- LogixHealth (Bedford, MA)
- Location: Bedford, MA; Hybrid in Bedford, MA This Role: As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with ... Responsibilities: + Run validations in the Ntierprise software system on claims data to ensure billing integrity + Electronically matching insurance payments to… more
- Citizens (Medford, MA)
- Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at ... use critical thinking skills to assist customers with existing claims and determine the best next step for the...Medford, MA Some job boards have started using jobseeker-reported data to estimate salary ranges for roles. If you… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We offer a… more
- LogixHealth (Bedford, MA)
- $5,000 Signing Bonus Location: On-Site in Bedford, MA This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims ...+ Demonstrated attention to detail + Ability to perform data in billing software + Prior word processing, spreadsheet… more
- Northeast Family Services (Attleboro, MA)
- Northeast Family Services is currently seeking a Billing Specialist to join their growing team! This position REQUIRES you to be able to access our Warwick RI or ... are currently looking for a passionate and dedicated Billing Specialist to join our team. The Billing Specialist...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… more
- Sutherland Global Services (Boston, MA)
- …understanding of Hospital billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school ... Do you have a background in medical collections, insurance follow-up, and revenue cycle management?...This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Work Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to ... correct revenue flow of charges and billing. The Billing Specialist will be responsible for charge and claim review...or taxonomy related issues returned by the payor preventing claims submission or causing payor denials. 4. Responsible to… more
- LogixHealth (Bedford, MA)
- …MA; Hybrid in MA $400 Signing Bonus This Role: As a Deficient Chart Specialist at LogixHealth, you will work with internal teams to provide solutions that will ... to our fast-paced, collaborative environment and will bring your expertise to process medical records that have been reviewed by Coders and found to be un-codeable… more
- Prime Therapeutics (Boston, MA)
- …Thorough understanding of pharmaceutical claims data and general understanding of medical claims data ; highly analytical + Self learns new processes ... decision we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate Functional Business Consultant serves… more
- Children's Hospital Boston (Boston, MA)
- …people without health insurance, using quantitative methods, economic analyses, and survey data collection. This Clinical Research Specialist will be responsible ... for: + As directed by the PIs, conduct preliminary quantitative (eg, claims and survey data ), including regression modeling, and descriptive analyses; and… more
- State of Massachusetts (Brockton, MA)
- …Office of Housing and Livable Communities (EOHLC)is seeking a Homeless Hearings Specialist /Benefit Eligibility & Referral Social Worker C in the Division of Housing ... performs related duties as required. In addition, the Homeless Hearings Specialist prepares cases for administrative appeal hearings by gathering supportive… more
- Highmark Health (Boston, MA)
- …Risk Adjustment Data Validation (RADV) audit coding review, including analysis of claims data to ensure chart acquisition is complete and documentation is ... including provider outreach, education, and analysis. **ESSENTIAL RESPONSIBILITIES** + Conducts data analyses from medical record reviews; proactively summarizes… more
- Atrius Health (Newton, MA)
- …diagnoses are captured allowing the opportunity for optimal health risk scores. Reviews clinical data from EpicCare and outside claims to ensure that all chronic ... patients across eastern Massachusetts. The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical… more
- Citizens (Medford, MA)
- …continuously learn, consider a career at Citizens as a Fraud Customer Support Sr. Specialist . In this role, you'll play a crucial part in safeguarding our customers ... to apply analytical reasoning to examine in real time the customer's data . + Navigate multiple bank systems independently to understand issues and assess… more
- Beth Israel Lahey Health (Burlington, MA)
- …infusion reimbursement and Patient Assistance programs. 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides ... you're making a difference in people's lives.** Job Summary: The Medication Access Specialist will fulfill all of the job responsibilities as needed and coordinate… more
- Citizens (Medford, MA)
- …clearly, listens actively, and takes notes to understand the customer's fraud claims . Handles routine customer fraud inquiries promptly and takes actions to provide ... conversation and analytical reasoning to examine in real time the customer's data using multiple bank systems to understand issues and assesses consequences of… more
- Atrius Health (Newton, MA)
- …diagnoses are captured allowing the opportunity for optimal health risk scores. Reviews clinical data from EpicCare and outside claims to ensure that all chronic ... patients across eastern Massachusetts. The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …direct supervision of the Patient Financial Services Director, the Payment Poster/EDI Specialist is responsible for the accurate and timely processing and posting of ... information, making adjustments as necessary to ensure proper filing of supplemental claims to insurance companies. The staff in this position works closely with… more
- Amazon (Boston, MA)
- …healthtech-need to increase the pace of innovation and unlock the potential of data , all while keeping health information secure and private. AWS empowers health ... to improve patient outcomes and accelerate the digitization and utilization of their data with the broadest and deepest portfolio of cloud services and purpose-built… more
- Sedgwick (Boston, MA)
- …Loved Workplace(R) Forbes Best-in-State Employer Provider Network Negotiation Specialist **PRIMARY PURPOSE** **:** To negotiate fee-for-service ancillary contracts ... network. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Negotiates fee-for-service durable medical equipment and other ancillary services; contracts for multiple… more