- Beth Israel Lahey Health (Burlington, MA)
- …and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts, ... and identifies denial/non-payment trends and reports them to the Billing Supervisor. 2 . Responds to incoming insurance/office calls with professionalism and helps to… more
- Travelers Insurance Company (West Bridgewater, MA)
- …Openings** 1 **What Is the Opportunity?** This positions is hybrid (3 days in office, 2 days remote) out of our New England Claim Center. Candidates must live within ... is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement and payment… more
- Beth Israel Lahey Health (Charlestown, MA)
- …to providers in that area. Duties include hands-on coding, documentation review , coding dictionary updates, rejections and denials, surgical coding, physician or ... _including but not limited to:_ **1) Coding Responsibilities:** + Provides review and/or coding of any professional services including but not limited… more
- Beth Israel Lahey Health (Burlington, MA)
- …professional services for appropriate use of CPT, ICD-9, ICD-10, HCPCS, Modifier usage/linkage. 2 . Periodic review of codes, at least annually or as introduced ... in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation... and appeals. Duties include hands on coding, documentation review and other coding needs for ICD-9, ICD-10. Works… more
- Tufts Medicine (Boston, MA)
- …terminology course to attain understanding of CPT and ICD diagnosis coding. 2 . Certified Revenue Cycle Representative (CRCR) **OR** Certified Professional Coder ... the reimbursement for clinical services provided to patients. Submits claims to health insurers, follows up with health insurers...**Minimum Qualifications** **:** 1. High school diploma or equivalent. 2 . Two ( 2 ) years of experience in… more
- LogixHealth (Bedford, MA)
- …all data recorded is easily searchable/accessible via hyperlinks to client coding policies 2 . Monitor all emails received through Outlook and to ensure all internal ... up to date by following Coding Policy QA process 4. Execute the Annual Coding Policy Review project/push out all policies to clients for a review and to follow… more
- Pfizer (Cambridge, MA)
- …+ The ideal candidate will have a Master's degree with 5+ years/PhD with 2 + years in RWE analytics or NIS consulting, Nursing or Biomedical Informatics, Public ... purposes + Knowledge of Electronic Health Records, medical and pharmacy claims , patient registries, patient participating research networks, and other real-world… more
- Fresenius Medical Center (Waltham, MA)
- …to patient health information for utilization in data retrieval, analysis and claims processing and identifying and resolving problems that lead to medical claim ... and external customers. **DENIALS MEDICAL CODER FOCUS** **:** + Must have 2 + years of "Denials" experience within medical healthcare coding + Requires strong… more
- LogixHealth (Bedford, MA)
- …policies for new clients by pushing out coding policy questionnaire for a review and completion + Monitor and analyze internal and external communications to ... clients are being logged in the CRT Task library + Supervise Annual Coding Policy Review project that it is done correctly and timely by direct reports and assist in… more
- LogixHealth (Bedford, MA)
- …coder production, other specialties and consistently meet LogixHealth coding industry standards 2 . Monitor and track use of operational production tools to determine ... Identifying needs b. Posting internally c. Screening and interviewing candidates 10. Review and approve time and attendance records according to company standards… more