- LogixHealth (Bedford, MA)
- Location: Bedford, MA; Hybrid in Bedford, MA This Role: As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with ... Responsibilities: + Run validations in the Ntierprise software system on claims data to ensure billing integrity + Electronically matching insurance payments to… more
- Citizens (Medford, MA)
- Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at ... use critical thinking skills to assist customers with existing claims and determine the best next step for the...Medford, MA Some job boards have started using jobseeker-reported data to estimate salary ranges for roles. If you… 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,...two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We offer a… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform 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 ... claims processing guidelines, BCBSMA Medical and Payment Policies, contract interpretations and established audit...our Flex persona. Your Day to Day + Analyze data to assess the accuracy of claims … 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, ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims ...+ Demonstrated attention to detail + Ability to perform data in billing software + Prior word processing, spreadsheet… more
- J&J Family of Companies (Raynham, MA)
- Regulatory Affairs Specialist I (Depuy Synthes/Spine) - Medical Device Business Services, Inc. (1 of 2) - 2406183699W **Description** DePuy Synthes, part of ... of claims , content labeling, and promotional materials. * Defines data and information needed for regulatory approvals. * Develops labeling specifications and… more
- Northeast Family Services (Fall River, MA)
- Northeast Family Services is currently seeking a Billing Specialist to join their growing team! This position REQUIRES you to be able to access our Warwick RI or ... are currently looking for a passionate and dedicated Billing Specialist to join our team. The Billing Specialist...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Work Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to ... correct revenue flow of charges and billing. The Billing Specialist will be responsible for charge and claim review...or taxonomy related issues returned by the payor preventing claims submission or causing payor denials. 4. Responsible to… more
- LogixHealth (Bedford, MA)
- …MA; Hybrid in MA $400 Signing Bonus This Role: As a Deficient Chart Specialist at LogixHealth, you will work with internal teams to provide solutions that will ... to our fast-paced, collaborative environment and will bring your expertise to process medical records that have been reviewed by Coders and found to be un-codeable… more
- MassMutual (Springfield, MA)
- **DI Claim Specialist , DI Claims ** **Springfield Office, Fulltime (Hybrid)** **Job Description** We're growing and our clients deserve the best. As a DI Claim ... responsible for adjudicating Individual Disability Income and Life Waiver of Premium claims of varying complexity. **The Opportunity** As a Claim Examiner, you will… more
- Beth Israel Lahey Health (Boston, MA)
- …ambulatory infusion reimbursement and Patient Assistance programs. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. ... Day (United States of America) Based in Charlestown, the Medication Access Specialist position has a hybrid and remote work arrangement. The Medication Access… more
- Citizens (Medford, MA)
- …continuously learn, consider a career at Citizens as a Fraud Customer Support Sr. Specialist . In this role, you'll play a crucial part in safeguarding our customers ... to apply analytical reasoning to examine in real time the customer's data . + Navigate multiple bank systems independently to understand issues and assess… more
- Beth Israel Lahey Health (Norwood, MA)
- …infusion reimbursement and Patient Assistance programs. 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides ... **Work Shift:** Day (United States of America) Job Summary: The Medication Access Specialist will fulfill all of the job responsibilities as needed and coordinate… more
- Citizens (Medford, MA)
- …clearly, listens actively, and takes notes to understand the customer's fraud claims . Handles routine customer fraud inquiries promptly and takes actions to provide ... conversation and analytical reasoning to examine in real time the customer's data using multiple bank systems to understand issues and assesses consequences of… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …direct supervision of the Patient Financial Services Director, the Payment Poster/EDI Specialist is responsible for the accurate and timely processing and posting of ... information, making adjustments as necessary to ensure proper filing of supplemental claims to insurance companies. The staff in this position works closely with… more
- Beth Israel Lahey Health (Boston, MA)
- …next payer. + Reviews payer rejections and makes corrections to ensure payer acceptance of claims . + Follows up with the payers regarding claims that have not ... + 1-3 years related work experience required. + Proficient key boarding skills for data entry and ability to navigate between more than one computer system. +… more
- Fallon Health (Worcester, MA)
- …applications, Microsoft Office package, mainframe knowledge (QNXT/eVips) + Knowledge of medical terminology/ claims payment, ICD and CPT coding familiarity + ... proactive follow-up activities with provider and/or Fallon Health staff. + Validate data received by providers and update demographic and practice changes at the… more
- HUB International (Rockland, MA)
- …of insurance documents for different lines of business and enter in key pieces of data from the insurance policy in order to match each document to the associated ... for qualified individuals. **Key Responsibilities** : + Key in data from insurance documents in order to match documents...+ Full package of employee benefits including paid vacation, medical insurance, and a 401K plan **Tools provided from… more
- Highmark Health (Boston, MA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... policies, practices, and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment… more
- Highmark Health (Boston, MA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... policies, practices, and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment… more