Billing Specialist Jobs in Rhode Island

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 (8:00AM-4:30PM Monday-Friday), at our Providence location: 110 Elm St., Providence, RI. 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 as a resource to practice management and providers. Maintain knowledge of all applications including eClinical Works, Epic, Microsoft Word, Excel and on-line payer verifications/claims status. Submissions of claims to third party payers; ensure clean claim rates with submissions. Identify trends within the Accounts Receivable Verifies completeness and accuracy of all claims prior to submission. Timely follow up on insurance claim denials, exceptions or exclusions. Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days. Refund processing for third party payors and patients. Research and analyze payments for discrepancies to companies and individuals Accurately post all insurance and patient payments. Reading and interpreting insurance explanation of benefits. Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies. Respond to inquiries from insurance companies, patients and providers. Maintain patient confidentiality. Demonstrate flexibility to perform duties wherever volume deems it necessary within the billing area. BASIC KNOWLEDGE: A technical understanding of reimbursement policies and procedures of various third-party payor and medical assistance programs to ensure billing procedures are compliant. Interpersonal skills to exchange information with patients, internal and external clients. Understand the basic reporting and balancing. Analytical ability to research and resolve billing problems, trending and to prepare statistical reports depicting billing activity. Knowledge of insurance guidelines Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. Provide feedback to Brown Physicians Inc. practices surrounding error trends with demographics, eligibility, and etc. EXPERIENCE: High school diploma, GED Three -five years of progressively more responsible third-party payor billing. WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: Work is performed in a typical office setting requiring extended periods of sitting, standing and walking. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. INDEPENDENT ACTION: Work is performed under general supervision, with some independent judgment exercised in determining priorities. SUPERVISORY RESPONSIBILITY: None. Employees are required to be vaccinated against COVID as a condition of employment, subject to accommodation for medical exemptions. We value a diverse, talented workplace and seek colleagues who strive to better understand systemic barriers as it affects patient care and our academic institutions. Brown Physicians, Inc. welcomes nominations and applications from all individuals with varied experiences, perspectives, abilities, identities, and backgrounds to enrich our clinical, research, training and service missions.

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.

Under the direction of the 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. 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. Duties and Responsibilities: Monitors accounts receivable by age from date of service and by patient. As necessary, communicates with insurance carriers, patients or medical office staff to appropriately adjudicate patient accounts. Seeks assistance from direct superior with difficult accounts to provide resolution to account balances or patient inquiries. Follows strict guidelines established by CNE when taking contractual adjustments off of gross charges, or writing off a charge or portion of a charge to bad debt. Prevents timely filing denials by strict adherence to guidelines set by carrier for follow-up to denied claims. Following established guidelines, utilizes the information system tools to provide an audit trail on each patient account through editing, adding insurance demographics, linking appropriate insurance demographics to charges and etc. Pays close attention to correspondence from carriers and patients with a goal toward expedient resolution to outstanding claims and cash collections. Listens to patients issues, accesses the patient s account and either explains transactions as documented, or works with the patient to identify incorrect items that prevent the billing from being paid appropriately. Maintains strict confidentiality and compliance privacy protocols in in all dealings related to patients, physicians, accounts, fellow employees and the Care New England Health System. Responsible for posting insurance and patient payments into all professional billing systems, posting insurance denials into all professional billing systems, appropriately processing insurance and patient refunds in a timely manner and generating secondary claims for additional processing. Daily balances all payments entered into the professional billing systems. Utilizes balancing procedures to prepare and maintain monthly spreadsheets to be provide reporting to Finance Departments. Provides assistance to co-workers within the department to meet weekly, monthly and yearly department goals. Appropriately address claims that have failed edits or have been denied by the insurance carriers. Utilizes software systems to review and correct claims edits by carrier, prior to submission of claims to intermediaries and direct connect payers. Records and logs receipt of transmitted claims to payers, as well as take action within 24 hours in the event that claims transmission failed to be received by the carrier. Reports trends, edits and scrubber errors to management to provide a means of training for internal and external customers. Accesses patient medical records as required to provide appropriate information for billing resolutions. Accesses patient inquiry and patient transaction screens as appropriate to review billing history with a patient to provide resolution to patient s billing concern. Works closely with other Biller II to ensure telephone coverage at all times during established working hours. Perform other related job duties as assigned. 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 the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

