Billing specialist jobs in Rhode Island - 113 jobs
Guidewire Policy Center/Billing Center Consutlant
Sonsoft 3.7
Billing specialist job in Warwick, RI
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.
$83k-113k yearly est. 60d+ ago
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Patient Accts Rep Amb ED
EPBH Emma Pendleton Bradley Hospital
Billing specialist job in Rhode Island
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:
28-hour 4:00p-12:30a rotating e/o weekend and holiday Wk1- M/W/S Wk2- S/M/TH/F
Work Shift:
Evening
Driving Required:
No
Union:
International Brotherhood Teamsters
$21.3-21.8 hourly Auto-Apply 51d ago
Third Party Biller
Care New England 4.4
Billing specialist job in Rhode Island
Under the direction of the A/R Supervisor the Third Party Biller facilitates all activity in regards to electronic and paper claims submissions to various third party payers. Maintenance and management of the claims edits within the claim scrubber to ensure that claims are generated accurately, and submitted in a timely fashion. The Third Party Biller functions as a billing liaison and initiates communications with supervisors and other hospital personnel to ensure appropriate processing of claims.
Duties and Responsibilities:
Reviews diagnosis codes, procedure codes, provider information, insurance policy and group numbers for accuracy and completeness and corrects in system as required.
Reviews bill for accuracy of charges, and makes appropriate adjustments/changes to bill form and system as required in accordance to payer policies, contracts and/or department procedures.
Follows appropriate procedure regarding rebilling functions for late charges and adjustments.
Research and correct missing information on bill form, in order to address with other hospital personnel as necessary.
Report trends, edits and scrubber errors to supervisor to provide a means of communicating with hospital personnel.
Ensure timely review of bill holds and errors to prevent timely filing denials.
Attends and participates in staff meetings, workshops, and in-service training programs.
Responds to changing conditions and reprioritizes tasks as required.
Accurately documents account history in appropriate computer systems within defined time frames in accordance with departmental policies and procedures.
Respond to email, telephone calls and other correspondence on a daily basis in accordance with department policy and procedures.
Preserves and protects patient's rights to confidentiality.
Performs other related duties as requested.
Requirements:
High school graduate required.
Post graduate business courses and/or third party billing experience preferred.
Must have excellent analytical skills, an aptitude for figures, and experience with various computer applications.
Excellent communication and interpersonal skills as well as demonstrated appropriate decision making/judgment skills when addressing edits and rejections.
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.
$35k-44k yearly est. 60d+ ago
Billing Specialist
Highbar Physical Therapy
Billing specialist job in Rhode Island
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 BillingSpecialist is responsible for all revenue cycle activities which include: posting payments, analyzing explanation of benefit (EOB) statements and monitor accounts receivables. The billingspecialist will maintain compliance with insurance companies and notify the Senior billingspecialist 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.
$33k-43k yearly est. Auto-Apply 56d ago
Payments - Billing Manager
Prime Heating & Cooling
Billing specialist job in Smithfield, RI
Join Prime Heating & Cooling as our full-time Payments - Billing Manager in Smithfield, RI, where your expertise will be valued and your hard work recognized.
At Prime Heating & Cooling, we believe in cultivating talent and fostering growth, making it an ideal place to advance your career. We offer competitive pay ranging from $27 to $32 per hour, along with an exceptional benefits package that includes medical and dental coverage, sick time, paid time off (PTO), an IRA, and life insurance.
Don't miss this opportunity-keep reading to find out how you can be part of our success story!
WHAT'S YOUR DAY LIKE?
As the Billing - Payments Manager, you immerse yourself in bookkeeping, meticulously balancing ledgers and ensuring each transaction reflects the company's integrity. You engage in discussions with colleagues about streamlining payment processes, contributing insights that enhance customer experiences while maintaining financial accuracy. Each day brings a sense of accomplishment as you turn numbers into narratives, connecting the financial health of the company with the satisfaction of clients who rely on your expertise, fueling a passion for growth and stability within the Prime Heating & Cooling family.
WHO ARE WE?
We are an established, family-owned HVAC service and installation business in Rhode Island, offering a range of services, including custom-designed heating and air conditioning systems, maintenance, and repair. With extensive knowledge in heating and cooling, we have built a strong reputation for exceptional customer service. Additionally, we are a certified apprentice company for pipefitters and electricians in Rhode Island. Whether it's a small or large task, our customers can depend on us. We are actively seeking qualified technicians and customer service experts to join our team, providing a supportive environment, excellent benefits, and opportunities for advancement.
