20 medical biller jobs found in Pawtucket, RI

Job Description Job Description Medical Biller Location: Pawtucket, RI 02861 Pay: $23–$25/hour Type: Contract-to-Hire (CTH) or Direct Hire (DH) Start Date: Within 3 weeks Schedule: Monday–Friday, 8:00 AM – 5:00 PM Dress Code: Business Casual About the Role We are seeking experienced Medical Billers to join our growing team. This position requires strong knowledge of hospital billing, insurance denials, and proficiency in Epic. If you are detail-oriented and thrive in a collaborative environment, we want to hear from you. Key Responsibilities Data Verification: Review and verify billing data for accuracy Accounts Receivable: Track payments and follow up on overdue accounts Discrepancy Resolution: Address billing inquiries and resolve discrepancies promptly Insurance Claims: Prepare and submit claims to carriers, ensuring compliance Payment Processing: Post and reconcile payments Compliance: Stay current on billing regulations and insurance...

Job Description Job Description POSITION SUMMARY As a Medical Biller at MASS LUNG & ALLERGY (MLA) this position performs a wide variety of duties and responsibilities in a manner that places emphasis on quality of care and customer service. The incumbent must work collaboratively with all staff in support of patient services, exhibiting flexibility and a "can-do" attitude. Patient services are the key priority in this position requiring the Medical Biller to serve as a point of contact with other internal and external departments, all with the goal of fostering an environment which promotes patient comfort and trust. The position must exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy, and tact in patient/staff interactions. 60% DUTIES AND RESPONSIBILITIES: Register and verify insurances for inpatient/outpatient hospital, pulmonary function test readings, sleep study readings and nursing home claims. Verifies...

Job Description Job Description Benefits: Competitive salary Flexible schedule Opportunity for advancement Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary The Home Health Medical Biller is responsible for accurately managing the billing cycle for home health services, ensuring timely submission of claims, and securing optimal reimbursement from Medicare, Medicaid, and commercial insurance plans. This role includes verifying patient eligibility, reviewing clinical documentation, coding diagnoses and services, resolving claim denials, following up on outstanding balances, and maintaining strict compliance with federal, state, and payer-specific regulations. The biller collaborates closely with clinicians, intake, quality assurance, and authorization teams to ensure clean claims and accurate billing. Strong attention to detail, proficiency with EMR and clearinghouse systems, and the ability to communicate...

Benefits Competitive salary Flexible schedule Opportunity for advancement Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary The Home Health Medical Biller is responsible for accurately managing the billing cycle for home health services, ensuring timely submission of claims, and securing optimal reimbursement from Medicare, Medicaid, and commercial insurance plans. This role includes verifying patient eligibility, reviewing clinical documentation, coding diagnoses and services, resolving claim denials, following up on outstanding balances, and maintaining strict compliance with federal, state, and payer-specific regulations. The biller collaborates closely with clinicians, intake, quality assurance, and authorization teams to ensure clean claims and accurate billing. Strong attention to detail, proficiency with EMR and clearinghouse systems, and the ability to communicate effectively with payers and internal staff are...

Join to apply for the BUSINESS OFFICE MEDICAL BILLER role at Slocum-Dickson Medical Group 1 year ago Be among the first 25 applicants Join to apply for the BUSINESS OFFICE MEDICAL BILLER role at Slocum-Dickson Medical Group Get AI-powered advice on this job and more exclusive features. Description Description JOB SUMMARY: Under the Supervision of the Business Office Manager is responsible for the timely submission of claims as well as accurate follow-up of claims submitted to the assigned insurance payers. Responsible for notifying Governmental payers of all overpayments per Federal guidelines. Will assist the provider office(s) with any requested benefit verifications. Will keep current of all assigned payer newsletters and bulletins. Duties & Responsibilities Responsible for ensuring the timely filing of insurance claims through the use of the claim edit work queue as well the follow-up 277 payer rejection work queue. Responsible for follow–up of insurance claims...

Job Description Job Description Medical Biller East Haven, CT Full-Time Job Description: We are seeking a detail-oriented and reliable Full-Time Medical Biller to join our team. The ideal candidate will have a solid understanding of medical billing processes, claims submission, and insurance follow-up. This role requires accuracy, strong communication skills, and the ability to work in a fast-paced environment. Key Responsibilities: Manage and process medical billing for various healthcare services. Prepare and submit insurance claims accurately and in a timely manner. Conduct accounts receivable follow-up with insurance companies and patients. Review and resolve billing discrepancies, denials, and outstanding balances. Maintain current knowledge of billing regulations, insurance guidelines, and compliance standards. Collaborate with internal staff and healthcare providers to ensure proper documentation and coding. Required Skills: Proven...

Job Description Job Description Description: Come join our growing team as a Medical Biller! CPA Medical Billing, a division of GeBBS Health Care company, is currently seeking an experienced medical biller to join their team. Connecticut based candidates only. The Medical Biller is one of the most important components to revenue cycle management as this role plays an integral part in getting the doctors paid. This position requires a vast array of different skills that when applied properly deliver a positive result in a timely manner. Responsibilities and Duties: Research: Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial. Devote time weekly to work current rejections 1 to 90 days old. Fix errors and re-bill accordingly. Look up payer eligibility using payer websites or call payers to gather needed information for billing. Update all accounts in the system for that patient and promptly re-bill. Contact...

