• Claims Research & Resolution

    Humana (Boston, MA)
    …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
    Humana (11/18/25)
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  • Lead Claims Examiner - Job Service Rep II

    State of Massachusetts (Boston, MA)
    *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate… more
    State of Massachusetts (08/23/25)
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  • Single Billing Office Representative I

    Highmark Health (Boston, MA)
    …accounts receivable system with all pertinent information regarding the patient interview, research performed, and resolution . + Collects payments on account via ... Network **Job Description :** **GENERAL OVERVIEW:** Responsible for the financial resolution of all self-pay account balances from technical and professional billing… more
    Highmark Health (11/15/25)
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  • Billing & Certified Coding Specialist II- Remote

    Beth Israel Lahey Health (Burlington, MA)
    …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 3. Establishes relationships ... within the Central Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims issues, denials, and appeals. 16. Completes projects… more
    Beth Israel Lahey Health (10/30/25)
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  • Job Service Rep I (Revenue - Wage Processing)

    State of Massachusetts (Boston, MA)
    …able to work, available for work and looking for a job. The Job Service Representative I performs customer service and issue resolution by assisting employers or ... ensure compliance with access control procedures. Reviews user information by conducting research and verifying information in order to mitigate fraud. Review and… more
    State of Massachusetts (11/18/25)
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  • Strategic Accounts Receivable Specialist

    WATTS (Andover, MA)
    …Specialist is responsible for the efficient, effective, productive, and accurate resolution of accounts receivable for an assigned territory while maintaining good ... Management Services (CDMS/dispute management) and overall customer satisfaction for resolution . Will assist and/or lead in performing various accounting, audit… more
    WATTS (10/29/25)
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  • Appeals and Grievances Analyst

    Point32Health (Canton, MA)
    …regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint ... works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation… more
    Point32Health (11/14/25)
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