- Sedgwick (Boston, MA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Supervisor **PRIMARY PURPOSE:** To supervise the operation of multiple ... combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims … more
- Sedgwick (Boston, MA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** **:** To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Boston, MA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability (Medical Malpractice) **PRIMARY PURPOSE** : To ... analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Boston, MA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Tufts Medicine (Boston, MA)
- …related to Tufts Medicine's Legal Department. Activities include the processing of claims inquiries, invoices, generation of system and excel based reports related ... to claims and insurance, managing phone inquiries, and the distribution...department policies and practices. Refers specific complex problems to supervisor where clarification of departmental policies and procedures. Tufts… more
- Beth Israel Lahey Health (Boston, MA)
- …responsible for planning, coordinating and managing HIPAA EDI activities including Claims , Remittance, as well as Provider Enrollment processing for Harvard Medical ... EDI including analysis, design, mapping, testing, training. The Manager of EDI Claims , Remittance and Enrollment is responsible for ensuring adherence to and… more
- Carrington (Boston, MA)
- …eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but not limited to, claim ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Atrius Health (Chelmsford, MA)
- …care system in the country. *SUMMARY* *This position is looking for a Medical Claims Representative to join the Self Pay team at our Chelmsford location with a ... for the collection agency. Typically reports to Patient Billing Supervisor . *_EDUCATION/LICENSES/CERTIFICATIONS_* * High School diploma or equivalency certificate… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …due to a front end error at the end of each shift to avoid delay in claims being processed. Alerts supervisor of any issues with accounts in workqueue or in ... policy for NeighborHealth. Follows department policies and procedures for notifying supervisor of an unplanned absence or tardiness. + Understands and adheres… more
- Eversource Energy (Westwood, MA)
- …role with the first three months in the office\. Eversource is looking for a ** Supervisor , Project Engagement** to be located in **Westwood** **, MA** \. As part of ... serve as team escalation point and oversee annual staff development\. The Supervisor will provide support, training, continuous guidance and strategic direction for… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Communicates all claims /data problems that cannot be handled to the Supervisor /Manager within one (1) day of identifying the problem. . Identifies and researches ... difference in people's lives.** Under oversight of the Department Manager & Supervisor , the Patient Financial Services Specialist - Hospital Billing will be… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Communicates all claims /data problems that cannot be handled to the Supervisor /Manager within one (1) day of identifying the problem. + Identifies and researches ... lives.** Job Description Summary Under oversight of the Department Manager & Supervisor , the Patient Financial Services Representative - Hospital Billing will be… more
- Travelers Insurance Company (Boston, MA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Allied Universal (Malden, MA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- Intermountain Health (Boston, MA)
- …as needed on aging reports, reports all payor issues and/or denial trends to Lead/ Supervisor and may appeal and/or rebill underpaid claims and assist with ... **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains… more
- Cambridge Health Alliance (Everett, MA)
- …the assigned third party payer. * Performs follow-up procedures as directed by supervisor . * Performs specialized recording on entries as required in the finance ... department * Ensures accurate recording of both electronic, paper claims , misc. revenue and other entries. * Reports to..., misc. revenue and other entries. * Reports to supervisor patterns of denials and/or problems on patient accounts.… more
- Defense Contract Management Agency (Hanscom AFB, MA)
- …grants and other transactions. Provides initial data to the responsible supervisor concerning performance, commendation, future work plans, and further training and ... at the time of application) to support your educational claims . Or, if you are using education to qualify...at the time of application) to support your educational claims . The transcripts must include your name, the name… more
- Commonwealth Care Alliance (Boston, MA)
- …outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor . **Supervision Exercised:** + No, this position does not have direct reports. ... clinical judgment to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately following the visit. + Utilize our… more
- State of Massachusetts (Boston, MA)
- …investigative duties, with a focus on the investigation of discrimination claims in Employment for the agency. Incumbent investigates complaints; obtains evidence ... to the public, parties, and constituents. 11. Collaborates with supervisor , attorney advisor(s), investigator(s), Commission Counsel, and/or the Deputy Chief… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all ... front-end prior authorization, biosimilar drugs, pharmacy-benefit exclusion drugs, and claims . Located in Boston and the surrounding communities, Dana-Farber Cancer… more