- Guardian Life (Boston, MA)
- … Case Manager will spend 6-8 weeks in eligibility training followed by at least 3 months of reviewing live eligibility claims while being mentored. The Group ... for reserves, reports and future profitability + Prioritize and review incoming mail, correspondence and new claims ...+ Complimentary 1:1 financial guidance with a licensed Fidelity representative **Time Off and Remote Work** + Flexible work… more
- Beth Israel Lahey Health (Cambridge, MA)
- …for billing and follow-up purposes. 2. Processes primary, secondary, and tertiary claims according to respective regulations and policies. 3 . Corresponds with ... third party representatives, as necessary to complete claims processing and/or resolve problem claims . 4....school, to analyze bills. 2. Knowledge of billing procedures. 3 . Ability to organize and plan tasks for timely… more
- Beth Israel Lahey Health (Burlington, MA)
- …critical information that impacts the resolution of current or potential future claims . 3 . Establishes relationships and maintains open communication with third ... and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts,… more
- Weston & Sampson (Reading, MA)
- …and failures to comply with contract documents and construction management requirements. + Review claims for extra work/change orders with the RPR and design ... to the North Boston area to assist with field representative services for OPM (Owner's Project Manager) tasks on...working schedule and travel as project needs arise. + Review contract documents and construction management requirements to identify… more
- Weston & Sampson (Reading, MA)
- Weston & Sampson is seeking a Resident Project Representative for oversight and inspection of utility and infrastructure projects in Massachusetts and New Hampshire. ... to provide a flexible working schedule as project needs arise. + Review contract documents and construction management requirements to identify and report degree… more
- Beth Israel Lahey Health (Burlington, MA)
- … review of codes, at least annually or as introduced or required. 3 . Reviews and analyzes rejected claims and patient inquiries of professional services, ... and appeals. Duties include hands on coding, documentation review and other coding needs for ICD-9, ICD-10. Works...that impacts the resolution of current or potential future claims . 3 . Establishes relationships and maintains open… more
- Tufts Medicine (Boston, MA)
- …understanding of CPT and ICD diagnosis coding. 2. Certified Revenue Cycle Representative (CRCR) **OR** Certified Professional Coder (CPC). 3 . EPIC certification. ... the reimbursement for clinical services provided to patients. Submits claims to health insurers, follows up with health insurers...team for appropriate follow up for patient billing concerns. 3 . Ensures all invoices are current and up to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …to providers in that area. Duties include hands-on coding, documentation review , coding dictionary updates, rejections and denials, surgical coding, physician or ... _including but not limited to:_ **1.** **Coding Responsibilities:** + Provides review and/or coding of any professional services including but not limited… more
- Pfizer (Cambridge, MA)
- …purposes + Knowledge of Electronic Health Records, medical and pharmacy claims , patient registries, patient participating research networks, and other real-world ... multiple types of real-world data, including EHR, open and closed claims , registry data, patient-reported data, laboratory tests and results, and microbiology… more
- Fresenius Medical Center (Waltham, MA)
- …to the legal department when responding to State or Federal agency employment claims which may be filed against the organization. + Provides administrative support ... collecting data and source documents when responding to legal claims , lawsuits and subpoenas. + Reviews all field requests...deemed necessary. + Mentor other staff as applicable. + Review and comply with the Code of Business Conduct… more
- Manulife (Boston, MA)
- …and solutions to detect, capture and proactively prevent fraud/abuse within the LTC claims experience. You will partner with all squads to drive savings associated ... family members + Presents case findings to management for review and offers recommendations for further action + Gathers...million customers. At the end of 2022, we had $1. 3 trillion (US$1.0 trillion) in assets under management and… more
- LogixHealth (Bedford, MA)
- …internal and external client communications are responded to in a timely manner 3 . Maintain/ensure all client information in CRM coding fields, Master Client Grid, ... up to date by following Coding Policy QA process 4. Execute the Annual Coding Policy Review project/push out all policies to clients for a review and to follow… more
- Ace Hardware (Boston, MA)
- …to ensure replenishment orders are flowing. Assist stores with credits and claims . + STOCKING/MAINTAINING SETS OR PLANOGRAMS: For key accounts walk floor, inspect ... improvement opportunities. **What you need to succeed** + Minimum 3 years of retail or customer service experience or...Execution Specialist I role:** The demands described here are representative of those that must be met by an… more
- LogixHealth (Bedford, MA)
- …operational production tools to determine root cause and provide a meaningful analysis 3 . Help direct the off shore production operational team 4. Assist with ... Identifying needs b. Posting internally c. Screening and interviewing candidates 10. Review and approve time and attendance records according to company standards… more
- State of Massachusetts (Boston, MA)
- …the implementation of state policies and programs, and suits for judicial review of the decisions of state administrative agencies. The Division also initiates ... cases often involve constitutional issues, questions of statutory interpretation, and claims concerning the authority of state administrative agencies. In addition… more