- Sedgwick (Boston, MA)
- …and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and title ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process low… more
- BrightSpring Health Services (Taunton, MA)
- …appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure ... our team and apply today! Responsibilities TheClaims Specialist - 3rd Party : + Manages and identifies a...office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician… more
- UMB Bank (Boston, MA)
- … monitoring, tracking, and reporting. Responsibilities will include: + Manage a card fraud claims team. + Oversee third - party vendors and their systems and ... will also assist with the oversight and management of third - party card fraud claim vendors and ongoing...card fraud + Demonstrates in-depth knowledge of back-office fraud claims processing + Demonstrates knowledge of report… more
- Crawford & Company (Boston, MA)
- …of edjuster's content claims handling operations: + Acting/operating as a third party , intermediary between the Insurance Company's property adjusters, and ... edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating… more
- Children's Hospital Boston (Boston, MA)
- …issues + Update demographic and coverage information as needed + Resolve claims processing issues with 3rd party payers and provides all requested ... available technologies, payer websites, or by phone contact with third - party payers + Ensure that the correct...claims processed and paid. Research, prepare, and provide 3rd party payer appeals. Request account adjustments… more
- Walgreens (Boston, MA)
- …are corresponding SDL (submit direct link) claims . + Review, research and resolve all third party chargebacks in a timely manner. + Assist with any third ... Description:** Responsible for the accurate billing and collection of third party and patient payments for products...+ Process and file all SDL (submit direct link) claims in accordance with company policy. + Processing… more
- LogixHealth (Bedford, MA)
- …+ Establishes relationships and maintains open communication with third party payor representatives to resolve claims issues + Review/Audit insurance ... repayment, LHI Daily Refund logs, LHI Self Pay adjustments delinquent third - party accounts, and Zero Pays/Offsets for processing and accuracy Qualifications:… more
- LogixHealth (Bedford, MA)
- …Excellent written and verbal communication skills Preferred: + Minimum of one year third party billing experience + Healthcare industry knowledge Benefits at ... environment and will bring your expertise to deliver exceptional third - party billing services. The ideal candidate will...A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims … more
- Beth Israel Lahey Health (Burlington, MA)
- …missed cash collection opportunity. 6. Works with department throughout the organization, third party vendors and insurance carriers to resolve issues related ... and staff development Skills, Knowledge & Abilities: Strong knowledge of third party payor reimbursement, eligibility verification process and government… more
- Beth Israel Lahey Health (Burlington, MA)
- …education for reimbursement enhancement. 6. Identifies, reviews, and interprets third party denials. 7. Initiates corrected claims and appeals according to ... for any opportunity to correct, refile and or appeal claims for re- processing and reimbursement. The role...a hospital or professional setting. + Working knowledge of third party reimbursement, eligibility verification process, and… more
- Mathematica (Boston, MA)
- …Medicaid (T-MSIS, TAF), State Medicaid, HL7-FHIR), healthcare informatics, or healthcare claims processing * A demonstrated history of working collaboratively ... and salary requirements via our online employment website. *STAFFING AGENCIES AND THIRD - PARTY RECRUITERS:* Mathematica is not accepting candidates for this role… more
- Bank of America (Boston, MA)
- …using data and metrics to identify root causes ▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, ... are in place, and will self-create initiatives as needed. Will conduct defect reviews of 3rd party /scam loss cases to identify any gaps in Fraud strategy and/or… more
- Beth Israel Lahey Health (Burlington, MA)
- …the Physicians, Coders, Clinical staff and PFS staff regarding billing operations and 3rd party regulations. 19. Provides training and education to Patient ... meetings with assigned payers and provider representatives to address all outstanding claims processing issues. Maintain an ongoing issues tracker for each… more
- Commonwealth Care Alliance (Boston, MA)
- …reimbursement and coding + Must have knowledge of current Medicare, Medicaid, and other third - party billing + Proficient in the use of EMR/ EHR software and ... (EHR) and ensure accurate Billing. In addition, the Analyst will review denied claims and produce trend analysis reports to support provider education and training.… more
- Mathematica (Boston, MA)
- …, and Medicare or Medicaid (T-MSIS, TAF) data), healthcare informatics, or healthcare claims processing . * Ability to describe difficult technical problems and ... (optional), resume, location preference, and salary expectations. *STAFFING AGENCIES AND THIRD - PARTY RECRUITERS:* Mathematica is not accepting candidates for… more
- Tufts Medicine (Boston, MA)
- …and spreadsheet software programs. Proficient in using computers and navigating through third party application systems and web portals efficiently and ... revenue cycle operations such as billing, collections, and payment processing . In addition, this role focuses on performing the...and collection environment for a medical services provider and/or third - party payer **OR** Two (2) years of… more
- Walgreens (Boston, MA)
- …Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify ... systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer...+ Partners with Central Pharmacy Operations for customer registration, 3rd party reviews, and assists with resolving… more
- Walgreens (Allston, MA)
- …Follows- up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify ... systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer...+ Partners with Central Pharmacy Operations for customer registration, 3rd party reviews, and assists with resolving… more
- Beth Israel Lahey Health (Needham, MA)
- …Vendor. 10) Establishes relationships and maintains open communication with third party payor representatives in order to resolve claims issues. 11) ... by the payer. 3) Interacts by telephone and/or mail with payers relative to claims processing . 4) Resubmits claims when necessary, utilizing a variety of EDI… more
- Walgreens (Roslindale, MA)
- …with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager ... the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer...+ Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections.… more