. You'll serve as the key point of contact between our internal project teams and external clients, playing a vital role in ensuring financial accuracy and customer satisfaction. Encore Fire Protection is a leading full-service fire protection company serving the Northeast from Maine to Louisiana. With over 2,000 employees and 50,000+ customers, our mission is to save lives and protect property through exceptional fire suppression, sprinkler, and alarm systems. If you're ready to be part of a rapidly growing team with a passion for purpose and results, we want to hear from you. Responsibilities: Prepare and submit monthly AIA billing forms (G702/G703) with accuracy and compliance. Generate customer invoices through intercompany billing software. Oversee billing for a portfolio of 80+ construction projects. Partner with project managers and clients to resolve billing discrepancies and streamline processes. Set up and maintain construction project records in SAGE, including contract changes and supporting documentation. Review contracts to extract critical billing details, terms, and line items. Manage lien waiver preparation and tracking (conditional, unconditional, and final). Monitor collections on outstanding invoices and follow up on retention and change order approvals. Track and verify Certificates of Insurance (COIs) for all relevant projects. Audit project completions to ensure accuracy in billing and collection of retainage. Qualifications: Minimum 2-3 years of proven experience in AIA billing or construction project billing. Solid understanding of accounting principles and contract billing best practices. Strong attention to detail and organizational skills. Proficiency in Microsoft Excel and billing/accounting systems. Prior experience with SAGE or similar ERP platforms. Excellent communication skills and ability to work cross-functionally. What We Offer: At Encore, we're all about creating a culture where success is celebrated. We recognize that our work makes people's lives safer, and we reward those who contribute to our growth. Here's what you can expect: Competitive Salary: Compensation commensurate with your experience, with the opportunity to earn performance-based bonuses tied to your personal effectiveness and contributions to the team. Purpose-Driven Work Environment: We believe in working smarter, not harder. You'll be part of a culture that values results, and we empower our team to focus on impactful work. Flexible Dress Code: Upon joining, you'll receive branded Encore gear and we believe in dressing for the objective, not the occasion. Most days, you can enjoy a casual work environment, but we'll dress up when the situation calls for it. Innovative Culture: We encourage a culture of experimentation and improvement. You'll have the freedom to express your ideas and be part of a company that is always looking to improve and grow. Tools for Success: Access to leading-edge web-based productivity tools. Health and Wellness: Comprehensive medical, dental, and vision coverage through Blue Cross to keep you and your family healthy. Retirement Planning: Participation in our Fidelity 401(k) plan with a company match, helping you save for your future. Life Insurance: Company-paid life insurance policy of $50,000 to give you peace of mind. Encore Fire Protection is an Equal Opportunity Employer. Encore Fire Protection is an E-Verify Employer. As an EEO/AA employer, Encore Fire Protection considers applicants for employment without regard to, and does not discriminate on the basis of, gender, sex, sexual orientation, gender identity, national origin, age, race, protected veteran status, disability, or any other legally protected status. #LI-LP1

State of Location: Rhode Island Our Patient Representatives are the backbone of our clinics and have a direct impact on patient experience. They work collaboratively with clinicians and colleagues to provide exceptional patient care and world-class customer service. Responsibilities include greeting and checking-in patients, scheduling appointments, answering incoming phone calls, verifying insurance coverage, obtaining necessary authorization, collecting payments, processing new patients, and helping the clinic maintain optimal performance. Ivy's rewarding and supportive work environment allows accelerated growth and development opportunities for all teammates. Join Ivy Rehab's dedicated team where you're not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient. Job Description: Patient Representative- Full-time Coventry, RI $18-22/hr Elite Physical Therapy, part of the Ivy Rehab Network Why Choose Ivy? Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture. Innovative Resources & Mentorship: Access to abundant resources, robust mentorship, and career advice for unparalleled success. Professional Development: Endless opportunities for career advancement through training programs centered on administrative excellence and leadership development. Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes. Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans, paid holidays, and bonus incentive opportunities. Exceptional Partnerships: Collaborate with leaders like Hospital for Special Surgery (HSS) to strive for excellence in patient care. Empowering Values: Live by values that prioritize teamwork, growth, and serving others. Position Qualifications: 1+ years of administrative experience in a healthcare setting is preferred. Proficiency in Microsoft Office applications such as Excel, Word, and Outlook. Great time management and ability to multi-task in a fast-paced environment. Self-motivated with a drive to exceed patient expectations. Adaptability and positive attitude with fluctuating workloads. Self-motivated with the eagerness to learn and grow. Dedication to exceptional patient outcomes and quality of care. IvyAdmin We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits. ivyrehab.com

