- Elevance Health (Woburn, MA)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... - Friday, between the hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully completing the required basic training. Able to… more
- Atrius Health (Chelmsford, MA)
- …package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Medical Claims Follow-Up Representative * **Location:** *Chelmsford MA ... responsible for the follow up and resolution of denied medical billing claims for assigned payer(s). In accordance with department policies and procedures,… more
- Zurich NA (Boston, MA)
- Claims Call Centre Representative 125071 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include ... different levels of complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex queries on to… more
- Atrius Health (Chelmsford, MA)
- …benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Medical Claims Rep - Self-Pay Representative - Sign-on Bonus ... Eligible* **Location:** *Chelmsford MA - Apollo Dr.* **Requisition ID:** *125689* more
- Beth Israel Lahey Health (Charlestown, MA)
- …oversight of the Department Manager & Supervisor, the Patient Financial Services Representative - Hospital Billing will be responsible for efficient & timely billing ... Up, and Denial activities necessary to obtain payment/resolution of claims . + Reviews entire account to ensure claims... claims . + Reviews entire account to ensure claims were billed properly, payments were applied correctly, and… more
- Children's Hospital Boston (Boston, MA)
- …Posting Title:Patient Accounts Representative - HybridDepartment:Finance-Patient Financial ServicesAutoReqId:80853BRStatus:Full-TimeStandard Hours per Week:40 Job ... offices, service sites and ancillary departments. Prepares and submits accurate insurance claims to payer within proper timeframes. Works payer scrubber and denial… more
- Cardinal Health (Boston, MA)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Fallon Health (Worcester, MA)
- …Twitter and LinkedIn. **Brief Summary of Purpose:** The Senior Provider Relations Representative serves as primary liaison for operational matters between FCHP and ... and ancillary providers within an assigned territory. The Senior Provider Representative is responsible for building and maintaining positive relationships with… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Locations: 20 Maverick Square - Cradock Building Position Summary: The Patient Access Representative is expected to make all patients feel welcome, over the phone or ... 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 completing… more
- Highmark Health (Boston, MA)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and… more
- LogixHealth (Bedford, MA)
- …the new clerical staff during their transition to working independently + Mail paper claims generated by staff on a daily basis + Attach primary EOBs to secondary ... claims + Attach medical records to claims ...perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …The Director will author/review **clinical pharmacology** submission documents and representative of the department at different product development team meetings. ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …assigned disease areas within the CNS TA. + Act as a company representative and advocate in relevant medical and scientific communities for specific assigned areas ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and ... Divisions. Provides quality customer service and serves as an exemplary representative of the Patient Financial Services team **Job Description:** **Essential Duties… more
- LogixHealth (Bedford, MA)
- …collaborative environment and bring your expertise to ensure groups can submit claims to insurance carriers for reimbursement . The ideal candidate will have ... to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this… more
- MAPFRE Insurance (Middlesex County, MA)
- …Company: MAPFRE Job Summary MAPFRE is seeking a dynamic Business Development Representative to drive profitable sales growth in their assigned territory. The ... programs preferred. Prior experience in a business development, underwriting and/or claims position within a company or agency environment. If you require… more
- Pfizer (Cambridge, MA)
- …for Elrexfio. The Senior Manager will manage various data assets, including claims , sales, and specialty pharmacy data, and will work across oncology commercial ... + **Secondary Data Analysis** : Leverage multiple external data sources (eg, claims data, specialty pharmacy data, non-retail sales) to generate actionable insights… more
- Sanofi Group (Cambridge, MA)
- …the execution of phase 3b, phase IV clinical trials, observational studies, claims database analyses and real-world evidence (RWE) studies. + Develop and implement ... identify evidence gaps and opportunities for collaboration. + Act as a representative of evidence generation team from Sanofi at scientific conferences, and advisory… more
- Commonwealth Care Alliance (Boston, MA)
- …medical policies and prior authorization program. + Support the payment policy and claims teams in the development of payment policies, and effectuation of medical ... policies and collaborate on claims projects ensuring they are relevant, compliant with regulatory,...carrying out the position duties and responsibilities. + Primary representative of the medical policy team and serve as… more
- Fenway Health (Boston, MA)
- …payer behavior, and producing actionable insights that drive operational improvements. Representative Duties: Revenue Cycle Analysis + Track key revenue cycle ... (ie, CPT, HCPCS, ICD-10), payer reimbursement methodologies, denial management, and claims processing in either ambulatory, pharmacy, or FQHC settings. Preferred… more