- HomeSafe Alliance (Boston, MA)
- **Title:** Assistant Claims Manager (Military Move) **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household ... motivated **Assistant** **Cl** **aims Manager** to assist in all aspects of claims management, to support and promote process improvement methodologies and best… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Boston, MA)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Carrington (Boston, MA)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims...and requirements that resulted in the loss. + Keep Supervisor informed of all trends and problems including, but… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist Senior role ... This position will serve as an escalation resource and mentor for Claims Specialists. **Responsibilities** + Leverage strong understanding of claims processing… more
- Beth Israel Lahey Health (Charlestown, MA)
- …toward process improvements within the Central Billing Office. 16. Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals ... and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …toward process improvements within the Central Billing Office. 16) Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals ... and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts,… more
- WESCO (Norwood, MA)
- As the Supervisor - Inside Sales, you will assist branch management in formulation of sales strategies and executes, plans and budgets to grow accounts, margin, and ... credit management in extension of credit and collection of accounts receivable le claims and deductions. + Provides and organizes product training for team and… more
- Highmark Health (Boston, MA)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- Travelers Insurance Company (Bridgewater, MA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …due to a front end error at the end of each shift to avoid delay in claims being processed. Alerts supervisor of any issues with accounts in workqueue or in ... Punctuality policy for EBNHC. Follows department policies and procedures for notifying supervisor of an unplanned absence or tardiness. + Understands and adheres to… more
- Beth Israel Lahey Health (Needham, MA)
- …people's lives.** Responsible for clean and timely submissions of 837I and UB claims to insurance carriers to ensure maximum reimbursement for the Hospital Health ... for the timely submission of clean 837I and/or UB claims . 2) Follows up on 277CA rejections within assigned...11) Identifies internal and/or external billing issues and notifies Supervisor and/or Manager. 12) Alerts Supervisor and/or… more
- Mathematica (Boston, MA)
- …predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of people. Mathematica's team reached the second round ... involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Mathematica (Boston, MA)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- WellSense (Boston, MA)
- …facilities and community health centers. Works closely with the Provider Relations Supervisor to identify issues and report trends. Acts as liaison between provider ... and internal Plan departments such as Provider Enrollment, Claims , Audit, Marketing, Customer Care and Care Management. Our Investment in You: + Full-time remote… more
- Walgreens (Whitman, MA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Mathematica (Boston, MA)
- …include: * Assisting with quantitative analyses using Medicaid enrollment, claims /encounter, financial and program data to support program monitoring, improvement, ... high attention to detail * Familiarity with Medicaid enrollment, claims , financial, or program data is preferred * Excellent...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Mathematica (Boston, MA)
- …and maintaining clinical quality measures, supporting states with implementing all-payer claims databases, alternative payment models, or tools to support analytics, ... policy issues. * Familiarity with Medicare or Medicaid enrollment, claims , financial, or program data is preferred. * Excellent...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- MDD Forensic Accountants (Boston, MA)
- …corporations, government entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Senior Accountant to serve ... draft of report narrative and schedules + Evaluate insurance claims and economic damage + Work closely with senior...and federal laws + Any other tasks assigned by supervisor Qualifications + Bachelor's or Master's degree in Accounting… more
- Walgreens (Somerset, MA)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more