Remote RN: Clinical Denials
3 weeks ago
A leading health service provider is looking for a Registered Nurse to manage clinical denials from Providers to the Health Plan. The role involves analyzing medical necessity denials, collaborating with stakeholders, and utilizing your clinical expertise. Ideal candidates have substantial experience in health care revenue cycles and are proficient in Microsoft Office. This position offers a competitive salary of $70,000 - $74,000 and various benefits.
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Denials Specialist
5 days ago
Providence, Rhode Island, United States Brown University Health Full timeSummaryThe Denials Specialist reports to the Manager of PFS Denials Management.; Under general direction and within established Brown University Health policies and procedures, maximizes reimbursement from contracted payers through analysis, tracking, and trending of denials using available metric denial reports. Responsible for actively supporting the...
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Denials Appeals Representative
4 days ago
Providence, RI, United States Brown University Health Full timeSUMMARY: The Denial Appeal Representative reports to the Patient Financial Services Technical Appeals Supervisor. Under general direction and within established Brown University Health policies and procedures, performs all administrative/clerical support duties needed to maximize reimbursement from contracted payers. Executes the appeal process by...
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Denials Appeals Representative
6 days ago
Providence, RI, United States Brown University Health Full timeSUMMARY: The Denial Appeal Representative reports to the Patient Financial Services Technical Appeals Supervisor. Under general direction and within established Brown University Health policies and procedures, performs all administrative/clerical support duties needed to maximize reimbursement from contracted payers. Executes the appeal process by...
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Remote Clinical Support Nurse
3 weeks ago
Providence, United States HealthDrive Corporation Full timeA healthcare service provider in Rhode Island seeks a Clinical Support Nurse (RN or LPN) to support Nurse Practitioners remotely. The role involves managing communications, coordinating referrals, and synthesizing clinical data. Candidates must hold an active RN or LPN license in RI and have at least 2 years of nursing experience. This is a fully remote...
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Remote Clinical Support Nurse: Triage, Care
3 weeks ago
Providence, United States HealthDrive Corporation Full timeA healthcare organization is seeking a Clinical Support Nurse to function as a remote support hub for Nurse Practitioners in Skilled Nursing Facilities. This role involves clinical triage, patient education, and data management. Candidates must have an active RN or LPN license in Rhode Island and at least 2 years of nursing experience. This fully remote...
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Registered Dietitian
1 week ago
Providence, United States Season Clinical Care Full timeCompensationSession Rate: $50/hour (based on a standard hour-long session). You’ll also be paid a separate hourly rate for non-patient work (required meetings, trainings, and other team activities) to compensate you for your time spent at Season.About SeasonSeason Health is rethinking nutrition-based healthcare. As a remote-organization, we connect...
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Clinical Operations Educator
2 days ago
Providence, United States Rhode Island Staffing Full timeClinical Operations EducatorWe are seeking three experienced and highly motivated individuals to join our team for a Clinical Operations Educator position. As Clinical Operations Educator you will be fully dedicated to training and education activities supporting the monitoring roles in clinical operations e.g. Clinical Research Associate (CRAs), Clinical...
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Team Lead East
3 weeks ago
Providence, United States Remote Staffing Full timeRegional Medical Scientific Senior Director Team LeadThe Regional Medical Scientific Senior Director Team Lead (RMSD TL) is a credentialed therapeutic and disease expert who owns leadership, management, and full accountability for a regional, field-based team of Regional Medical Scientific Directors (RMSD) and their prioritized deliverables. The RMSD TL...
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Operations Manager
2 weeks ago
Providence, United States Remote Staffing Full timeSharecare Vbcm Operations ManagerSharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities...
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Lead Coding Specialist
1 week ago
Providence, United States LifeSpan Full timeSummary: The lead coding specialist reports to the Manager of Hospital Coding for Lifespan Corporate Services. Under general supervision and within Hospital and departmental policy the lead inpatient coder reviews inpatient clinical documentation to extract data and assign appropriate codes in accordance with the inpatient ICD-10 CM/PCS and CPT Official...