Job Details Pleasant Street - Providence, RI Full Time None $48,125.00 - $59,837.00 Salary/year None Day FSRI is always looking for candidates that want to make a positive impact on the community we serve in! Assists the Billing Manager with the organization's third-party billing and accounts receivable processes. Qualifications: Three years of experience in medical billing required, preferably in a healthcare setting. Experience in credentialing. Knowledge of healthcare regulations, coding systems (such as CPT, ICD-10), and billing practices. Extensive knowledge of third-party payor reimbursement systems, rules and regulations relating to A/R. Strong data analysis skills with Excel knowledge. Strong communicator with a high level of confidentiality. Demonstrated computer skills including third-party billing software. Ability to remain organized, and to prioritize and complete multiple tasks. Bilingual skills are compensated by an additional 6%, above base pay. Multilingual skills are compensated by an additional 8%, above base pay. Don't meet every single requirement? Here at FSRI, we're dedicated to building a diverse and inclusive workplace. If you're excited about one of our career opportunities, but your experience doesn't align perfectly with every qualification, we encourage you to apply anyways. You may be the perfect fit for this or another opportunity! We offer our employees a comprehensive benefits package that includes health, dental and work life benefits. Only together can we continue to grow and make a difference in our communities. Join our FAMILY today! About Us: Dynamic and innovative, Family Service of RI (FSRI) is a statewide organization with a 130 year track record of success in improving the health and well-being of children and families all across our state. We are passionate about our mission to advance equity, opportunity and hope across ALL communities - we succeed by lifting others. FSRI's diverse and inclusive teams - working across Health, Healing, Home and Hope pillars, are experts in their fields - every day designing and delivering cutting edge strategies to save and improve lives. We provide services statewide, and currently operate in 3 locations in Providence; and in 4 locations in East Providence, Smithfield and North Smithfield. Family Service of Rhode Island provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, or status as a covered veteran in accordance with applicable federal, state and local laws. FSRI determines pay based on a candidate's relevant and transferable experience, certifications, licenses, degree and language ability.

The Authorization / Insurance Verification Specialist is responsible for verifying insurances and performing necessary authorizations based on insurance guidelines. The role also includes quality monitoring to ensure clean claim processing. What You'll Do: Identify and solve complex insurance benefit issues. Obtain detailed patient information to accurately submit to the proper insurance carriers. Contact health care providers to obtain referrals or additional information as necessary. Follow up with insurance companies to ensure receipt of patient benefit authorizations. Must maintain strong attention to detail to transpose data and information accurately. Schedule patient visits when necessary. Guide and assist Patient Care Coordinators through difficult accounts. Provide information and assist patients when help is needed by researching benefit coverage. Assist other departments as needed, including Billing and Front Office. Other duties may be assigned. Qualifications: Qualified candidates must have a high school diploma or GED as well as a basic understanding of health insurance benefits. Preference will be given to candidates with medical insurance and authorization knowledge. Compensation Package: We offer a comprehensive benefit's package including Medical, Dental & Vision; 401k with employer match; voluntary disability and life insurance options; Fitness & Wellness reimbursement; paid holidays and paid time off; Flexible work hours; Community volunteer opportunities, and more!

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Together, we can get life-changing therapies to patients who need them-faster.** **_Job Summary_** The Operations Supervisor will oversee program staff performing customer service, enrollment and reimbursement activities, benefit investigations for pharmacy benefit coverage, prior authorization assistance, copay enrollment and other hub services. **_Responsibilities:_** + Collaboratively oversees daily operations for an inbound and outbound patient access support team. + Ability to maintain development/training goals for team members in a 100% remote setting. + Responsible for creating and maintaining Standard Operating Procedures and work instructions & metrics specific to the program. + Responsible for conducting daily, weekly, monthly, and quarterly reviews of program metrics and reporting results to leadership. + Manages workflow within assigned team to ensure efficient customer service operations. Monitors inbound calls and workgroups, and tracks key performance indicators such as abandonment rate, Service Level, After Call Survey and First Call Resolution. + Responsible for testing/solutioning/approving program changes including those related to technology, platform upgrades and modifications to program business rules. + Meets regularly with Manager to discuss team performance and people management considerations. Assists the Manager in implementing new policies and procedures. + Conducts development-based biweekly/monthly/quarterly 1x1s with team members and holds responsibility for providing effective coaching, development and feedback on both performance and goal setting. + Responsible for managing Workday tasks; approvals timecards, PTO, etc. + Comply with all Local, State, and Federal laws and regulations as they pertain to services provided by the Company. This includes supporting and demonstrating compliance with the Company's Compliance and HIPAA Plans. + Collaborates with internal business partners to provide effective responses and resolutions to complex program related issues. + Manages time and independently prioritizes work responsibilities to meet key deadlines as assigned by manager. + Maintains daily contact with client/3rd party partners by leveraging excellent verbal and written communication skills. + Other duties as assigned. **_What is expected of you and others at this level_** + Coordinates and supervises the daily activities of operations or business staff + Administers and exercises policies and procedures + Ensures employees operate within guidelines + Decisions have a direct impact to work unit operations and customers + Frequently interacts with subordinates, customers, and peer groups at various management levels + Interactions normally involve information exchange and basic problem resolution + Ability to travel 25% of the time, when needed **_Qualifications_** + Bachelor's degree in related field, or equivalent work experience, preferred + 2-3 years' proven experience in a call center leadership position exposed to customer service preferred + Strong communication/customer service skills, (written and verbal) + Excellent leadership, trouble shooting, time management, and problem-solving skills + Ability to prioritize multiple, concurrent assignments and work with a sense of urgency + Highly organized by utilizing time management skills + Commitment to the continued development of oneself and team members + Ability to lead and engage remote employees + Shift flexibility required if coverage is needed on an early/later shift **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated salary range:** $66,500 - $94,900 **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:** 05/10/2025 *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 (***************************************************************************************************************************

Community Focused. Care Driven. Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it's our way of life, and you'll be at the heart of it. Southcoast Health is a not-for-profit, charitable, health system with multiple hospitals, clinics and facilities throughout Southeastern Massachusetts and Rhode Island. Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home. Find out for yourself why Southcoast Health has been voted ‘Best Place to Work' for 7 years in a row! We are searching for a talented Patient Access Representative *$1,500 new hire sign-on bonus for this position. (rehires termed more than 1 year also eligible)* Hours: 40hrs Shift: day shift, 8:30am - 5:00pm Location: Linden Tree Family Health Center - Portsmouth, RI A career at Southcoast Health offers you: A culture of well-being that embraces, respects, and celebrates the rich diversity of one another and the communities we serve Competitive pay and comprehensive benefits package Generous Earned Time Off Package** Employee Wellbeing Program 403B Retirement Plan with company match Tuition assistance / Federal Loan Forgiveness programs Professional growth opportunities and customized leadership training **Available to regular status employees who are scheduled to work a minimum of 24 hours. Southcoast Health is an Equal Opportunity Employer. Responsibilities Position reports to the Practice Manager/Administrator or designee. Check-in and check-out patients at assigned practice(s). Perform various operational support functions including scheduling patient visits, tests and surgical procedures. Greet patients, answer and direct telephone calls. Perform various clerical and administrative functions. May cover different offices as needed or directed. Qualifications Equal to the completion of 4 years of high school is required. Good computer and typing skills are required. Excellent customer service and interpersonal skills are required. Good organizational skills and ability to work in a fast paced environment is required. One year of medical office practice experience or graduation from a medical secretary program or the equivalent is preferred. Must be fully vaccinated against seasonal Influenza and the COVID 19 virus or to be exempt from the requirement for medical or personal reasons by signing a statement certifying you are choosing to be exempt from vaccination once hired Compensation: Pay rate will be determined based on level of experience. Pay Range USD $16.55 - USD $27.78 /Hr.

