Top 17 Claims coordinator Jobs in Providence, Ri

Patient Care Coordinator (Intake) - Home Health
Elmwood Home Care —Providence, RI
- Full-time
- Customer service
- HIPAA
- Mid-level
Insurance and Benefits Coordinator - Home Health
Elmwood Home Care —Providence, RI
- Full-time
- HIPAA
- Mid-level
- Office
Patient Care Coordinator - Home Health
Elmwood Home Care —Providence, RI
- Full-time
- Customer service
- HIPAA
- Mid-level
Service Coordinator
Mahr Inc. —Providence, RI
- Mid-level
- Office
- 3 years
Quick Apply
Patient Care Coordinator
Beltone —Cranston, RI
- Full-time
- Word processing
- Computer literacy
- Basic math
- AD&D insurance
- Disability insurance
Accounts Receivable Billing Coordinator
Children's Friend —Providence, RI
- $18.38 - $19.98 an hour
- 8 hour shift
- Research
- Office
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Patient Care Coordinator
Hayden Optometric —Mansfield, MA
- $21.01 - $28.00 an hour
- Computer literacy
- High school diploma or GED
- Organizational skills
- Health savings account
- Paid holidays
Quick Apply
Coordinator, Accounts Receivable
CharterCARE of Rhode Island —Providence, RI
- Full-time
- Office
- Senior level
- Hospital experience
Job File Coordinator
SERVPRO of FJM Enterprises, Inc./ABOJ, LLC/JDM Enterprises, Inc —Taunton, MA
- $23 - $28 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- 401(k)
Quick Apply
Financial coordinator for dental office
Kevin J Wendell DDS, PC —Westport, MA
- $28 - $37 an hour
- Full-time
- Dental office
- Medical office experience
- Mid-level
- Health savings account
- 401(k)
Quick Apply
1d
Logistics Coordinator – Transportation Operations & Freight
D2G Group LLC —Fall River, MA
- From $25 an hour
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
Quick Apply
8d
Patient Coordinator
Bright Dents —North Dartmouth, MA
- From $21 an hour
- Full-time
- Dental office
- Medical office experience
- Computer skills
- Dental insurance
- 401(k)
Quick Apply
Human Resources Coordinator
Claremont Companies LLC —Bridgewater, MA
- $50,000 - $55,000 a year
- Monday to Friday
- Bachelor of Science
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
4d
FT Fleet Maintenance Coordinator - 982
Stop & Shop —Assonet, MA
- $21.85 - $32.77 an hour
- Overtime
- Mid-level

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Insurance and Benefits Coordinator - Home Health
Elmwood Home Care —Providence, RI
Obtain necessary authorizations and pre-certifications from insurance companies for home health services. Verify patients' insurance coverage and benefits prior…

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Appeals Coordinator
MedBen —Ohio
Assist with provider phone calls and reprinted claim letters as needed. Two years’ experience in the health insurance industry, preferably in the customer…
Quick Apply
16h
Job File Coordinator
SERVPRO® of Northeast Columbus —Columbus, OH
Fill out First Notice of Loss for incoming insurance claims. Perform detailed and accurate data entry. SERVPRO of Northeast Columbus, a premier national cleanup…
$23 - $27 an hour
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11d

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Patient Care Coordinator (Intake) - Home Health

Elmwood Home Care -
Providence, RI

Apply Now

Job Details

Full-time

Qualifications

Home care experience
Customer communication
Regulatory compliance
Home healthcare regulations
Home health agency experience

Full Job Description

Providence, RI, USA

Home Health > Rhode Island > Administrative Operations > Care Coordination

About the Role

The Patient Care Coordinator – Intake & Scheduling (PCC-IS) plays a vital administrative and coordination role within the Care Coordination Department of Elmwood Healthcare’s Home Health Division. This full-time, office-based position serves as a central liaison among referral sources, community partners, physicians, patients, clinicians, and the broader care team. The PCC-IS is responsible for managing the continuum of care from the point of initial referral through the entirety of the patient’s home health episode.

Key responsibilities include receiving and reviewing incoming referrals for home health services, facilitating timely and accurate onboarding, and ensuring smooth coordination among field-based clinical staff, including nurses, therapists, social workers, and home health aides. The PCC-IS supports optimal patient care by overseeing scheduling operations, ensuring that patient visits are aligned with physician orders and meet all regulatory and policy requirements.

