- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... + The initial 120 days of employment as a Claims Research & Resolution Representative 2 constitute an appraisal period. This Appraisal Period is… more
- Humana (Boston, MA)
- …workflow and success of the Call Center* Assist Customer Service team with claims research / resolution *Assist with new hires training **Billing:** .Assist ... us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with ...FFS) from hospice to hospice.Assist Customer Service team with claims research / resolution via dispensing systems,… more
- State of Massachusetts (Boston, MA)
- …to Job Service Representatives I and Job Specialists III on fact-finding, the resolution of nonmonetary issues and the claims filing process. * Interpret ... work and looking for a job. The Job Service Representative II (JSR II) assists the unit manager in...unit manager in the operations of the Adjustment and Claims units within the Unemployment Insurance Telephone Claims… more
- Intermountain Health (Boston, MA)
- …payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance ... procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any...additional items received from insurance to patient accounts + Research and follow-up on missing information, such as EOB… more
- Fallon Health (Worcester, MA)
- …a liaison between FH members and FH with their complaints regarding denied claims , referrals, membership, and benefit issues as well as any grievances regarding ... with applicable laws, organization policies, and regulatory requirements. Thorough research , documentation, and corrective action planning must be established for… more
- Fresenius Medical Center (Waltham, MA)
- …and/or liability oriented questions or issues to multiple divisions of FME. Litigates claims . + Develops and directs overall case management and strategy from intake ... The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions… more
- Cardinal Health (Boston, MA)
- …needs of the patient and/or program + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance ... based upon region and ensure proper communication of the resolution within required time frame agreed upon by the...region with the appropriate team + As needed conduct research associated with issues regarding the payer, physician's office,… more
- LogixHealth (Bedford, MA)
- …to ensure that payments are up to date + Reconciles and recommends resolution for financial report discrepancies and problems + Reconciles bank statements and ... to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this… more