• Claims Specialist , Audit

    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 (02/06/24)
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  • Sr. Audit Specialist , Data Mining

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …healthcare? Bring your true colors to blue. What We Need The Senior Audit Specialist role will review paid claims for coding accuracy in accordance to ... guidelines, BCBSMA Medical and Payment Policies, contract interpretations and established audit protocols. The role involves detailed claims analysis of… more
    Blue Cross Blue Shield of Massachusetts (03/16/24)
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