- Beth Israel Lahey Health (Burlington, MA)
- … claims , appeals and analyzes unresolved third party and self -pay accounts, initiating contacts and negotiating appropriate resolution (internal and external) ... information that impacts the resolution of current or potential future claims . 3. Establishes relationships and maintains open communication with third party… more
- Humana (Boston, MA)
- …solutions and outcomes working in a best-in-class contact center. As a Bilingual Call Center Representative 2, you will take as many as 75 calls per day from Florida ... changes, locating Providers / Specialists, benefit coverages, authorizations, Provider claims inquiries, grievances and appeals, transportation needs, and pharmacy… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner/Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative ... Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review...women, Black, Indigenous, and Persons of Color (BIPOC) may self -select out of opportunities if they don't meet 100%… more
- LogixHealth (Bedford, MA)
- …and will bring your expertise to facilitate payment of Emergency Department Physician medical claims . The ideal candidate will have strong technical skills, ... to learn. Key Responsibilities: + Review accounts in the self -pay category and make determination to send to collections...a daily basis + Attach primary EOBs to secondary claims + Attach medical records to … more
- HealthEdge Software Inc (Boston, MA)
- …life cycle/workflow, network contracting, payment/policy configuration, provider relations, medical management, medical economics, audit, compliance) related ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- Tufts Medicine (Boston, MA)
- …duties: Facilitates the reimbursement for clinical services provided to patients. Submits claims to health insurers, follows up with health insurers about submitted ... claims , and performs appeals for non-clinical denials, etc. An...2. Two (2) years of experience in an automated medical billing and collection environment for a medical… more
- Live Nation (Mansfield, MA)
- …Maintains and monitors records of all incident reports and workers comp claims - investigates and manages all pending cases, including interviewing staff and ... of; Pre-Event Inspection Reports, Event-Related Incident Reports, Workman Comp/General Liability Claims + Assists in the yearly permitting process for the venue… more
- Cardinal Health (Boston, MA)
- …and pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years experience ... 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… more
- Gilead Sciences, Inc. (Boston, MA)
- …events, and other miscellaneous external expenditures. + Partner with Medical Scientists, National Account Managers, Therapeutic Center Specialists, Marketing, and ... and retention of technical and scientific product-related information. + A self -Motivated achiever who consistently surpasses personal goals and exceeds standards of… more
- Sanofi Group (Cambridge, MA)
- …Review promotional materials for Market Access content. + Act as legal representative on US-based cross-functional Pricing Review Boards and Pricing Committees. + ... range of areas outside of market access such as sales, medical , regulatory, operations, finance, supply chain, manufacturing, pharmacovigilance, external affairs,… more
- Ace Hardware (Boston, MA)
- …to ensure replenishment orders are flowing. Assist stores with credits and claims . + STOCKING/MAINTAINING SETS OR PLANOGRAMS: For key accounts walk floor, inspect ... skills with customers and colleagues + Detail-oriented and extremely organized self -starter able to thrive is a fast-paced entrepreneurial environment. + Proven… more
- Sanofi Group (Cambridge, MA)
- …colleagues in the US Privacy Office, act as NA Legal Department representative on relevant privacy workstreams and coordinate implementation of privacy initiatives ... relating to the pharmaceutical industry, including without limitation, the False Claims Act, the Anti-Kickback Statute, and competition laws. + Substantive working… more