Job Description Job Description Description: Job Title: Full-Time Medical Biller Job Description: We are seeking a detail-oriented and experienced Full-Time Medical Biller to join our team. The ideal candidate will have a strong background in medical billing, specifically with experience in Athena and Centricity systems, as well as expertise in accounts receivable follow-up for private practice and internal medicine. Key Responsibilities: - Manage and process medical billing for various services provided in a private practice setting. - Utilize Athena and Centricity software for accurate billing and coding. - Conduct accounts receivable follow-up to ensure timely payment from insurance companies and patients. - Review and resolve billing discrepancies and denials. - Maintain up-to-date knowledge of billing regulations and compliance standards. - Collaborate with healthcare providers to ensure accurate documentation and coding. Required Skills: - Proven...

Description CPA medical Billing a division of GeBBS Health Care company is currently seeking an experienced medical biller to join their team. Connecticut based candidates only. The Medical Biller/Accounts Receivable Specialist is one of the most important components to revenue cycle management as this role play an integral part in getting the doctors paid. This position requires a vast array of different skills that when applied properly deliver a positive result in a timely manner. Responsibilities Research: Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial. Devote time weekly to work current rejections 1 to 90 days old. Fix errors and re-bill accordingly. Look up payer eligibility using payer websites or call payers to gather needed information for billing. Update all accounts in the system for that patient and promptly re-bill. Contact guarantors as needed to determine insurance coverage. Drop tickets having no insurance...

JOB DESCRIPTION As a Billing Specialist, you will manage the end-to-end medical billing process for multiple hospitals, facilities, and clients. Your role will involve entering and verifying patient and insurance information, coding procedures accurately, and submitting claims for professional services (Pro Fee). You will follow up on unpaid or denied claims, resolve discrepancies, and ensure compliance with payer requirements. Additionally, you’ll collaborate with internal teams and external partners to maintain accurate records and support the acquisition transition. This position requires strong attention to detail, familiarity with medical billing systems, and the ability to work efficiently in a fast-paced environment. REQUIRED SKILLS AND EXPERIENCE Medical Billing or Pro Fee billing Experience Familiarity with claims processing or CPC certification Minimum 2–3 years in medical billing Onsite Requirement: Must work onsite in Pawtucket, RI, 5 days per week...

Job Description Job Description SUMMARY: Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient accounts to ensure the financial stability of the organization. This is a full-time, 40 hours/week position (Monday-Friday), at our Providence location: 110 Elm St., Providence, RI. PRINCIPLE DUTIES AND RESPONSIBILITIES: Applies the Brown Physicians Inc. values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Physicians Inc. mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance with the Brown Physicians Inc. Compliance Program and Code of Conduct. Practices the Brown Physicians Inc. Customer Service Standards. Maintain current knowledge of federal and state regulations regarding medical billing practices. Act as a resource to practice...

Job Description Job Description SUMMARY: Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient account charge entry. These financial transactions are to ensure stability of the organization’s accounts receivable. This is a full-time, 40 hours/week position (Monday-Friday), located on-site at our Providence office PRINCIPAL DUTIES AND RESPONSIBILITIES: Applies the Brown Physicians Inc. values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Physicians Inc. mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance with the Brown Physicians Inc. Compliance Program and Code of Conduct. Practices the Brown Physicians Inc. Customer Service Standards. Maintain current knowledge of federal and state regulations regarding medical billing practices. Act...

Medical Billing Specialist Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices. At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun! Medical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner. Responsibilities include: Working directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid. Verifying correct insurance filing information on behalf of the client and patient. Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems. Prepare, review,...

Patient Support Medical Claims Processing Representative Remote Role Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical...

Patient Support Medical Claims Processing Representative Contract Remote Role Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and...

Certified Professional Coder (CPC) Position : Certified Professional Coder (CPC) Location : Women’s Health CT- HQ Working arrangement : Remote/Hybrid Employment Type : Full-time, 40 hours per week Schedule : Monday- Friday Reports to : Director of Revenue Cycle Management Position Summary : The CPC-Medical Biller is responsible for accurately reviewing, entering and reconciling medical billing codes for patient services and treatments in compliance with guidelines and standards of the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS) and the American Academy of Professional Coding (AAPC). Essential duties and responsibilities : Receive and review charge entry data from all assigned practice locations Accurately and efficiently enter charges and adjustments Apply patient payments in Practice Management system Keep current on informational changes in billing procedures Reconcile monthly charges to ensure accuracy Resolve missing...

Cookie Notice**Title:**Associate Director, Business Ethics, Medical Affairs & Neuroscience**Company:**Ipsen Biopharmaceuticals Inc.**About Ipsen:**Ipsen is a mid-sized global biopharmaceutical company with a focus on transformative medicines in three therapeutic areas: Oncology, Rare Disease and Neuroscience. Supported by nearly 100 years of development experience, with global hubs in the U.S., France and the U.K, we tackle areas of high unmet medical need through research and innovation. Our passionate teams in more than 40 countries are focused on what matters and endeavor every day to bring medicines to patients in 88 countries. We build a workplace that champions human-centric leadership and fosters a culture of collaboration, excellence and impact. At Ipsen, every individual is empowered to be their true selves, grow and thrive alongside the company’s success. Join us on our journey towards sustainable growth, creating real impact on patients and society!For more...

Inpatient/DRG Validation Coding Auditor The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Has an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG...