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Case Worker

East Providence,RI

837 Case Worker jobs in East Providence,RI

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Patient Care Coordinator

Highbar Physical Therapy

Seekonk, MA 02771

$18/hr
Flexible Schedule
New, Posted 14 hours ago
Recommended
Childcare Needed

Care.com

Barrington, RI 02806

$25-$40/hr
New, Posted 13 hours ago
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Patient Financial Services Representative/Hospital Billing

South Shore Health

Whitman, MA 02382

~ 51 min Onsite

  • Candidates must reside in MA, RI, CT or NH to be considered
  • Position is based in Weymouth, MA
  • Knowledge of healthcare billing, insurance plans, codes, and reimbursement methodologies
  • Proficiency in data entry and basic computer skills, including Microsoft Office Suite
  • Excellent organizational and multitasking skills
  • Strong interpersonal and communication skills
  • Strong analytical and independent decision-making skills
  • Minimum Education High school graduate or above
  • Minimum Work Experience 2 years of hospital and/or physicians billing preferred
  • Hybrid or remote work options may be available
  • Notifies manager of any changes that would affect claim submission
  • Maintain compliance with federal, state, payer, and organizational billing regulations
  • Monitor payer policy updates and communicate changes that may impact billing, collections, denials, or reimbursement processes
  • Evaluates daily claim file using Claim Edit and Charge Review Work queues for submission of UB-04 and 1500 claim forms
  • Initiate claim corrections as defined payer regulation and hospital policy
  • Works external claim edits from Clearinghouse and resubmits claims through EPIC
  • Initiate collection of aged accounts receivable through Epic work queues while prioritizing accounts based on organizational goals and aging criteria
  • Unresolved and incomplete accounts require insurance company contact by phone, e-mail or designated web site to resolve outstanding balances
  • Collaborate with denial management staff for accounts that require clinical intervention for an appeal process
  • Collaborate with clinical departments, patient access and other departments as needed to resolve account issues
  • Generate technical appeals as needed for account resolution
  • Provide to manager a detail account history for any account that is considered uncollectable
  • Document all actions taken within the EPIC account notes section and/or follow up/denial activities note section
  • Documentation is required at least every 30 days for all accounts requiring follow-up
  • Escalates payer related issues to Provider Representative for resolution and participate in monthly meetings
  • Must maintain defined quality and productivity measures
  • Evaluate current processes, identify denial or payment trends and escalate to Management
  • Handle payer 277 rejections and resubmit through EPIC system
  • Reconcile account balances and ensure appropriate adjustments are applied according to established policies
  • Review credits work queues for resolution of overpayments and undistributed payments
  • Review credit balances in assigned work queues and request refunds or payer retraction as needed
  • Communicate with patients as needed for additional insurance or other information needed in order to process a claim
  • Generate phone calls or letters as needed to obtain necessary insurance or other related information, prior to an account being placed in self-pay
  • Obtain proper verification of predefined patient demographic information and maintain documentation in order to verify identity
  • Embraces technological solutions to work processes and practices
  • Uses the Mytime payroll system to enter time worked, sick days, vacations and holidays
  • Uses Epic functionality
  • Uses MS Outlook as a communication tool
  • Access provider web sites for verification of accounts
  • Access SharePoint and OneDrive for stored files
  • Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment
  • Successfully answers safety questions in the annual mandatory education packet
  • Maintains a neat, organized work environment
  • Adheres to respiratory etiquette guidelines
  • Assist with identifying workflow improvements to enhance operational efficiency
  • Assist leadership with special projects, audits, and process improvement initiatives
  • Other duties as assigned by Management in accordance with department needs
  • Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization
  • Embraces technological advances that allow us to communicate information effectively and efficiently based on role
  • Complete necessary training sessions required for the Billing System and assigned accounts within Follow Up and Denial work queues
SmartExplore AI is experimental.
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New, Posted 17 hours ago
Recommended
4am Inbound (Stocking) (T2267)

Target Stores

South Easton, MA 02375

Flexible Schedule
New, Posted 6 hours ago
Recommended
Pharmacy Order Selector- 1st Shift

CVS Health

North Smithfield, RI 02896

New, Posted 21 hours ago
Recommended
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Constant Patient Observer |Overnight shift |Full Time |$24/hr

Securitas

Fall River, MA 02721

$24/hr
~ 20 min OnsiteFlexible ScheduleEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • At least 18 years of age.
  • Reliable means of communication and transportation.
  • Legal right to work in the United States.
  • Ability to effectively speak, read and write English.
  • High school diploma, GED, or equivalent.
  • Covid-19 required for client site.
  • 1+ years of security, military or law enforcement preferred.
  • 1+ years in a healthcare or high-paced setting preferred.
SmartExplore AI is experimental.
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New, Posted 17 hours ago
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Case Dock Laborer 3rd Shift

Garelick Farms

Franklin, MA 02038

$20.75/hr
~ 35 min Onsite

  • High school diploma or equivalent preferred
  • Certification and/or License – may be required during course of employment
  • Must be able to read, write and speak English
SmartExplore AI is experimental.
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Laborer - Paving/Milling (Union)

Peckham Industries

Providence, RI 02903

~ 5 min OnsiteFlexible Schedule

  • Ability to work flexible schedules including days, nights, weekends, and overtime as needed.
  • High School Diploma or GED preferred.
  • Previous paving or construction experience preferred but not required.
  • Basic knowledge of construction tools and equipment.
  • Demonstrated strong work ethic and commitment to safety.
  • Ability to follow instructions, work collaboratively, and contribute to team success.
  • Valid drivers license and reliable transportation.
  • Must be authorized to work in the United States.
  • Travel: Position may require up to 100% travel by personal vehicle to project locations throughout the state of Rhode Island and New England based on the needs of the business.
  • Heavily physical work environment including lifting up to 100 pounds or more, work around moving mechanical parts and loud equipment, and outdoor/indoor conditions.
SmartExplore AI is experimental.
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Earn Cash with Gopuff In Your Free Time

goPuff

Central Falls, RI 02863

~ 13 min OnsiteFlexible Schedule

  • Be at least 21 years or older
  • Valid U. S. driver's license
  • Vehicle with insurance + registration in your name
  • Smartphone
  • Willing & able to pass a pre-paid alcohol delivery training course (where applicable)
  • Valid driver's license
  • Minimum auto insurance
  • Complete a background check
  • Their own reliable car
  • Data + text plan.
SmartExplore AI is experimental.
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Quality Control

Whirlpool

Fall River, MA 02720

~ 20 min Onsite

  • GED or High School Diploma
  • Must be able to lift at least 35 lbs (Occasional lifting up to 35 lbs is required for inspection/technician roles)
  • Minimum of 1 year of job-related experience in a manufacturing or quality role is required (Reflects inclusion of Quality Inspector I)
  • Proficiency with precision measuring instruments (e.g., calipers, micrometers)
  • Ability to read and interpret blueprints, schematics, and technical specifications/drawings
  • Excellent communication skills, both written and verbal
  • Proficiency in using quality and manufacturing systems (e.g., SAP, Google Suite)
  • Willingness to learn root cause analysis and basic problem-solving methodologies (e.g., 5Why)
SmartExplore AI is experimental.
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