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Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
Benefit Assistant/Reception (Full Time) Location: Woonsocket, RI Are you a highly organized person who is able to work in a fast paced environment with ease? Are you people-oriented with good listening ..
Behavioral Health Program Development Manager (Full Time) Location: Providence,RI Seeking a self-motivated and organized Behavioral Health Program Development Manager to work in our busy Acute Services division. The Program Development Manager ..
Genesis HealthCare is one of the nation's ... the nation's leading providers of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion!We Care..
President and CEO Horizon Healthcare Partners (Full Time) Location: East ... East Providence, RI Unique Behavioral Healthcare Leadership Opportunity Horizon Healthcare Partners (HHP) is conducting a ... grow a comprehensive..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..
... East Providence, RI Unique Behavioral Healthcare Leadership Opportunity Horizon Healthcare Partners (HHP) is conducting a ... grow a comprehensive state-wide behavioral healthcare and human service network that ... sources...
Benefit Support/Reception (Full Time) Location: Woonsocket, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of vaccination must be ..
HR Assistant/Credentialing Specialist (Full Time) Location: Woonsocket, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of vaccination must ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
... is looking for an experienced Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares investigative and audit ... areas Bachelor's degree or significant..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... RI, 02818 School - ST, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
Job Description As a Pharmacy Technician - Clinical Support Services you will be assisting the pharmacist and communicating directly with patients over the telephone, scheduling medication deliveries, tracking lab data, billing, ..
... is a leading provider of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion! We Care ... that is responsible for census,..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Benefit Support/Reception (Full Time) Location: Woonsocket, RI Are you a highly organized person who is able to work in a fast paced envir onment with ease? Are you people-oriented with good ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
Credentialing Specialist / HR Assistant (Full Time) Location: Woonsocket, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of ..
Reception Registration (Full Time) Location: Woonsocket, RI Are you a highly organized person who is able to work in a fast paced envir onment with ease? Are you people-oriented with good ..
Health Information Specialist (Full Time) Location: East Providence, RI The BH Link is searching for an enthusiastic professional who is looking to make a positive impact in the Rhode Island community! ..