- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The RoleThe Claims Nurse Reviewer is responsible for reviewing claims , validating ... position requires strong clinical and medical coding skills to review claims for medical necessity, appropriate coding,...part of the Complex Claims team, the Claims Nurse Reviewer will serve… more
- Lincoln Financial Group (Boston, MA)
- …at a Glance** We are excited to bring on highly motivated Short Term Disability Claims Specialists to staff our ever-growing claims organization. As a Short Term ... 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 you'll be doing**… more
- Humana (Boston, MA)
- …products including Word, Excel and Outlook **Preferred Qualifications** + Appeals/Utilization Review /Quality Management experience + Previous claims experience + ... a part of our caring community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments… more
- Beth Israel Lahey Health (Winchester, MA)
- …this position: 1. Conducts initial post-offer/pre-placement physical assessment, including review of immunization status, and provides required testing or ... policy regarding program. In absence of manager, files appropriate claims reports and works as liaison with physician and...years work experience as a medical or surgical staff nurse . 3. Certified Occupational Health Nurse preferred.… more
- Tufts Medicine (Boston, MA)
- …attorneys on legal matters when requested. 13. Collaborates with Office of General Counsel and Claims departments in order to review and evaluate claims and ... **Job Description** **Minimum Qualifications** **:** 1. Bachelor's degree in Nursing 2. Registered Nurse (RN) license. 3. Five (5) years of clinical experience in a… more
- Beth Israel Lahey Health (Burlington, MA)
- …information and payments. 13. Responsible for billing of multidisciplinary liver clinic and nurse 's visits. Oversee end of month charges are completed for all clinic ... of transplants. 21. Approve all donor acquisition charges for appropriate processing. 22. Review and approve invoices from the New England Organ Bank for payment and… more