Under general direction of the Billing Manager the Billing Supervisor assists in the day-to-day Billing functions of Patient Financial Services. Organizes directs and controls activities for Brown Health and affiliates related to claim billing. Assists in identifying opportunities and implementing change within department guidelines federal and state regulatory requirements. Responsibilities: Assists Manager in the effective utilization of resources (people financial material and equipment) and overall budget monitoring to meet established operation and financial goals and objectives as it relates to appeals. In conjunction with the Manager establishes priorities to ensure activities support established goals. Supervises day-to-day activities of the Billing Department and addresses staffing and training needs of the Billing Staff. Interviews directs and evaluates support staff provides guidance and counsel. Orients new hires assigns work and establishes priorities. Assists Billing Manager in establishing annual performance objectives for staff conducts periodic performance reviews and recommends pay actions. Maintains up to date knowledge of changes in regulations that impact all aspects of billing especially but not limited to; responsible for the review of all CMS alerts to include from various intermediaries. Monitors and follows through with the implementation of CMS alert changes and updates. Shares necessary information with the billing manager and director. Collaborates and shares CMS information with respective departments and leaders as relevant. With the collaboration of the billing manager develops and communicates standards and expectations for staff performance. Provides guidance in day-to-day operations implements approved billing procedures monitoring the quality of work performed by staff ensuring tasks are completed in accordance with established procedures and conducted timely. Ensures staff is apprised of changes in policy and procedures that relate to area of responsibility ensuring adherence to same. As appropriate recommends corrective action to Manager up to and including termination. Serves as subject matter expert in SSI. Ensures all procedures are compliant with applicable Federal and State regulations. Initiates requests for system updates as appropriate to comply with such regulation and payer requirements. Functions as key resource to staff in resolving complex billing issues. Assigns work ensuring equitable distribution of same by maintaining related productivity reports and monitoring assigned work queues. Serves as expert resource for questions that need to be escalated because of complexity payer issue or customer complaints and concerns. Creates internal and external correspondence accurately clearly concisely and professionally while following organization federal and state regulations. Provides support to Manager in compiling documentation needed to respond to internal and external audits. Assists Manager in compiling and developing reports of various statistics needed for billing. Analyzes and monitors claim edits/billing reports trends. Regularly conducts individual and group meetings for department. Documents payroll for subordinate staff. Maintains vacation schedules and authorizes time off for staff. Adjusts coverage for vacation time and breaks as workflows fluctuate. Attends/conducts meetings in the Manager s absence. Performs other duties as necessary. Other information: QUALIFICATION-EDUCATION: High School Diploma Certification in billing and coding preferred. QUALIFICATIONS-EXPERIENCE: Three to five years progressive responsible experience in health care with emphasis in one or more of the following areas: health services coding departmental operations and managed care policies. Experience should demonstrate analytical skills proficiency with PC based systems. Demonstrated knowledge of hospital/professional billing and reimbursement Federal and State billing regulations. Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor. Location: Brown University Health Corporate Services USA:RI:Providence Work Type: Full Time Shift: Shift 1 Union: Non-Union

Summary: The Insurance Verification Specialist completes the daily verification and authorization process of all in and outpatient cases in the Charter Care Health Partners network. This process requires extensive knowledge of all third party contracts as they pertain to obtaining reimbursement for inpatient admissions and observation patients. The Specialist works closely with admitting, case management and the business office to assure the accuracy of information and timeliness of the verification/notification process.#The Specialist will contact physician offices, Federal # State Agencies and third parties to obtain information required to assure payment of inpatient claims. The Specialist will meet daily with the Insurance Verification Coordinator to discuss specific issues including but not limited to private pay admissions, scheduled un-authorized admissions, or any case that could result in non-reimbursable visits. Education/Experience: Two years of college, or 3-5 years experience in a Medical Business Office setting. Experienced in computer automated billing # collection process. Knowledge of third party regulations and compliance issues. Excellent verbal and written communication skills. Summary: The Insurance Verification Specialist completes the daily verification and authorization process of all in and outpatient cases in the Charter Care Health Partners network. This process requires extensive knowledge of all third party contracts as they pertain to obtaining reimbursement for inpatient admissions and observation patients. The Specialist works closely with admitting, case management and the business office to assure the accuracy of information and timeliness of the verification/notification process. The Specialist will contact physician offices, Federal & State Agencies and third parties to obtain information required to assure payment of inpatient claims. The Specialist will meet daily with the Insurance Verification Coordinator to discuss specific issues including but not limited to private pay admissions, scheduled un-authorized admissions, or any case that could result in non-reimbursable visits. Education/Experience: Two years of college, or 3-5 years experience in a Medical Business Office setting. Experienced in computer automated billing & collection process. Knowledge of third party regulations and compliance issues. Excellent verbal and written communication skills.

