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6 results for Medical Biller in Providence, RI

Medical Claims Analyst

North Providence, RI
onsite
Temporary / Contract
17.1 - 19.8 USD / Hourly
Position SummaryWe are seeking a detail-oriented Claims Analyst for a long-term contract on site in Providence, RI. Strong experience in Coordination of Benefits (COB), orthodontic or medical claims processing, and suspended/pended claims resolution. This role requires a thorough understanding of industry guidelines, plan provisions, and claim adjudication processes to ensure accurate and timely claim outcomes. Key ResponsibilitiesCoordination of Benefits (COB) Processing<ul><li>Review and adjudicate claims to determine primary and secondary coverage in accordance with COB rules</li><li>Verify subscriber and dependent eligibility across multiple insurance plans</li><li>Apply industry-standard guidelines to ensure accurate benefit determination</li><li>Calculate correct payment amounts following primary insurer adjudication</li><li>Adjust claims based on Explanations of Benefits (EOBs) received from other carriers</li></ul>Orthodontic Claims Processing<ul><li>Evaluate orthodontic treatment plans for coverage eligibility and plan compliance</li><li>Verify lifetime maximums, age limits, and plan-specific orthodontic provisions</li><li>Process initial banding/bonding claims and ongoing periodic payments</li><li>Calculate prorated payments over the course of treatment</li><li>Monitor continuation of treatment and confirm ongoing patient eligibility</li></ul>Suspended / Pended Claims Handling<ul><li>Analyze suspended or pended claims to identify errors, missing documentation, or review flags</li><li>Determine root causes such as eligibility discrepancies, coding issues, or COB conflicts</li><li>Prioritize suspended claims based on aging, urgency, and service-level agreements (SLAs)</li><li>Escalate complex or high-risk issues to senior analysts or supervisors as appropriate</li><li>Ensure timely and compliant resolution in accordance with turnaround time standards</li></ul>
2026-04-07T00:00:00Z

Billing Specialist

Boston, MA
onsite
Permanent / Full Time
60000 - 70000 USD / Yearly
We are looking for a detail-oriented Billing Specialist to manage and optimize client invoicing processes in a dynamic and fast-paced environment. This role will work closely with account teams and finance leaders to ensure accurate billing, resolve client issues, and contribute to overall revenue operations. If you are organized, proactive, and thrive in collaborative settings, we encourage you to apply. Responsibilities: • Prepare, review, and issue accurate client invoices while ensuring alignment with contractual agreements. • Collaborate with account managers to verify proper coding and billing structures, including retainer, project-based, and hourly billing. • Monitor unbilled revenue and address outstanding billing matters with account teams. • Assist in accounts receivable processes by resolving client billing issues and ensuring timely collections. • Support revenue reporting and contribute to month-end and period-end financial activities. • Analyze contracts to confirm billing accuracy and compliance with agreed terms. • Recommend and implement improvements to billing practices for greater efficiency. • Manage billing system updates and ensure the integrity of computerized billing processes. • Track billable activities and maintain clear documentation for audit readiness.
2026-04-17T00:00:00Z

Medical Collections Specialist

Shrewsbury, MA
onsite
Permanent / Full Time
52000 - 61000 USD / Yearly
We are looking for a Medical Collections Specialist to support revenue cycle performance by managing insurance follow-up and resolving outstanding account issues. This position plays an important role in reducing aged receivables, addressing claim obstacles, and helping maintain accurate reimbursement activity. Based in Shrewsbury, Massachusetts, the role is well suited for someone who is detail-oriented, organized, and comfortable working across billing platforms and payer resources. Responsibilities:• Monitor unpaid insurance claims and take timely action to advance accounts toward resolution and payment.• Manage billing and follow-up activities for assigned payer accounts, ensuring all claims are worked accurately and consistently.• Investigate billing variances and payment discrepancies, then complete the necessary corrections to support proper reimbursement.• Identify rejected claims quickly, determine the cause, and complete corrective steps to prevent delays in claim submission or reprocessing.• Use clearinghouse tools to review claim activity and track submission issues, with familiarity in Waystar considered highly beneficial.• Navigate payer web portals to verify claim status, review remittance details, and complete required follow-up actions.• Participate in recurring accounts receivable review meetings and provide updates on account progress, trends, and barriers to payment.• Maintain clear and accurate documentation within billing or medical record systems to support account history and collection efforts. **Immediate needs here! Please reach out ASAP to me directly, Eric Lebow 508-205-2127**
2026-04-20T00:00:00Z