WHAT'S NEEDED FROM A PAYMENTS - BILLING MANAGER?
We are seeking a full-time professional to work Monday-Friday, 8 AM - 5 PM who meets the following qualifications:
3+ years of AP/AR or accounting experience
Proficiency in Quickbooks, House Call Pro, or similar software
Knowledge of AIA billing and subcontractor payments
Strong organizational and communication skills
If you can meet these requirements and perform this Payments - Billing Manager job as described above, we would be happy to have you as part of our team!
$27-32 hourly 60d+ ago
Billing Specialist
St. Joseph School of Nursing 3.8
Billing specialist job in Providence, RI
# Summary:#Under supervision of the Billing Supervisor, the BillingSpecialist 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 BillingSpecialist 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.
$30k-34k yearly est. 33d ago
Contract/AIA Billing Specialist
Encore Fire Protection 3.9
Billing specialist job in Pawtucket, RI
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 BillingSpecialist 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 BillingSpecialist, 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
$37k-51k yearly est. Auto-Apply 52d ago
Specialist, Revenue Cycle - Managed Care
Cardinal Health 4.4
Billing specialist job in Providence, RI
**Remote Hours: M-F 8:30-5:00 pm EST (or based on business needs)** **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance related activities such as customer and vendor contract administration, customer and vendor pricing, rebates, billing (including drop-ships), processing charge backs and vendor invoices, developing and negotiating customer and group purchasing contracts.
+ Demonstrates knowledge of financial processes, systems, controls, and work streams.
+ Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls.
+ Possesses understanding of service level goals and objectives when providing customer support.
+ Demonstrates ability to respond to non-standard requests from vendors and customers.
+ Possesses strong organizational skills and prioritizes getting the right things done.
**_Responsibilities_**
+ Working unpaid or denied claims to ensure timely filing guidelines are meet.
+ Submitting medical documentation/billing data to Commercial (MCO) and government (Medicare/Medicaid) providers
+ Denials resolution for unpaid and rejected claims
+ Preparing, reviewing and billing claims via electronic software and paper claim processing
+ Insurance claims follow up regarding discrepancies in payment.
**_Qualifications_**
+ Bachelor's degree in business related field preferred, or equivalent work experience preferred
+ 1+ years experience as a Medical Biller or Denials Specialist preferred
+ Strong knowledge of Microsoft excel
+ Ability to work independently and collaboratively within team environment
+ Able to multi-task and meet tight deadlines
+ Excellent problem solving skills
+ Strong communication skills
+ Familiarity with ICD-10 coding
+ Competent with computer systems, software and 10 key calculators
+ Knowledge of medical terminology
**_What is expected of you and others at this level_**
+ Applies basic concepts, principles, and technical capabilities to perform routine tasks
+ Works on projects of limited scope and complexity
+ Follows established procedures to resolve readily identifiable technical problems
+ Works under direct supervision and receives detailed instructions
+ Develops competence by performing structured work assignments
**Anticipated hourly range:** $22.30 per hour - $28.80 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 2/12/2026 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_All internal applicants must meet the following criteria:_
+ _Rating of "Meets Expectations" or higher during last performance review_
+ _Have been in their current position for at least a year_
+ _Informed their current supervisor/manager prior to applying_
+ _No written disciplinary action in the last year_
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$22.3-28.8 hourly 8d ago
Billing Specialist
Hunt and Hire
Billing specialist job in Warwick, RI
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
$33k-43k yearly est. 60d+ ago
Medical Billing Specialist
Comprehensive Community Action 4.3
Billing specialist job in Warwick, RI
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.
$33k-40k yearly est. 1d ago
Payments - Billing Manager
Prime Heating & Cooling
Billing specialist job in Smithfield, RI
Job Description
Join Prime Heating & Cooling as our full-time Payments - Billing Manager in Smithfield, RI, where your expertise will be valued and your hard work recognized.
At Prime Heating & Cooling, we believe in cultivating talent and fostering growth, making it an ideal place to advance your career. We offer competitive pay ranging from $27 to $32 per hour, along with an exceptional benefits package that includes medical and dental coverage, sick time, paid time off (PTO), an IRA, and life insurance.