Information Posting Number SF01935 Job Title Specialist, Pre-Award (College of Health Sciences) Position Number 109730 FTE 1.00 FLSA Exempt Position Type Professional Staff Union PSA/NEA - Professional Staff Assoc Pay Grade Level Grade Level: 10 Pay Grade Range Anticipated Hiring Salary: $60,000 - $70,000 Status Calendar Year, Full-time, Limited Department Information Department Dean Health Sciences Contact(s) Please note: Job applications must be submitted directly online only at: (********************* Contact Phone/Extension Contact Email Physical Demands Campus Location Kingston Grant Funded Extension Contingency Notes This is a full time, calendar year position, limited to 12/15/2025 with anticipated renewal. Job Description Summary The search will remain open until the position has been filled. _______________________________________________________________________________________________________ About URI: The University of Rhode Island enrolls approximately 17,000 students across its graduate and undergraduate programs and is the State's flagship public research university, as well as the land grant and sea grant university, for the state of Rhode Island. The main campus is located in the historic village of Kingston, and the Bay Campus is located in Narragansett. Both campuses are near major beaches in a beautiful coastal community. URI is just 30 minutes from Providence, RI and within easy reach of Newport, Boston, and New York City. ______________________________________________________________________________________________ BASIC FUNCTION: Work with the College of Health Sciences (CHS) Chief Business Officer, Associate Director, CHS Pre-Award and other Research Staff to coordinate research support operations and activities within CHS. Prepare and review grant/contract proposals; develop budgets and other administrative details of proposals; adopt new computer technology for electronic transmission of proposals; and execute related duties as assigned. Duties and Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES: Assist CHS faculty in the development of all components of funding proposals, including budgets and internal forms, and in submitting proposals through the pre-award routing systems, i.e., InfoEd. Develop budgets for sponsored project proposals. Meet with University faculty and staff to determine budget and other requirements of proposed sponsored projects; prepare budgets and administrative detail adequate for proposal submission, considering faculty/investigator program needs, indirect costs recovery requirements, and other requirements imposed by federal, state, University, or sponsor guidelines. Knowledge of Federal new Uniform Guidance. Assist CHS Faculty with the review of research contracts/agreements. Maintain familiarity with federal, state, University, and sponsor requirements for University level externally sponsored projects and activities. Supervise administrative and technical personnel as assigned; execute related duties as required. Liaise between department staff, CHS Faculty and Sponsored Projects supporting them in a variety of activities related to the implementation of their project both pre-award and award intake. Liaise with the CHS financial team to ensure smooth implementation of award to post-award processes. Assist post-award staff with annual reporting for CHS Faculty. Primary focus will be on the pre-award period but may have responsibilities across the research life cycle. Assist CHS Faculty in preparation of reports per funding agency(s) requirements and guidelines. Assist in the organization of research and grant-related workshops and other special events where appropriate. Adapt new technologies for electronic transmission of proposals as required by government funding agencies, NSF, HHS, DOD, etc. OTHER DUTIES AND RESPONSIBILITIES: Perform other duties as required. LICENSES, TOOLS, AND EQUIPMENT: Personal computers, printers; word processing, database management, and spreadsheet software; InfoEd and other grant preparation software. Required Qualifications REQUIRED: 1. Bachelor's degree. 2. Minimum of three years of academic, finance, research, business or public administration experience in a complex setting. 3. Demonstrated experience with pre-award (grant) administration. 4. Demonstrated experience managing multiple, large, clinical and scientific grants. 5. Demonstrated computer experience (including enterprise software). 6. Demonstrated strong interpersonal and verbal communication skills. 7. Demonstrated proficiency in written communication skills. 8. Demonstrated presentation skills. 9. Demonstrated supervisory experience. 10. Demonstrated organizational skills. 11. Demonstrated ability to multitask in a fast-paced environment. 12. Demonstrated ability to work with minimal supervision. 13. Demonstrated ability to interpret institutional policies, plans, objectives, rules, and regulations and communicate the interpretation to others. 14. Demonstrated ability to work with diverse groups/populations. Preferred Qualifications PREFERRED: 1. Demonstrated progressively responsible experience in a complex, clinical and/or academic research setting. 2. Demonstrated experience in a higher educational setting. 3. Demonstrated experience using InfoEd software (including, human resource and financials modules). 4. Demonstrated experience with post-award activities. ________________________________________________________________________________________ The University of Rhode Island is an equal-opportunity employer committed to the principles of affirmative action. It is the policy of the University of Rhode Island to provide reasonable accommodation when requested by a qualified applicant or employee with a disability. Environmental Conditions The incumbent is not substantially exposed to adverse environmental conditions. Posting Date 01/14/2025 Closing Date Special Instructions to Applicants Please attach the following 3 (PDF) documents to your online Employment Application: (#1) Cover letter. (#2) Resume. (#3) Other Document - References - the names and contact information of three professional references. (Note: this document is required even though references may be listed on the application). Quicklink for Posting ***********************************

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

We are a diverse and fast growing pharmaceutical company that is committed to focusing on patient health while delivering consistently high performance. Our Pharmaceutical Sales Rep team provides the overall direction for our company, and provide us with the tools necessary to rise to any challenge by leveraging our collective hard work and effort along with our unwavering competitive spirit. These values help our Pharmaceutical Sales Representatives set goals based on our organization's potential and what we hope it will become. We are looking for a consistent and driven high performance with proven selling skills to join its innovative and skilled Pharmaceutical Sales Rep organization. Each Pharmaceutical Sales Rep will be responsible for establishing, promoting and maintaining a high level of sales. Our Pharmaceutical Sales Representative responsibilities: Promote and sell products to current and potential customers within a defined geography. Develop, analyze, prioritize and execute in order to execute territory plans to achieve business results through compliant means. Uses functional and technical knowledge of pharmacology products, healthcare, pharmaceutical market places, managed care, and customer markets to meet or exceed customer needs. Understand and execute sales territory management and customer development. Establish and maintain excellent communications and sound working relationships with physicians and healthcare providers. Actively participate in scheduled Company sales meetings, district and regional conference calls and other business meetings. Demonstrate honesty and integrity while modeling behaviors consistent with company standards and policies for business and compliance related matters. Other related duties as required. The Pharmaceutical Sales Rep opening qualifications: Have some sales abilities or sales experience in quota driven role Some education or knowledge of pharmaceutical and healthcare products Demonstration of sustained, high performance in current position and strong aptitude for learning High sense of urgency in particular with regards to customer service orientation Strong business acumen and ability to understand market opportunities Interviews are being conducting right away. Please apply today for this opportunity. We are committed to leveraging the talent of a diverse workforce to create great opportunities for our business and our people. EOE/AA. Minority/Female/Sexual Orientation/Gender Identity

Job Title: Billing Specialist - Physician Reports to: Billing Manager General Summary of Duties: Certified Professional Coder preferred, needed for a large orthopedic practice in Providence. Principle Duties and Responsibilities: Researches all information needed to complete the billing process including posting payments into the practice management system Follow up on claims, including tracking denials, resolving underpayments in a timely manner, managing refunds, and filing appeals Assist with answering billing calls Additional duties as assigned by the Manager to meet department needs Requirements: Minimum of 3 years of billing experience in a health care organization, CPT and ICD-10 knowledge, aging and collection processing. Orthopedics surgical billing experience preferred Interpersonal skills to deal effectively with patients, physicians, and staff Organizational skills to schedule time appropriately Ability to follow collection account to a successful conclusion Knowledge of third-party billing and other collection skills Must be able to travel to all sites if/when necessary.

Suite Life is a network of dedicated infusion centers serving patients from southeast & central MA and Rhode Island. Our mission is simple-to improve the patient's journey, reduce the cost of care, and be an effective resource for healthcare providers. We firmly believe that our patients deserve a better-quality experience, and we are committed to creating novel, innovative, and welcoming treatment centers to fulfill this vision. We are looking for a full-time patient authorization and reimbursement specialist for our Suite Life Medical infusion centers. This position will be based out of our Warwick, RI office. Responsibilities include: Patient benefit investigation and prior authorization process Ensuring incoming referrals are processed promptly Working with referral sources to obtain all required documentation for authorization attainment Indicate patients cost responsibilities Communicate with infusion site/staff if any additional assistance is needed Billing and collections Requirements Requirements: Minimum of 2-4 years related experience Strong communication and organization skills Attention to detail Exceptional knowledge base regarding health insurance plans and authorization process Excellent interpersonal skills and able to work in a team focused environment

We are seeking a full-time Medical Billing Specialist II in our Patient Accounting Department. This department supports the billing functions for the hospital. Minimum Qualifications:Associates Degree or equivalent work history/experience;3-5 years' experience third party billing for physician services;Substantial experience with denials, edits and rejections;Extensive background in appeals and A/R collections;Significant experience with insurance carrier plans and carrier websites. Excellent analytical trending, and verbal/written communication required

This role will partner, influence and support project and leadership teams in strategy development and execution by providing subject matter business/technical expertise in Oracle Products especially products that fall under OCI (SaaS, IaaS, PaaS). Act as a trusted advisor and liaison between Customer and Oracle implementation, Support and Development teams in implementing best practices to enhance the value of Oracle Products and Oracle Cloud. Position Overview: + Client advocate that provides guidance around product expertise and translates Customer needs/requirements into integrated solutions. + Responsible for understanding and translating Customers business requirements into specific systems, applications, or process designs. + Able to do fit gap analysis and come up with a roadmap to transition and implement a best fit solution that meets customer requirements. + Act as an advocate for the Customer. + Excellent understanding of Oracle Product set (Fusion, OCI, on-prem) to be able to enable business process transformation discussions with the Customer and with internal teams. + Be able to manage the communication and bring needed focus from various teams in ensuring project follows standard lifecycle from discovery, design, development, implementation, testing to go-live activities (SDLC). Career Level - IC5 **Responsibilities** **Key Responsibilities:** + Key leader, contributor and proactive collaborator to define and align the functional and technical vision for the program solution. + Provide strategy and solution support for Oracle SaaS products. Be well versed and able to understand the verticals (HCM, ERP, SCM, Sales Cloud, and EPM) with broader overarching understanding and support for Oracle Cloud products. + Participate in identifying the system, subsystems, and interfaces, validate technology assumptions and evaluate alternatives. + Align with product roadmap and features with Oracle's new release cycles, business enhancements and production break-fix solutions. + Lead and oversee end to end SDLC process from requirement intake, design, build, testing and deployment. + Works closely with management - Portfolio Manager and the roles within the pods (e.g., Business Analyst, Integration Specialist, QA, etc.) and contribute to strategic planning, direction, and goal setting for the department or function in collaboration with senior management. + Drive the deployment of Customers workloads to Oracle Cloud by providing deployment guidance, supporting development of the Customers Cloud adoption model, and providing appropriate recommendations to overcome blockers. + In this role one will engage with a wide cross section of internal and external partners - development, support, services, and third-party partners to drive Oracle Cloud adoption efforts. Cross functional team management experience is a must. + Management of large and complex service solution in a large enterprise or service provider. + Excellent written and verbal communication skills, including the ability to communicate with technical and non-technical staff at all levels of the Customer organization. + Understanding of CSS Service Portfolio (Cloud and On-prem). **Technical and Professional Skills:** + Bachelor's degree in computer science or a related field or an equivalent combination of education and work experience. + 10 years in IT industry and 5 years of demonstrated experience of OCI with thorough understanding of one of the Cloud product verticals (HCM, ERP, SCM, Sales Cloud, and EPM). + Excellent analytical and problem-solving skills, with ability to quickly understand the business functionality, converting them into technical solutions, while considering the broader cross-module impacts. + Excellent understanding of IaaS, PaaS to SaaS integration framework and underlying relational Database. + Demonstrable record of working with Senior Business Leaders in developing technology roadmaps and strategies. + Experience in leading Business Analysis, Business Process Design and Application Development (SDLC). + Successful track record in delivering IT solutions on time and on budget. + Excellent communication and presentation skills (MS Outlook, MS Excel, MS Word, MS Vision and MS PowerPoint, etc.). + Demonstrate successful working relationships with all levels of IT and Business Partners. + Extensive experience working in a team-oriented, collaborative, remote environment. + Excellent analytical, communication and organizational skills. Be able to lead, simplify and articulate. + Possess self-awareness and the ability to use constructive feedback to improve performance. + Team-Player who creates a positive team environment. + Two full cycle implementations of Cloud desired. + Ability to travel to customer locations and internal sessions (25%). \#LI-RR2 \#LI-Remote Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from $46.88 to $95.91 per hour; from: $97,500 to $199,500 per annum. May be eligible for equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.

