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Medical Insurance Billing Coding Jobs in Middletown, RI

Brown University Health

Billing Specialist

Providence, RI · On-site

$22.04 - $36.37/hr

Functions as a coding/billing resource to department staff. Researches and reconciles coding errors ... including medical necessity and coding issues. Refers more complex questions or issues to the ...

Brownhealth

Billing Specialist

Providence, RI · On-site

$22.04 - $36.37/hr

Functions as a coding/billing resource to department staff. Researches and reconciles coding errors ... including medical necessity and coding issues. Refers more complex questions or issues to the ...

Primary Health Solutions

Certified Coder

RI · On-site +1

$23.75 - $31.50/hr

Analyze coding related claim issues, process gaps and denials to trend feedback for providers by ... medical billing software. • Knowledge of unfair debt collection practices and insurance ...

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Medical Insurance Billing Coding information

See Middletown, RI salary details

$13

$21

$28

How much do medical insurance billing coding jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for medical insurance billing coding in Middletown, RI is $21.86, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $22.98 per hour, depending on experience, location, and employer.

Is it hard to get a job as a medical insurance billing coding specialist?

Getting a job as a medical insurance billing and coding specialist can vary depending on location and experience, but generally, the field has steady demand due to the ongoing need for healthcare documentation. Certification and familiarity with coding systems like ICD-10 and CPT can improve job prospects, and many roles offer flexible schedules and remote work options.

What are some common challenges faced by medical insurance billing and coding professionals, and how can they be managed?

Medical Insurance Billing and Coding professionals often encounter challenges such as keeping up with constantly changing insurance regulations, accurately interpreting complex medical codes, and minimizing claim denials or rejections. Staying current with industry updates through continuous education and certification renewals is essential. Effective communication with healthcare providers and insurance representatives, as well as attention to detail and strong organizational skills, help manage workload and ensure accurate, timely claim submissions.

What is medical insurance billing and coding?

Medical insurance billing and coding is the process of translating healthcare services, treatments, and diagnoses into standardized codes that are used for billing purposes. Medical coders review clinical documentation and assign appropriate codes, while billers use these codes to prepare and submit insurance claims for reimbursement. This ensures that healthcare providers are paid correctly and that claims comply with regulations and insurance requirements. The work requires attention to detail, knowledge of medical terminology, and familiarity with coding systems like ICD-10, CPT, and HCPCS.

Is a job in medical insurance billing coding worth it?

Medical insurance billing and coding is a stable career that involves translating healthcare services into standardized codes for billing and reimbursement. It typically requires attention to detail, knowledge of medical terminology, and certification such as CPC, with opportunities for remote work and career advancement. The job offers steady employment and a growing demand due to healthcare industry expansion.

What are the key skills and qualifications needed to thrive as a medical insurance billing and coding specialist?

To thrive as a Medical Insurance Billing and Coding Specialist, you need a strong understanding of medical terminology, anatomy, coding systems (such as ICD-10, CPT, and HCPCS), and typically a certification like CPC or CCS. Familiarity with billing software, electronic health records (EHRs), and claims management platforms is essential. Attention to detail, integrity, and strong organizational and communication skills set top performers apart in this role. These competencies are crucial to ensure accurate claim submissions, reduce errors, and facilitate smooth reimbursement processes for healthcare providers.

Is medical insurance billing coding still in demand?

Medical insurance billing and coding remains in high demand due to ongoing healthcare industry growth and the need for accurate medical records. Professionals with certification and proficiency in coding systems like ICD-10 and CPT are especially sought after in hospitals, clinics, and insurance companies.

What is the difference between Medical Insurance Billing Coding vs Medical Claims Specialist?

AspectMedical Insurance Billing CodingMedical Claims Specialist
CertificationsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Typically similar certifications, may include claims processing certifications
Work EnvironmentHospitals, clinics, insurance companiesInsurance companies, healthcare providers, billing offices
Job FocusAssigning codes to diagnoses and procedures for billingProcessing, reviewing, and managing insurance claims
Common Search IntentUnderstanding coding roles, certification requirementsClaims processing, reimbursement procedures

Both roles involve working with healthcare documentation and insurance processes. Medical Insurance Billing Coding focuses on assigning accurate codes for billing, while Medical Claims Specialists handle the submission and management of insurance claims. They often work together but have distinct responsibilities within the healthcare revenue cycle.