Don't miss this opportunity-keep reading to find out how you can be part of our success story!
WHAT'S YOUR DAY LIKE?
As the Billing - Payments Manager, you immerse yourself in bookkeeping, meticulously balancing ledgers and ensuring each transaction reflects the company's integrity. You engage in discussions with colleagues about streamlining payment processes, contributing insights that enhance customer experiences while maintaining financial accuracy. Each day brings a sense of accomplishment as you turn numbers into narratives, connecting the financial health of the company with the satisfaction of clients who rely on your expertise, fueling a passion for growth and stability within the Prime Heating & Cooling family.
WHO ARE WE?
We are an established, family-owned HVAC service and installation business in Rhode Island, offering a range of services, including custom-designed heating and air conditioning systems, maintenance, and repair. With extensive knowledge in heating and cooling, we have built a strong reputation for exceptional customer service. Additionally, we are a certified apprentice company for pipefitters and electricians in Rhode Island. Whether it's a small or large task, our customers can depend on us. We are actively seeking qualified technicians and customer service experts to join our team, providing a supportive environment, excellent benefits, and opportunities for advancement.
WHAT'S NEEDED FROM A PAYMENTS - BILLING MANAGER?
We are seeking a full-time professional to work Monday-Friday, 8 AM - 5 PM who meets the following qualifications:
3+ years of AP/AR or accounting experience
Proficiency in Quickbooks, House Call Pro, or similar software
Knowledge of AIA billing and subcontractor payments
Strong organizational and communication skills
If you can meet these requirements and perform this Payments - Billing Manager job as described above, we would be happy to have you as part of our team!
Job Posted by ApplicantPro
$27-32 hourly 26d ago
Guidewire Policy Center/Billing Center
Sonsoft 3.7
Billing specialist job in Warwick, RI
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
$36k-45k yearly est. 60d+ ago
Billing Specialist
Highbar Physical Therapy
Billing specialist job in Providence, RI
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 BillingSpecialist is responsible for all revenue cycle activities which include: posting payments, analyzing explanation of benefit (EOB) statements and monitor accounts receivables. The billingspecialist will maintain compliance with insurance companies and notify the Senior billingspecialist 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.
$33k-43k yearly est. 27d ago
Billing Specialist (Per Diem)
Care New England 4.4
Billing specialist job in Warwick, RI
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.
$34k-43k yearly est. 26d ago
Medical Billing Specialist
Comprehensive Community Action 4.3
Billing specialist job in Warwick, RI
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
$19 hourly 8d ago
Accounts Receivable Specialist, Customer Service Operations
Cardinal Health 4.4
Billing specialist job in Providence, RI
**Remote Hours: Monday - Friday, 7:00 AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist II contributes to Cardinal Health_** Account Receivable Specialist II is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims, following up on unpaid and denied claims, posting payments, managing accounts receivable, assisting patients with payment plans, and maintaining accurate and confidential patient records in compliance with regulations like HIPAA.
+ Demonstrates knowledge of financial processes, systems, controls, and work streams.
+ Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls.
+ Possesses understanding of service level goals and objectives when providing customer support.
+ Demonstrates ability to respond to non-standard requests from vendors and customers.
+ Possesses strong organizational skills and prioritizes getting the right things done.
**_Responsibilities_**
+ Submitting medical documentation/billing data to insurance providers
+ Researching and appealing denied and rejected claims
+ Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing
+ Following up on unpaid claims within standard billing cycle time frame
+ Calling insurance companies regarding any discrepancy in payment if necessary
+ Reviewing insurance payments for accuracy and completeness
**_Qualifications_**
+ HS, GED, bachelor's degree in business related field preferred, or equivalent work experience preferred
+ 2 + years' experience as a Medical Biller or within Revenue Cycle Management preferred
+ Strong knowledge of Microsoft Excel
+ Ability to work independently and collaboratively within team environment
+ Able to multi-task and meet tight deadlines
+ Excellent problem-solving skills
+ Strong communication skills
+ Familiarity with ICD-10 coding
+ Competent with computer systems, software and 10 key calculators
+ Knowledge of medical terminology
**_What is expected of you and others at this level_**
+ Applies basic concepts, principles, and technical capabilities to perform routine tasks
+ Works on projects of limited scope and complexity
+ Follows established procedures to resolve readily identifiable technical problems
+ Works under direct supervision and receives detailed instructions
+ Develops competence by performing structured work assignments
**Anticipated hourly range:** $22.30 per hour - $32 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 10/5/2025 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$22.3-32 hourly 34d ago
Accounts Receivable Specialist
Encore Fire Protection 3.9
Billing specialist job in Pawtucket, RI
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.
The Opportunity
We are seeking an Accounts Receivable Specialist to join our Finance team at our Pawtucket, RI headquarters. This role supports the day-to-day management of receivables across our growing service business and partners closely with Operations, Service, and Account Management to keep communication and processes running smoothly.
If you enjoy problem solving, like seeing how all the pieces of the billing and collections puzzle fit together, and get real satisfaction from a clean aging report, you'll fit right in. This is a hands-on role where you will have a clear line of sight between the work you do and Encore's financial health. When cash comes in on time and balances stay under control, you will know you had a direct hand in it. You will be in the mix every day, helping keep cash flowing, customers informed, and internal teams aligned. If you are already the person friends or family ask to help figure out a bill or organize a mess, you'll be in good company.
Here's what your first 90 days could look like in this role:
30 Days:
You will focus on learning Encore's systems, processes, and people. You will complete training in tools such as ServiceTrade, Sage, Esker, and other AR technologies while getting comfortable with our invoicing, remittance, and reporting workflows. You will shadow peers, process payments for invoices, and build a general understanding of the full billing cycle from start to finish. By the end of the first month, the acronyms will start to make sense, and the systems will feel a lot less mysterious.
60 Days:
You will begin partnering with other members of the AR team, contributing to shared workflows and supporting assigned locations. You will assist with collections follow-up, reconcile payments with the Cash Applications team, and collaborate with Operations to resolve billing issues. You will continue sharpening your accuracy, organization, and understanding of Encore's processes while becoming a reliable and proactive team member. At this point, you will start recognizing account names the way other people recognize favorite songs.
90 Days:
You will take ownership of your assigned locations and manage AR responsibilities with confidence. You will communicate directly with customers, handle collections and reconciliations, and maintain accurate documentation within our systems. You will start spotting trends, suggesting improvements, and consistently delivering results that help keep cash flow on track. People will know you as “the person who has the answer” when it comes to open balances.
Beyond:
You will play a key role in refining Encore's AR operations, helping improve efficiency, accuracy, and collaboration as we continue to scale. Your consistency and attention to detail will help set the standard for excellence across the team, and you will have the chance to grow your responsibilities as the business grows.
Key Responsibilities
Manage a portfolio of customer accounts and maintain accurate aging reports through proactive follow-up.
Partner with Operations, Account Management, and Service teams to resolve billing issues quickly and accurately.
Identify and escalate uncollectable balances, prepare recommendations for demand letters, agency submissions, or write offs.
Analyze payment trends to support collections strategy and help reduce Days Sales Outstanding.
Support process improvements, including automation and reporting enhancements, to make AR operations more efficient.
Handle accounting inquiries and assist with special projects that support the team's success.
Approach challenges with curiosity, collaboration, and solution-first mindset.
What You Bring to the Table
Your work centers on turning service work and project activity into clean invoices and even cleaner aging reports. You are the kind of person who would rather catch a messy balance early than chase it months later, and you do your best work when customers, coworkers, and numbers are all on the same page. To do that well here, you will bring:
One to three years of experience in Accounts Receivable, Collections, or a related accounting role. (Recent graduates with relevant coursework, internships, or transferable experience are encouraged to apply.)
Understanding of accounting principles and strong analytical skills to interpret and validate financial data.
Excellent communication and relationship building skills, with the ability to collaborate effectively across teams.
Proficiency in Microsoft Excel and comfort working within multiple systems.
Highly organized, detail-oriented, and able to manage competing priorities.
A proactive mindset and curiosity to learn new processes, tools, and approaches.
A team-first attitude and desire to grow within a company that values innovation, accountability, and purpose.
What Will Make You Stand Out?
You have a bachelor's degree in Accounting, Finance, Business Administration, or a related field.
You have experience in a multi-location, service-based, or construction-related business.
You have used systems such as Sage, ServiceTrade, Esker, or similar AR tools.
You have experience working directly with customers on past due balances or payment plans.
You have a track record of suggesting or implementing process improvements in AR or collections.