Functions as a Central Registration specialist with primary accountability is to the Practice Manager with oversight by the Practice Supervisor and Director of Clinical Operations. Principle responsibility is for the collection of registration data, collection of copayments and any outstanding balances. Exhibits an understanding of the organization, its programs and procedures related to the operations of the surgical office. Expert handling of patient issues and patient confidentiality are mandatory. ESSENTIAL FUNCTIONS: Greet patient at front desk reception. Responsible to obtain and update demographic data and HIPAA data required at each visit. Collections of patient copayments when indicated. Posting of copayments in patient management system. Collections of past due balances or deductibles when applicable. Verification of patient eligibility in patient management system as well as insurance carrier websites to ensure active coverage. Notify secretarial staff when insurance is inactive. Obtain insurance referrals. Scanning all registration documents and linking in the EMR. Signing up patients for Current Care. Responsible for any other duties as may be assigned. MINIMUM KNOWLEDGE, SKILLS AND ABILITIES: High School Diploma or equivalent. 1-2 years of experience in medical office (preferred) Ability to represent the organization and serve consumers in a professional manner and promote a positive image of the organization and its services. Computer literate with basic knowledge of Microsoft Products. WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: Conditions common to a clinical practice environment. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Travel between offices between may be required. SUPERVISORY RESPONSIBILITY : None. Employees are required to be vaccinated against Covid as a condition of employment, subject to accommodation for medical exemptions. We value a diverse, talented workplace and seek colleagues who strive to better understand systemic barriers as it affects patient care and our academic institutions. Brown Surgical Associates welcomes nominations and applications from all individuals with varied experiences, perspectives, abilities, identities, and backgrounds to enrich our clinical, research, training and service missions.

You are an expert facilitator: you open doors, foster communication, and bridge the gap. In this role, you will be responsible for the successful growth of patient access initiatives of our client within the assigned geographic territory. The primary focus of the Patient Access Specialist is to leverage strategic insights within targeted interconnected inpatient/outpatient systems to achieve identified business objectives including formulary access, reimbursement support, care transition support, and site of care offerings across the neuroscience portfolio. You will: * Act as an extension of the HUB * Provide reimbursement education leveraging Patient Healthcare Information (PHI) to support the benefits investigation and prior authorization processes for neuroscience products and administration/observation * Provide education on operational requirements per FDA, federal, and state level requirements for the handling of a controlled medication * Work with stakeholders to include customer targets within Integrated Delivery Networks, Hospitals, Pharmacies specializing in Mental Health, Community Mental Health Centers, and other community settings where mental health patient populations are managed to ensure that the activities of the PAS contribute to the achievement of the objectives * Direct customers to key education resources as needed, including HUB and reimbursement questions Essential Requirements: * Bachelor's Degree * 5 years' experience in healthcare sales * Understanding and experience in the access and reimbursement landscape * Experience in building customer relationships, large account management, or related expertise (targeting, developing, and maintaining a customer base) * Demonstrated track record of achieving/exceeding responsibilities, goals and objectives * Current driver's license and clean driving record along with the ability to travel overnight up to 30% * Must live within territory or within territory boundaries. Desired Requirements: * MBA * 2+ years demonstrated in-depth knowledge of the mental health market * Working knowledge of the targeted geographical area with existing understanding of the local healthcare environment (hospitals, systems, referral patterns) * Ability to utilize customer relationships and develop traditional and non-traditional customer relationships to further business opportunities At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn't align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities. Why Syneos Health? Our ability to collaborate and problem-solve makes a difference in patients' lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world. Work Here Matters Everywhere | How are you inspired to change lives? Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled) Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements. At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.

The Authorization / Insurance Verification Specialist is responsible for verifying insurances and performing necessary authorizations based on insurance guidelines. The role also includes quality monitoring to ensure clean claim processing. What You'll Do: * Identify and solve complex insurance benefit issues. * Obtain detailed patient information to accurately submit to the proper insurance carriers. * Contact health care providers to obtain referrals or additional information as necessary. * Follow up with insurance companies to ensure receipt of patient benefit authorizations. * Must maintain strong attention to detail to transpose data and information accurately. * Schedule patient visits when necessary. * Guide and assist Patient Care Coordinators through difficult accounts. * Provide information and assist patients when help is needed by researching benefit coverage. * Assist other departments as needed, including Billing and Front Office. * Other duties may be assigned. Qualifications: * Qualified candidates must have a high school diploma or GED as well as a basic understanding of health insurance benefits. * Preference will be given to candidates with medical insurance and authorization knowledge. Compensation Package: * We offer a comprehensive benefit's package including Medical, Dental & Vision; 401k with employer match; voluntary disability and life insurance options; Fitness & Wellness reimbursement; paid holidays and paid time off; Flexible work hours; Community volunteer opportunities, and more!