Hunt and Hire is a SaaS, Manufacturing and Healthcare agency specializing in direct hire, contract and temp to perm placements for SMB nationwide. With a strong focus on delivering exceptional recruitment services, we pride ourselves on connecting top talent with top companies in the US. We are dedicated to building long-lasting relationships with both clients and candidates, ensuring mutual success and satisfaction. Mission: To inspire with a scrappy and friendly attitude, leading with empathy and authenticity. We commit to genuine solutions that empower our clients to forge lasting connections and create meaningful impact. Together, we don't just fill jobs we build relationships that last a lifetime. Values: Passion- Spirituality-Service- Empathy- Fun- Integrity Here's How You'll Make an Impact As a member of the Billing Department, you will play an integral role in ensuring the accuracy of all submitted contracts and product pricing, as well as overseeing the correct billing and invoicing of all orders and processing necessary refunds/credits to customers and sales partners alike. In this role you will work with our customer support representatives to provide quick and accurate information related to billing and data entry. Flexibility and a willingness to jump right help the team are crucial to success in this role. We need a go-getter who is eager to learn new things and own their piece of the team goal. What we want you to accomplish: Possess a working knowledge of company policies, procedures, products, and pricing Process Credits and adjustment on invoices Prepare monthly invoice copies to sales partners Prepare all batch reports Master the ability to review and approve or reject submitted contracts and product pricing Develop a well-rounded understanding of how multiple order types bill and invoice Find and correct errors within your daily tasks to avoid future issues Grow with the role as new duties emerge in a dynamic workplace Desire to cross-train within your department to better assist your team Assist with summer projects such as bulk settlement and return for credit in the high school division What you will be doing on a daily basis: Daily review of pricing Weekly review of penny report and release holds Daily review of credit cards disputes Check and correct multiple order types before billing Place and release necessary billing holds Review contracts and product pricing submitted by customer service representatives Process necessary refunds, credits, and rebills Research and provide support documentation to dispute credit card chargebacks Sort and record invoices to be entered from outside vendors Enter orders for charges from the art and shipping departments respectively Ensure the validity of student orders before releasing for invoicing monthly Provide customer service representatives and sales partners with accurate billing information and invoices Data entry of student paper orders What you will bring to the table: Time Management Strong math skills Ability to help define processes and workflow Previous success in a billing or finance role Effective communication across all levels of an organization by phone, email, and in person Moderate to advanced skills with Microsoft Office Demonstrate success in managing multiple tasks and projects at once while maintaining attention to detail Proven examples of process improvements Ability to work with multiple personality types Education / Certifications Required: High School Diploma or GED College Associate degree a plus

