- Elevance Health (Smithfield, RI)
- …Elevance Health office locations. **Open to any Elevance Health office**_ The ** Provider Reimburse Admin ** ensures accurate adjudication of claims, by ... translating medical policies, reimbursement policies, and clinical editing policies into effective and...or any combination of education and experience, which would provide an equivalent background. _A coding certification is required… more
- Providence College (Providence, RI)
- Position Information Position Title Administrative Coordinator, Philosophy Department Overview Provide administrative support to the Department Chair and the ... academic and student events, office furniture, and speaker honoraria. Prepare reimbursement and remittance forms for approval. Process payments, transmit reports,… more
- Humana (Providence, RI)
- …caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers ... the contracted working relationship with the health plan. The Supervisor, Provider Engagement works within thorough, prescribed guidelines and procedures; uses… more
- Humana (Providence, RI)
- …caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements for an organization that provides... Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. **Typical responsibilities, but not limited… more
- Elevance Health (Smithfield, RI)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with ... **Audit & Reimbursement III- Medicare Cost Report Audit** **_Locations:_** _This...other associates + Analyze and interpret data per a provider 's trial balance, financial statements, financial documents or other… more
- Elevance Health (Smithfield, RI)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with ... **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** :...other associates. + Analyze and interpret data per a provider 's trial balance, financial statements, financial documents, or other… more
- Elevance Health (Smithfield, RI)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** , will support our Medicare Administrative Contract (MAC) ... **Audit & Reimbursement Senior -** **Medicare Cost Report Audit** **Locations:**...or any combination of education and experience which would provide an equivalent background + **_This position is part… more
- Elevance Health (Smithfield, RI)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with ... of Health and Human Services). Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on… more
- Cardinal Health (Providence, RI)
- …registration, business office, finance, practice operations etc.) to facilitate contract administration and execution + Support clinic and admin departments ... This role's primary focus is to work diligently to ensure optimal reimbursement for physician services and physician satisfaction as it relates to managed… more
- Nelnet (Warwick, RI)
- …Embedded framework, building reports while also making enhancements to the PBI Admin (Release) Application and Client Application. You will also have the opportunity ... Embedded applications, including building visualizations and the Client and Admin applications + Write code and automated tests for...and automated tests for new features + Review and provide feedback on development pull requests + Provide… more
- Brockton Hospital (North Easton, MA)
- …by RN/MD. Refer patients who require further teaching interventions to an RN or provider . + Provide emergency care to patients when necessary, using basic life ... of competency has been assessed with a signed order. + Alert RN and/or provider of patient's/family's questions or issues related to vaccine administration . +… more
- Prime Therapeutics (Providence, RI)
- …of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is ... to provide outstanding service to internal and external customers and...and external customers and strive to resolve member and provider needs on the first call. Performance expectations are… more
- Prime Therapeutics (Providence, RI)
- …program. Staff members serving in this position serve as experts on MAC provider reimbursement issues for their respective assigned accounts. **Job Description** ... set by customer. Responsible for coordination and monitoring of the administrative provisions of the Prime Therapeutics contracts with providers. This is… more
- HealthEdge Software Inc (Providence, RI)
- …regulatory shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite ... of system functionality related toclaims adjudication,benefitsconfiguration,interfaces to third-partyclaims editors,and Provider data maintenance processes. You willdefine and prioritize the… more
- Boys Town (Portsmouth, RI)
- …job as a Family Teacher. Together each of you will be part of a team that provide care and guidance to boys and girls in need. $20,000 HIRING BONUS! up to $6,000 ... in need of medical care or assistance. + Utilizes Boys Town vehicle to provide transportation for youth as needed. Provides direct care and service to children. +… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance ... surgical patient. Responsible for assuring safe recovery from anesthesia and provide pain treatment in the immediate postoperative period. Accountable for adhering… more
- HealthEdge Software Inc (Providence, RI)
- …(eg, claim life cycle/workflow, network contracting, payment/policy configuration, provider relations, medical management, medical economics, audit, compliance) ... a moreholistic approachto payment integrity that focuses on comprehensive reimbursement , agile editing, and integrated analytics. Our interoperable, cloud-based… more
- Mathematica (Providence, RI)
- …** * Collaborate with pricing, purchasing, accounting, finance staff and other administrative groups within Mathematica to provide end‐to‐end business solutions ... You will also work closely with Mathematica's corporate legal team as necessary to provide advice on contractual terms to minimize risk to all parties prior to… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- … peri-operative care including pre-operative assessment, intra-operative anesthetic administration , and monitoring of post-anesthesia care in compliance with ... the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance… more
- HealthEdge Software Inc (Providence, RI)
- …shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans, and provider contracts. The complete suite ... our integrated solutions suite includes the industry's leading, digital,next-generationclaims administration processing system, business intelligence, integration capabilities, a unique… more