- 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
- USAA (Boston, MA)
- …makes us so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist to join our field Team. The adjuster has to be located or willing ... to the area of **Boston, MA** . As a Insurance Property Adjuster Specialist , you will work within established guidelines and framework to investigate, evaluate,… 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
- Sutherland Global Services (Boston, MA)
- …understanding of Hospital billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school ... Do you have a background in medical collections, insurance follow-up, and revenue cycle management?...This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via… 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
- Commonwealth Care Alliance (Boston, MA)
- …and inbound call support + Leverages internal and external resources (such as claims , referrals, and pharmacy data ) to identify accurate, successful contact ... **Why This Role is Important to Us:** The Onboarding Specialist is the primary contact for members as they...or in the community with individuals who have behavioral, medical , social, or interpersonal complexities impacting their lives required… more
- Beth Israel Lahey Health (Burlington, MA)
- …infusion reimbursement and Patient Assistance programs. 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides ... you're making a difference in people's lives.** Job Summary: The Medication Access Specialist will fulfill all of the job responsibilities as needed and coordinate… more
- Philadelphia Insurance Companies (Bridgewater, MA)
- …50 and rated A++ by AM Best. Duties We are looking for a Business Solutions Specialist / Sr. Specialist to join our team! Summary - Analyzes company operations, ... feedback Qualifications Qualifications + Bachelor's degree in Business, MIS, Accounting/Finance, Communications, Data Science, or related field + Minimum 3 - 5 years… more
- Travelers Insurance Company (West Bridgewater, MA)
- …bills, mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries,… more
- East Boston Neighborhood Health Center (Revere, MA)
- …All Locations: Revere Position Summary: Full-time position for an experienced Benefits Specialist . Ideal candidate will have in-depth knowledge of all benefit plans, ... Administer health and welfare benefit plans including, but not limited to: medical , dental, life, disability, and supplemental programs. + Launch annual benefits… more
- American Family Insurance - Corporate (Boston, MA)
- …job level and your geographic work location._ The Product Compliance Sr. Specialist will be responsible for coordination of divisional programs for internal controls ... response communication regarding state market conduct exams, state and federal data calls, state inquiries and surveys. Specialized Knowledge & Skills Requirements… more
- LogixHealth (Bedford, MA)
- …interfaces in a Healthcare domain. + Overall experience in healthcare operations, medical billing and coding + Good communication skills to interact with internal ... services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients… more
- Commonwealth Care Alliance (Boston, MA)
- …and commercial coding rules/ regulatory requirements + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , ... the direction of the Sr. Director, TPA Management and Claims Compliance, Medical /BH Reimbursement Policy Manager will...to have):** + Working knowledge of health care reimbursement, claims , and data systems preferred EEO is… 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
- LogixHealth (Bedford, MA)
- …The Operations Assistant is responsible for working alongside Coding Production, Coding Specialist and Coding Resource teams to ensure that operational focused areas ... or quarterly task(s) + Review, analyze, and distribute coding production SSRS data reports, Tableau, and Command Center warnings to the Production Team's attention… more
- Beth Israel Lahey Health (Boston, MA)
- …out to patients requesting specific information to assist with continuing claims processing. Works collaboratively with primary care or specialty physicians, their ... by reaching out to patients where needed relative to pending and/or denied claims . 8. Assists in capturing all missing auto insurance information when needed.… more
- SMX (Boston, MA)
- …of all benefits and retirement programs, including, but not limited to medical , dental, vision, life insurance, disability, and 401(k) plan. The Benefits Manager ... and other general inquiries. + Surveys industry trends, reviews experience data and utilization reports. Examines possible benefit changes and proposes… more