Highbar Physical Therapy is Hiring! Help us revolutionize the Physical Therapy industry! Highbar is a leading outpatient physical therapy practice experiencing significant growth with locations across New England. We've evolved our name to reflect the standard of care we've always provided and demonstrate how we are different. We bring together the science of musculoskeletal health with the art of individualized care, consistently delivering life-changing outcomes for our patients. The Billing Specialist is responsible for all revenue cycle activities which include: posting payments, analyzing explanation of benefit (EOB) statements and monitor accounts receivables. The billing specialist will maintain compliance with insurance companies and notify the Senior billing specialist when further investigation is necessary. The role also includes quality monitoring to ensure clean claim processing. What You'll Do: * Receive and post patient payments and schedule visits when necessary * Apply insurance payments to patient accounts * Follow up with insurance companies when claims are incorrectly denied, submit appeals and revise account information when necessary * Regularly review and maintain up to date knowledge of insurance guidelines * Guide and assist Patient Care Coordinators through difficult accounts * Provide information and assist patients when help is needed by researching and resolving billing problems or issues * Communicate and provide information to attorneys regarding medical records and patient balances Qualifications: * High school diploma or general education degree (GED) * Basic knowledge of billing and/or account receivable experience * Billing and coding certification preferred. Take the next step in your career with Highbar Physical Therapy - Apply today! More 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. Highbar is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, gender, gender identity, sexual orientation, disability, age, or veteran status.

Accurately prepares edits and submits bills in a timely manner, in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing policies, regulations, rules and reimbursement. Requirements: High school diploma or equivalent required. Associate s Degree preferred. Two (2) years billing experience in a medical setting preferred. Demonstrated competency in typing, use of a calculator, professional telephone skills, filing, photocopying and fax operations. Previous experience with PCs and knowledge of the computer systems and software, including Excel and Word, as well as electronic billing required. 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, 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. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Job DescriptionDescription: CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services. JOB SUMMARY: This position is responsible for posting all third-party insurance payments, process all denials appropriately and follow up on all unpaid claims. Work with patients and external collections company to provide account resolution. Work with the Billing Manager to maintain A/R. WORK SCHEDULE DEMANDS: This is a full-time position, 40 hours a week. Requirements: REQUIRED QUALIFICATIONS: 1-3 years of experience in third-party billing Medical Billing Certification, preferred Must possess all basic billing knowledge and understanding of third-party reimbursement Knowledge of physician referral protocols and conventions Working knowledge and strategic understanding of medical billing and reimbursement principles, procedures and documentation High School Diploma or GED Must have excellent communication skills both written and verbal, and internal personal skills. Ability to read, understand and follow oral and written instructions Must possess professional telephone manner Must be able to use a computer and possess basic skills in Microsoft Office products, ie Excel, Outlook and Word Excellent analytical and problem-solving skills Ability to perform multiple tasks effectively Able to work both independently and as part of a team Strong knowledge of practice management system, preferred Bilingual in Spanish, preferred. Provide/maintain all required immunizations and/or vaccinations. Complete/maintain all required background checks. Key Responsibilities: Record and post all third-party payments and adjustments in practice management system Works with manager to evaluate denials and trends in insurance payments and denials Works with Billing Manager and Site Managers to train and educate staff on proper procedures Answers questions from patients, clerical and front desk staff and insurance companies Identifies and resolves patient billing complaints Prepares and reviews weekly patient statements Evaluates patient's financial status and establishes budget payment plans. Follows and reports status of delinquent accounts Participates in educational activities and attends monthly staff meetings Performs various collection actions including but not limited to contacting patients by phone, correcting and resubmitting claims to third party payers All other assignments as directed by Billing Manager CCAP strives to cultivate and sustain a workforce devoted to providing compassionate and respectful care to all patients and clients. We are an Equal Opportunity Employer, committed to providing equal employment opportunities to all employees and applicants for employment without regard to any characteristic protected by federal, state, or local law. Our Benefits Our comprehensive benefits package includes 403(b), health insurance, vision and dental insurance, life insurance, long term disability, flexible spending accounts, health reimbursement accounts, tuition reimbursement up to $1,000 annually, Employee Assistance Program, generous vacation, sick and personal days, and up to 13 available paid holidays for full-time employees and some benefits are included for part-time employees.

SUMMARY: General supervision but according to established credit policies and procedures, interviews and registers patients for Emergency/Trauma Center or Ambulatory treatment by obtaining demographic, third-party insurance and related financial information, entering same to on-line computer system. Completes third-party documentation, discusses any existing balances for previous Hospital services rendered and makes preliminary determination on welfare eligibility. Request cash deposit approximating charge for scheduled services or co-insurance if applicable, and/or the co-payment required by third party coverage for clinic visits and outpatient ancillary service. Arranges payment terms. Contacts Patients Accounts Advocate, when applicable. Determines eligibility for free service when necessary. 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: Competes Hill-Burton application when patient lacks evidence of adequate health insurance coverage, according to established criteria for provision of uncompensated hospital services. Requires patient to sign statement of financial responsibility. Assists patient to apply for welfare coverage, if no coverage is obtained or if can not pay. Determines eligibility for Rhode Island Hospital free service for clinic visit only, using sliding scale and based on established guidelines for same.Advises Senior Patient Advocate of patients lacking health insurance coverage and/or sources of income sufficient to reimburse Hospital for services rendered.Completes documentation required to initiate commercial insurance, Workers' Compensation and/or CHAMPUS claims.Verifies third-party insurance plan numbers and benefit level. Documents all information obtained in PMAS accounting notes. Contacts insurance carrier when necessary to obtain tr5eatment authorization and co-payment information.Obtains authorization for treatment from health maintenance organizations, verifying coverage as needed.Discusses existing Hospital account balances and arranges payment schedule for same. Requests evidence of coverage or requested payment ranging from partial to full cost for clinic visit or entire treatment series. Requires completion of Financial information to make payment arrangements when patient unable to pay entire amount. Upon determination that a liability claim exists, completes lien form and notes in PMAS accounting file.Collects cash/credit card payment for Outpatient/Emergency/Trauma services when possible.Posts payments to specific general ledger account.Prepares bank deposit for pickup by cashier twice daily.Determines priority of health insurance coverage.Registers all patients on-line by entering appropriate data to computer system via terminal. Embosses identification card in order to initiate or update patient Hospital record. In ambulatory registration, registers all patients for PAC Operating Room, clinics and ancillary areas. Takes APC Operating Room bookings and initiates all charge vouchers for out-patient procedures in Emergency Department registration, notifies appropriate security agency of emergency treatments resulting from assaults, gunshot wounds, animal bites, accidents and the like, according to Rhode Island State Department of Health regulations.Follows up on third-party documentation from Private Physician' offices and other hospital off-hour ancillary areas. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE:A level of knowledge generally obtained through completion of High School with additional math and computer courses.Well developed interpersonal and communication skills in order to obtain patient information and deal effectively with the public at point of contact.Persuasive collection techniques. Ability to tactfully set payment arrangement terms and collect money.Full knowledge of third party health insurance claims processing, coverage and documentation requirements.Math skills and the ability to operate on-line computer terminal.Acquired knowledge of Accounting Department patient billing systems.EXPERIENCEix to twelve months of previous clerical support experience is required, preferably in a setting that demonstrates ability to function effectively in high-volume clinics.Previous experience with on-line data entryccess system required.WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Working conditions are generally good, little discomfort due to noise, heat, and dust.SUPERVISORY RESPONSIBILITY: None. Pay Range: $21.26-$21.81 Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work Type: Wed, Thurs, Fri 8:30am-5:00pm Work Shift: Day Driving Required: No Union: International Brotherhood Teamsters

SUMMARY: Under the general supervision and according to established procedures, welcomes visitors, provides accurate directions, responds to telephone inquires, and accesses computer for patient information. 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: Greets patients, guests, visitors, and provides accurate directions to all areas of the hospital complex. Responds to telephone requests for patient information. Preserves confidentiality of patient information. Performs a variety of routine clerical duties maintaining department records indicating patients' and visitors' status, location and phone extension. Maintains limited number of operational statistics. Operates computer terminal in order to access computer records. Issues courtesy coupons to clergy. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: High School Graduate. Excellent interpersonal skills. Computer competency. Some medical terminology helpful. Excellent telephone and customer service skills. EXPERIENCE: Two years job related experience. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: Exposed to normal patient care environment with frequent standing, walking, and sitting. SUPERVISORY RESPONSIBILITY: None. Pay Range: - Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work Type: Sunday through Saturdays every other weekend and g=holiday as needed. 12 hour shift 3 days per week 7Am until 7:30 PM Work Shift: Day Driving Required: No Union: International Brotherhood Teamsters

Sonsoft , Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft Inc. is growing at a steady pace specializing in the fields of Software Development, Software Consultancy and Information Technology Enabled Services. Job Description At least 7 years of experience in Guidewire product configuration/integration, solutions evaluation, validation, and deployment. At least 6 years of experience in problem definition, Architecture, Design and Implementation in a client facing role for US based Insurers. Analytical and Communication skills. The project, talent management, and thought leadership. Experience and desire to work in a consulting environment that requires regular travel. At least 7 years of IT experience in Insurance Domain with Guidewire expertise. Perform as a technical subject matter expert for Guidewire product. Analytical and Communication skills. Experience with project management. Experience and desire to work in a management consulting environment that requires regular travel. Qualifications Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education At least 7 years of experience with Information Technology Additional Information Connect with me @ ************************************* for direct clients requirements ** U.S. Citizens and those who are authorized to work independently in the United States are encouraged to apply. We are unable to sponsor at this time Note:- 1.This is a Full-Time & Permanent job opportunity for you 2.Only US Citizen, Green Card Holder, GC-EAD, H4-EAD & L2-EAD can apply 3.No OPT-EAD, H1B & TN candidates pleas 4.Please mention your Visa Status in your email or resume

Job DescriptionHighbar Physical Therapy is Hiring! Help us revolutionize the Physical Therapy industry! Highbar is a leading outpatient physical therapy practice experiencing significant growth with locations across New England. We've evolved our name to reflect the standard of care we've always provided and demonstrate how we are different. We bring together the science of musculoskeletal health with the art of individualized care, consistently delivering life-changing outcomes for our patients. The Billing Specialist is responsible for all revenue cycle activities which include: posting payments, analyzing explanation of benefit (EOB) statements and monitor accounts receivables. The billing specialist will maintain compliance with insurance companies and notify the Senior billing specialist when further investigation is necessary. The role also includes quality monitoring to ensure clean claim processing. What You'll Do: Receive and post patient payments and schedule visits when necessary Apply insurance payments to patient accounts Follow up with insurance companies when claims are incorrectly denied, submit appeals and revise account information when necessary Regularly review and maintain up to date knowledge of insurance guidelines Guide and assist Patient Care Coordinators through difficult accounts Provide information and assist patients when help is needed by researching and resolving billing problems or issues Communicate and provide information to attorneys regarding medical records and patient balances Qualifications: High school diploma or general education degree (GED) Basic knowledge of billing and/or account receivable experience Billing and coding certification preferred. Take the next step in your career with Highbar Physical Therapy - Apply today! More 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. Highbar is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, gender, gender identity, sexual orientation, disability, age, or veteran status.