Legal Billing Specialist

Boston, MA
onsite
Permanent / Full Time
100000 - 125000 USD / Yearly
Our client, a successful civil litigation law firm, is seeking an experienced Legal Billing Specialist to join their team in Boston, Massachusetts. In this role, you will play a crucial part in managing all aspects of legal billing and invoice processing, ensuring compliance and accuracy across various client platforms. Location: Boston, MASchedule: Hybrid (3 days in office, 2 days remote)Salary: $100,000 - $125,000 (depending on experience) Responsibilities:<ul><li>Prepare, generate, and manage attorney pre-bills for review and submission</li><li>Maintain and manage attorney time entries and billing data</li><li>Must be conversant in LEDES (Legal Electronic Data Exchange Standard)</li><li>Submit invoices and manage billing through client e-billing platforms, including but not limited to: TimeSlips, Tymetrix, Legal Tracker, Legal X, SimpleLegal, TeamConnect, Acuity, and Brightflag.</li><li>Ensure compliance with client billing guidelines and resolve billing rejections or issues</li><li>Track billing status and follow up on outstanding invoices</li><li>Coordinate vendor payments and ensure expenses are properly invoiced and billed</li><li>Work closely with the firm’s external bookkeeper during monthly visits</li><li>Assist with check requests and internal financial coordination</li><li>Interface with outsourced payroll and HR vendors as needed</li><li>Provide general administrative and billing support to attorneys and managing partners</li></ul>
2026-04-21T00:00:00Z

Medical Cash Applications Specialist

Shrewsbury, MA
onsite
Permanent / Full Time
55000 - 63000 USD / Yearly
We are looking for a detail-oriented Medical Cash Applications Specialist to support payment posting and account reconciliation activities in Shrewsbury, Massachusetts. This position plays an important role in maintaining accurate financial records, resolving payment variances, and partnering with billing teams to keep revenue cycle operations running smoothly. The ideal candidate brings healthcare accounts receivable experience, strong analytical skills, and a solid understanding of payer documentation and reimbursement practices. Responsibilities:• Record insurance, patient, and third-party payments, denials, and adjustments in the billing platform with a high level of accuracy.• Compare posted transactions against remittance documents, EOBs, ERAs, and related records to confirm that payment activity is complete and correct.• Review reimbursement differences, trace the source of posting issues, and take action to correct errors or escalate unresolved items when needed.• Enter contractual allowances and approved write-offs according to payer agreements and established reimbursement schedules.• Investigate unidentified receipts, rejected transactions, missing payments, and other cash application exceptions by coordinating with payers, internal teams, and leadership.• Support compliance by following healthcare billing standards, payer rules, and applicable regulatory requirements tied to payment posting activities.• Perform routine audits of cash application work to protect data integrity and ensure account balances reflect accurate financial activity.• Prepare summary reporting on posting accuracy, reconciliation results, and cash activity for management review.• Work closely with billing staff to address claim or account issues that affect payment application and overall accounts receivable performance.• Recommend workflow enhancements that improve efficiency, strengthen accuracy, and support timely completion of daily posting responsibilities. For immediate consideration please reach out ASAP Eric Lebow 508-205-2127
2026-04-20T00:00:00Z

Medical Records Clerk PRN

Worcester, MA
onsite
Temporary / Contract
19.5 - 20 USD / Hourly
We are looking for a detail-oriented PRN Medical Records Clerk to join our team in Worcester, MA. In this long-term contract position, you will play a pivotal role in maintaining and managing patient records, ensuring accuracy, confidentiality, and compliance with healthcare regulations. This opportunity is ideal for professionals who excel in document management and are experienced with electronic medical record systems. Compensated: $20 per hour plus $.725 mileage. PRN role, seeking an individual that is looking for part time or permanent work. Must be able to travel up to 60 miles and have a valid driver's license. Responsibilities: • Accurately organize and maintain patient medical records, both physical and electronic, in compliance with healthcare regulations. • Ensure the confidentiality and security of medical records, adhering to HIPAA guidelines. • Retrieve, review, and update patient information using electronic medical record systems such as Allscripts and Cerner. • Collaborate with healthcare staff to provide timely access to accurate patient records. • Monitor and resolve discrepancies in medical documentation to ensure data integrity. • Assist in the transition and integration of medical records into electronic systems, as needed. • Respond promptly to requests for patient information from authorized personnel. • Conduct routine audits of records to maintain accuracy and compliance. • Stay updated on changes in medical record-keeping practices and technologies. • Provide support in training staff on the use of electronic medical record systems
2026-04-10T00:00:00Z