- Sedgwick (Boston, MA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex nature and/or...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account,… more
- Lincoln Financial Group (Boston, MA)
- …73278 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... submitted claim information for payment. * Applying core knowledge of voluntary insurance products and claims processes to review questions/concerns and provide… more
- Crawford & Company (Boston, MA)
- Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key ... areas of edjuster's content claims handling operations: + Acting/operating as a third party,...+ Acting/operating as a third party, intermediary between the Insurance Company's property adjusters, and their policyholders with respect… more
- 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 internal ... and will bring your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement processing, accurate Explanation of Benefits… more
- BrightSpring Health Services (Taunton, MA)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of ... Competitive pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance...come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a… 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 ... to review and carry out processes on all out of network claims . The ideal candidate will have strong technological skills, excellent interpersonal communication,… more
- Beth Israel Lahey Health (Burlington, MA)
- …not just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims , aged claims and denied ... accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review to ensure the correct… more
- Northeast Family Services (Attleboro, 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)
- …provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and ... annually or as introduced or required. 3. Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding… more
- LogixHealth (Bedford, MA)
- …appeals on claims that require an appeal + Submit required documentation to insurance companies as requested + Research claims for information in order to ... On-Site in Bedford, MA This Role: As a Billing Specialist at LogixHealth, you will work with a team...+ Correct errors and resubmit all unprocessed or returned claims to insurance companies + Create UB92… 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)
- …Excel skills We want to meet YOU! Purpose Process all denied and unpaid claims submitted to insurance carriers to ensure payments are received and provide ... claims + Submit required appeals when needed + Submit any required documentation to insurance companies as requested + Review claims for accuracy to ensure it… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts, ... ensure timely and maximum payment. Manually and electronically applies insurance payments and works insurance overpayments, credits...the hospital billing system in order to identify paid claims or root cause of denial when assessing physician… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts, ... ensure timely and maximum payment. Manually and electronically applies insurance payments and works insurance overpayments, credits...the hospital billing system in order to identify paid claims or root cause of denial when assessing physician… more
- Sedgwick (Boston, MA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Children's Hospital Boston (Boston, MA)
- …Posting Title:Clinical Research Specialist I- Chien Lab Health Policy ResearchDepartment:Medicine-General PediatricsAutoReqId:75255BRStatus:Full-TimeStandard ... more about doctors and hospitals or about how health insurance affects health? These questions and many more are...economic analyses, and survey data collection. This Clinical Research Specialist will be responsible for: + As directed by… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …time Department: Patient Accounts All Locations: East Boston Description: The Billing Specialist III is responsible for organizing work flow to complete the timely ... and accurate submission of medical and dental claims to Medicaid, Medicare, other third party payors and...and maintain a low backlog of work. The billing specialist III works as part of a team that… more
- Zurich NA (Boston, MA)
- Product Specialist I 114106 Zurich North America is currently looking for a Product Specialists to join our Casualty Product Development Team based out of our North ... this role you will use your expertise within commercial liability insurance to help construct policies, create coverage enhancements, write manuscript endorsements,… more
- Beth Israel Lahey Health (Burlington, MA)
- …information and collaboration with BILH General Counsel. Collaborates with the LHMC Claims Department, and Controlled Risk Insurance Company (CRICO) when an ... lives.** **Job Description:** The Risk Manager and Patient Safety Specialist manages the review, investigation and reporting of safety events/incidents/occurrences… more
- State of Massachusetts (Brockton, MA)
- …Office of Housing and Livable Communities (EOHLC)is seeking a Homeless Hearings Specialist /Benefit Eligibility & Referral Social Worker C in the Division of Housing ... performs related duties as required. In addition, the Homeless Hearings Specialist prepares cases for administrative appeal hearings by gathering supportive… more