Beyond the Paycheck
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 Pay: Hourly rate based on experience with a performance-based bonus opportunity.
Tuition Assistance: Paid tuition for fire protection-related schooling needed to obtain licensing.
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.
Swag: High-quality company swag and attire (t-shirts, hoodies, jackets) - at least twice a year.
People-Focused Culture: We know our greatest strength is our people. That's why we've built a culture that encourages experimentation, learning, and improving together. You'll have the space to share your ideas and help shape a company that is constantly growing.
Tools for Success: Access to leading-edge web-based productivity tools.
Health and Wellness: Comprehensive medical, dental, and vision coverage 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.
#LI-LP1
EEO Statement
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 based on gender, sex, sexual orientation, gender identity, national origin, age, race, protected veteran status, disability, or any other legally protected status.
$40k-52k yearly est. Auto-Apply 1d ago
Guidewire Policy Center/Billing Center
Sonsoft 3.7
Billing specialist job in Warwick, RI
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.
$36k-45k yearly est. 60d+ ago
Professional Biller II
Care New England 4.4
Billing specialist job in Warwick, RI
Under the direction of the Care New England Supervisor, Professional Revenue Cycle, the Professional Biller II will service incoming telephone calls from patients who may question, challenge, or inquire about their account with CNE.
Duties and Responsibilities:
The Professional Biller II, provides support to the management of CNE accounts receivable and functions as billing liaison to intermediaries, insurance carriers, patients and guarantors.
The Biller II will be responsible for the processing of payments, denials, refunds, secondary claims, filing and balancing monthly spreadsheets and functions as liaison between the Professional Billing Office and the Finance Departments of each operating unit.
The Biller II will address edits/rejections and facilitates all activity in regards to electronic and paper claims submission.
Maintains and manages the claims edits and scrubber system.
Functions under CNE PBO established departmental policies and procedures.
Maintains compassion with patients serviced, while following compliance and privacy guidelines.
Requirements:
High school graduate or equivalent required with three to five years experience in third party medical billing.
Working knowledge of medical accounts receivable software programs and PC skills necessary.
Competence in math and knowledge of GAAP accounting principles as well as CPT and ICD-10 requirements.
Must have excellent communication and interpersonal skills as well as demonstrated ability to use initiative and independent judgment.
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 top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
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.
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.
$35k-44k yearly est. 60d+ ago
Accounts Receivable Specialist, Customer Service Operations
Cardinal Health 4.4
Billing specialist job in Providence, RI
**Remote Hours: Monday - Friday, 7:00 AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist II contributes to Cardinal Health_** Account Receivable Specialist II is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims, following up on unpaid and denied claims, posting payments, managing accounts receivable, assisting patients with payment plans, and maintaining accurate and confidential patient records in compliance with regulations like HIPAA.
+ Demonstrates knowledge of financial processes, systems, controls, and work streams.
+ Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls.
+ Possesses understanding of service level goals and objectives when providing customer support.
+ Demonstrates ability to respond to non-standard requests from vendors and customers.
+ Possesses strong organizational skills and prioritizes getting the right things done.
**_Responsibilities_**
+ Submitting medical documentation/billing data to insurance providers
+ Researching and appealing denied and rejected claims
+ Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing
+ Following up on unpaid claims within standard billing cycle time frame
+ Calling insurance companies regarding any discrepancy in payment if necessary
+ Reviewing insurance payments for accuracy and completeness
**_Qualifications_**
+ HS, GED, bachelor's degree in business related field preferred, or equivalent work experience preferred
+ 2 + years' experience as a Medical Biller or within Revenue Cycle Management preferred
+ Strong knowledge of Microsoft Excel
+ Ability to work independently and collaboratively within team environment
+ Able to multi-task and meet tight deadlines
+ Excellent problem-solving skills
+ Strong communication skills
+ Familiarity with ICD-10 coding
+ Competent with computer systems, software and 10 key calculators
+ Knowledge of medical terminology
**_What is expected of you and others at this level_**
+ Applies basic concepts, principles, and technical capabilities to perform routine tasks
+ Works on projects of limited scope and complexity
+ Follows established procedures to resolve readily identifiable technical problems
+ Works under direct supervision and receives detailed instructions
+ Develops competence by performing structured work assignments
**Anticipated hourly range:** $22.30 per hour - $28.80 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/10/2026 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************