- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical… more
- Lincoln Financial Group (Boston, MA)
- …at a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an ... Integrated Absence Claims Specialist , you will manage a workload...about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lincoln Financial Group (Boston, MA)
- …a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. **What you'll be doing** As ... an LTD Claims Specialist , you will manage a workload of Long-Term Disability claims independently in accordance with established procedures and guidelines.… more
- Lincoln Financial Group (Boston, MA)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... support our west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short Term Disability or Integrated Absence… 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,...and respond to carrier and/or arbitrator inquires + Submit claims through state arbitration portals Qualifications : To perform… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist in EDI at LogixHealth, you will perform general tasks in the EDI Department on the Billing ... a desire to learn. Key Responsibilities: + Print paper claims for all Allscripts databases + Work daily custom...for client specific issues + Void and re-enter paper claims in Allscripts Qualifications: To perform this job successfully,… more
- Crawford & Company (Boston, MA)
- Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key ... areas of edjuster's content claims handling operations: + Acting/operating as a third party,...Focusing on the accurate and timely processing of content claims , via the use of edjuster's claims … more
- USAA (Boston, MA)
- …makes us so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist to join our field Team. The adjuster has to be located or willing ... to the area of **Boston, MA** . As a Insurance Property Adjuster Specialist , you will work within established guidelines and framework to investigate, evaluate,… more
- Beth Israel Lahey Health (Danvers, MA)
- …not just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims , aged claims and denied ... resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission. The Billing ...claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Pharmacy Operations Specialist is responsible for supporting the operational functions of Commonwealth Care Alliance (CCA) ... pharmacy program. Operational functions include: claims oversight and resolution, monthly EOB reviews and monthly...adapt to a dynamic environment. **What You'll Be Doing:** ** CLAIMS OVERSIGHT** + Daily reject and paid claims… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Department: Patient Accounts All Locations: East Boston Position Summary: The Billing Specialist II is responsible for organizing work flow to complete the timely ... and accurate submission of medical and dental claims to Medicaid, Medicare, other third party payors and...and maintain a low backlog of work. The billing specialist III works as part of a team that… 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, ... Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit required documentation to… more
- Deloitte (Boston, MA)
- Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer What we do Operations and Technology Transformation delivers ... on July 31, 2024 Work you'll do As an OTT Insurance Transformation Specialist Master, you will bring considerable technical expertise to deliver effective solutions… more
- LogixHealth (Bedford, MA)
- …Excel skills We want to meet YOU! Purpose Process all denied and unpaid claims submitted to insurance carriers to ensure payments are received and provide oversight ... Review A/R reports to follow up on any unpaid claims + Submit required appeals when needed + Submit...to two years related billing experience preferred; Previous Billing Specialist experience highly desired. Prior word processing, spreadsheet and… more
- Zurich NA (Boston, MA)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled **Senior Design/Construction Management Consulting ... Specialist ** within Risk Engineering and our Zurich Resilience Solutions...prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Onboarding Specialist is the primary contact for members as they transition to a CCA health plan. The Specialist ... existing healthcare services that will continue and new service requests. The Specialist works to ensure that member needs are addressed through liaising with… more
- Kelly Services (Cambridge, MA)
- …with a great, new opportunity. Join the Kelly(R) team as a **REMOTE HR Specialist ** to work at a premier client in **Cambridge, MA** . **Pay: $36-$40/hr** **Shift: ... **Weekly Pay** **Why you should apply to be an HR, Payroll, and Benefits Specialist :** * Competitive salary based on experience. * Opportunity to work with a premier… more
- GE Vernova (Boston, MA)
- **Job Description Summary** The Commissioning Specialist is responsible for preparing commissioning procedures and commissioning of hydroelectric turbine-generator ... units. Working with the Commissioning Leader, the Commissioning Specialist will be reviewing designs, preparing commissioning procedures, plan tooling requirements… more
- Needham Bank (Needham, MA)
- Job Descriptions: JOB SUMMARY: The Card Service Specialist will be responsible for processing incoming ATM and Mastercard Debit disputes and fraud claims in ... compliance with Regulation E, Mastercard and/or PIN networks requirements. The Card Service Specialist will be an integral member of the Card Services team. This… more