Accurately prepares edits and submits bills in a timely manner, in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing policies, regulations, rules and reimbursement. Requirements: High school diploma or equivalent required. Associates Degree preferred. Two (2) years billing experience in a medical setting preferred. Demonstrated competency in typing, use of a calculator, professional telephone skills, filing, photocopying and fax operations. Previous experience with PCs and knowledge of the computer systems and software, including Excel and Word, as well as electronic billing required. 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, and our Wellness Centerare 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. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services. This position is responsible for posting all third-party insurance payments, process all denials appropriately and follow up on all unpaid claims. Work with patients and external collections company to provide account resolution. Work with the Billing Manager to maintain A/R. WORK SCHEDULE DEMANDS: This is a full-time position, 40 hours a week. Requirements REQUIRED QUALIFICATIONS: 1-3 years of experience in third-party billing Medical Billing Certification, preferred Must possess all basic billing knowledge and understanding of third-party reimbursement Knowledge of physician referral protocols and conventions Working knowledge and strategic understanding of medical billing and reimbursement principles, procedures and documentation High School Diploma or GED Must have excellent communication skills both written and verbal, and internal personal skills. Ability to read, understand and follow oral and written instructions Must possess professional telephone manner Must be able to use a computer and possess basic skills in Microsoft Office products, ie Excel, Outlook and Word Excellent analytical and problem-solving skills Ability to perform multiple tasks effectively Able to work both independently and as part of a team Strong knowledge of practice management system, preferred Bilingual in Spanish, preferred. Provide/maintain all required immunizations and/or vaccinations. Complete/maintain all required background checks. Key Responsibilities: Record and post all third-party payments and adjustments in practice management system Works with manager to evaluate denials and trends in insurance payments and denials Works with Billing Manager and Site Managers to train and educate staff on proper procedures Answers questions from patients, clerical and front desk staff and insurance companies Identifies and resolves patient billing complaints Prepares and reviews weekly patient statements Evaluates patient's financial status and establishes budget payment plans. Follows and reports status of delinquent accounts Participates in educational activities and attends monthly staff meetings Performs various collection actions including but not limited to contacting patients by phone, correcting and resubmitting claims to third party payers All other assignments as directed by Billing Manager CCAP strives to cultivate and sustain a workforce devoted to providing compassionate and respectful care to all patients and clients. We are an Equal Opportunity Employer, committed to providing equal employment opportunities to all employees and applicants for employment without regard to any characteristic protected by federal, state, or local law. Our Benefits Our comprehensive benefits package includes 403(b), health insurance, vision and dental insurance, life insurance, long term disability, flexible spending accounts, health reimbursement accounts, tuition reimbursement up to $1,000 annually, Employee Assistance Program, generous vacation, sick and personal days, and up to 13 available paid holidays for full-time employees and some benefits are included for part-time employees. Salary Description $19.00 per hour

Sonsoft , Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft Inc. is growing at a steady pace specializing in the fields of Software Development, Software Consultancy and Information Technology Enabled Services. Job Description:- At least 7 years of experience in Guidewire product configuration/integration, solutions evaluation, validation and deployment At least 6 years of experience in problem definition, Architecture, Design and Implementation in a client facing role for US based Insurers Analytical and Communication skills Project, talent management and thought leadership Experience and desire to work in a consulting environment that requires regular travel At least 7 years of IT experience in Insurance Domain with Guidewire expertise. Perform as a technical subject matter expert for Guidewire product. Analytical and Communication skills Experience with project management Experience and desire to work in a management consulting environment that requires regular travel Qualifications Basic Qualifications :- Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education. At least 7 years of experience with Information Technology. Additional Information ** U.S. citizens and those authorized to work in the U.S. are encouraged to apply. We are unable to sponsor at this time. Note:- This is a FULL TIME job oppurtunity. Only US Citizen, Green Card Holder, GC-EAD, H4-EAD, L2-EAD, TN VIsa can apply. No OPT-EAD & H1-B for this position. Please mention your Visa Status in your email or resume.

Accurately prepares edits and submits bills in a timely manner, in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing policies, regulations, rules and reimbursement. Requirements: High school diploma or equivalent required. Associates Degree preferred. Two (2) years billing experience in a medical setting preferred. Demonstrated competency in typing, use of a calculator, professional telephone skills, filing, photocopying and fax operations. Previous experience with PCs and knowledge of the computer systems and software, including Excel and Word, as well as electronic billing required. 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, and our Wellness Centerare 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. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.