This role requires a thorough understanding of home health care practices and a working knowledge of relevant local, state, and federal regulations that govern home health services. The PCC-IS plays a critical role in maintaining compliance while supporting the delivery of high-quality, patient-centered care.

Success in this position demands strong organizational skills, adaptability, and the ability to thrive in a fast-paced, dynamic healthcare environment. A foundational knowledge of home health operations is essential, along with a commitment to excellence in patient coordination and communication.

Department

Administrative Operations > Care Coordination Department

Status / Type

Full Time (40-Hours / Week)

Schedule

Monday through Friday; 8:00 A.M. to 4:30 P.M.

Environment

Office-Based

Core Responsibilities:

Referral and Intake Management

Receives, reviews, and facilitates all incoming referrals in accordance with the Elmwood Home Care Intake Procedures and established systematic guidelines.
- Review Accept Verify Benefits Create Medical Record Email Referral Notification Log Referral
Accepts only those patients whose care needs fall within the scope of services provided, following agency-defined Admission Criteria.
Monitors and promptly responds to electronic referrals via approved electronic referral systems.
Collaborates with community partners and internal team members to process new referrals and provide timely updates on pending referrals.
Maintains accurate and up-to-date patient status information throughout the intake and care process.

Verification and Coordination of Benefits

Conducts comprehensive verification of insurance coverage for all prospective patients, including Medicare, Medicaid, private insurance, managed care plans, and other third-party payers.
Confirms patient eligibility for home health services, policy limitations, authorization requirements, and benefit coverage related to specific services (e.g., skilled nursing, therapy, medical social work).
Coordinates with insurance providers, physician offices, and case managers to obtain necessary authorizations and ensure timely approval of services.
Identifies and resolves discrepancies in coverage, benefits, or authorizations that may impact care delivery or reimbursement.
Ensures that insurance information is accurately documented in the electronic medical record (EMR) and communicated to billing, clinical, and scheduling teams.
Acts as a liaison between the agency and payers to support reimbursement integrity, minimize claim denials, and ensure compliance with payer guidelines and agency policies.
Maintains current knowledge of payer requirements and updates intake procedures accordingly to align with regulatory and reimbursement changes.

Scheduling & Care Coordination

Creates, maintains, and oversees the schedules of assigned patients based on physician orders and individualized care plans.
Manages clinician schedules to align staff availability with patient needs and caseload requirements, taking into account staffing variances.
Inputs and updates scheduling data to ensure the accuracy of orders and alignment with care delivery timelines.
Coordinates interdisciplinary communication to support seamless transitions and high-quality, patient-centered care.
Communicates proactively with clinicians, care providers, and patients regarding schedule changes, care updates, and service delivery timelines.

Operational Oversight and Compliance

Demonstrates a thorough understanding of the operational flow of a Medicare-certified home health agency, including post-acute and transitional care processes.
Ensures compliance with agency policies, procedures, and all applicable local, state, and federal regulations.
Upholds the safety, security, and confidentiality of all patient and staff information in accordance with HIPAA and internal standards.
Generates reports related to scheduling, staffing, and care coordination metrics, as assigned.
Actively monitors and provides feedback on agency care coordination systems and processes for continuous improvement.
Department Collaboration and Support
Serves as a liaison across departments, acting as the central point of coordination for pre- and post-transitional care activities.
Participates in the performance evaluation and appraisal process for department personnel.
Provides coaching, counseling, and disciplinary action to team members as necessary, in alignment with HR and agency standards.
Accepts additional tasks and responsibilities as assigned, following appropriate training.

Quality and Customer Service

Maintains and promotes high standards of patient satisfaction, customer service, and quality of care as defined by Elmwood Healthcare.
Demonstrates accountability, professionalism, and a commitment to continuous improvement in patient care delivery.

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Refine Your Search

claims coordinator jobs in providence, ri

Patient Care Coordinator (Intake) - Home Health

Insurance and Benefits Coordinator - Home Health

Patient Care Coordinator - Home Health

Service Coordinator

Patient Care Coordinator

Accounts Receivable Billing Coordinator

Patient Care Coordinator

Coordinator, Accounts Receivable

Job File Coordinator

Financial coordinator for dental office

Logistics Coordinator – Transportation Operations & Freight

Patient Coordinator

Human Resources Coordinator

FT Fleet Maintenance Coordinator - 982

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