- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …guidelines. This position requires strong clinical and medical coding skills to review claims for medical necessity, appropriate coding, and pricing of ... and use existing documentation to develop and revise workflows. + Act as claims representative in corporate meetings involving changes in medical policy, pricing… more
- Beth Israel Lahey Health (Cambridge, MA)
- …1. Receives and verifies documents required for billing and follow-up purposes. 2 . Processes primary, secondary, and tertiary claims according to respective ... and policies. 3. Corresponds with third party representatives, as necessary to complete claims processing and/or resolve problem claims . 4. Responds to patient… more
- 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
- Takeda Pharmaceuticals (Lexington, MA)
- …materials, press releases, and sales training communications to support the promotional review process, 2 ) medical and scientific slides housed in the ... including Clinical Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced medical… 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
- LogixHealth (Bedford, MA)
- …supervisory experience highly desired. Specific Job Knowledge, Skill and Ability 1. Ability to review the work of others 2 . Ability to read and interpret ... Specialists when work load requires. Duties and Responsibilities 1. Review all write off requests submitted by the staff...by the staff and make necessary adjustments when needed 2 . Report any trends found from write off requests… 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
- 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 ... Execution Specialist I role:** The demands described here are representative of those that must be met by an...on role/grade level (rapid company growth over the past 2 years resulted in incentives being paid out above… 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