What job categories do people searching Medical Insurance Billing Coding jobs in Middletown, RI look for? The top searched job categories for Medical Insurance Billing Coding jobs in Middletown, RI are:
Medical Insurance Billing Coding jobs near you
Infographic showing various Medical Insurance Billing Coding job openings in Middletown, RI as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $45,463 per year, or $21.9 per hour.

AUTHORIZATION SPEC/BILLER

Care New England Health System

Warwick, RI • On-site

Full-time

Re-posted 25 days ago

Care New England Health System rating

7.2

Company rating: 7.2 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

349th of 887 rated healthcare providers

Job description

Job Summary
Accurately prepares edits and submits bills in a timely manner, confirms eligibility, and obtains authorization in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing, eligibility verification, coordination of benefits, and authorization policies, regulations, rules and reimbursement.
Duties & Responsibilities
  • Obtains accurate and complete insurance coverage information and authorization for services utilizing electronic access when available.
  • Understands prior approval and all authorization requirements and timeframes.
  • Investigates and makes corrections in McKesson.
  • Incorporates all new processes and requirements into daily work as requested.
    Accurately completes assigned processes. i.e. Au notes CB notes and BN notes as well as Case Communications etc. Enters Information on patients' profile in Horizon -Such as Authorization, Copay, deductible, limitations specific to each patient's Insurance plan.
  • Proactively tracks and does follow up on authorization requests.
  • Determines insurance eligibility by checking patients with benefits and insurance coverage for services and coordination of benefits
  • Effectively prioritizes own work in order to complete job responsibilities. Displays ability to adjust priorities based upon understanding of policies and procedures.
  • Completes job responsibilities within required timeframe, according to established schedules or workflow requirements. Responsible for running daily reports to capture authorization requirements.
  • Works effectively with others, helping solve problems and promoting teamwork and cooperation among individuals and/or departments.
  • Coordinates and verifies patient information for completeness and accuracy, in a timely fashion; communicates with clinical staff, third-party payers and patients on a regular basis.
  • Verifies required signatures on patients' documents, i.e. Patient Client Authorization Form
  • Verifies all insurance data, coordinating benefits, responding to inquiries in a timely manner.
  • Verifies patients' insurance coverage and/or pay source, checking that all visits are made within established admission and discharge dates, if applicable.
  • Reviews and checks paperwork visits entered the final bill for accurate date of service, number of visits duplicates; identifies discrepancies, notifies appropriate personnel as needed. Submits claims in a timely manner.
  • Research payment sources and patient balances to check for co-insurance; follows appropriate steps to transfer balance to co-insurance and/or directly bill the patient. Follows guidelines and procedures for billing self-pay, bad debt funding sources.
  • Research old claims; identifies and resolves any existing problems; refers unusual or difficult problems to Seniorb Manager of Patient Financial Services as necessary.
  • Reviews, edits, and prepares claims to be submitted; forwards all appropriate information to third-party payers as necessary.
  • Works with Aging Report to decrease days in Accounts Receivables. Understands A/R balances and reimbursement practices.
  • Maintains Excel spreadsheets.
  • Conducts follow-up and collections procedures on each account. Maintains billing files and documentation.
  • Maintains knowledge of all billing policies, rules and regulations.
  • Demonstrates specialized level of knowledge of reimbursement practices and of third-party payer contracts.
    Posts third-party remittance advice accurately with attention to detail. Understands debits and credits
  • Provides assistance to Senior Manager of Patient Financial Services, i.e., with month-end processes, including financial reports and other requested projects.
  • Prepares, prints and submits all reports, documents and summaries on a regular basis
  • Utilizes interpersonal communication skills in order to exchange information in a clear and accurate manner within the agency as well as outside
  • Responsible for follow-up with Manager on all questions/problems discovered and keep Manager informed.
  • Establishes and maintains a work area that is well-organized, clean and net.
  • Operates and maintains equipment carefully and in accordance with procedures.
  • Takes initiative to help maintain commonly used equipment and work areas.
  • Immediately reports unsafe conditions to appropriate personnel.
  • Performs all other related duties as assigned.
  • Serves on appropriate Agency committees.

Requirements
  • High school diploma or equivalent required. Associate's Degree in related subjects preferred.
  • Six-months of job-related experience or equivalent required.
  • Demonstrated competency in office/clerical procedures, including typing, professional telephone skills, filing, photocopying and fax operations.
  • Previous experience with various software packages, PCs and database knowledge required.
  • Excellent command of the English language required. Ability to read, analyze and interpret general business reports.
  • Ability to effectively present information and respond to questions from staff and managers.
  • Ability to apply common sense instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

About Us
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, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation's top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.
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.

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