- Randstad US (Lexington, MA)
- …on documentation from their medical provider * Ensure the accommodation approvals and denials are properly documented in the case management system. salary: $38 ... human resources specialist . + lexington , massachusetts + posted october...their medical provider * Ensure the accommodation approvals and denials are properly documented in the case management… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Department: Patient Accounts All Locations: East Boston Position Summary: The Billing Specialist II is responsible for organizing work flow to complete the timely ... consistently learning how to better utilize EPIC (NeighborHealth's practice management software), comply with the various payor requirements and...and maintain a low backlog of work. The billing specialist III works as part of a team that… more
- Tufts Medicine (Burlington, MA)
- …setting (ICU, ED, Critical Care, strong Med/Surg Specialty) or equivalent case management , utilization review, denials management , or progressive leadership ... **Job Profile Summary** The role of the Clinical Documentation Integrity (CDI) Specialist III is responsible for concurrent and retrospect review and analysis of the… more
- Adecco US, Inc. (Cambridge, MA)
- …high level of organization and strong communication skills. The Reimbursement Support Specialist follows standardized workflows as defined by management . This is ... Healthcare & Life Sciences is hiring a contract hybrid Reimbursement Resource Specialist for our Pharmaceutical partner in Cambridge, MA. The anticipated hourly wage… more
- Randstad US (Cambridge, MA)
- …high level of organization and strong communication skills. The Reimbursement Support Specialist follows standardized workflows as defined by management . This is ... reimbursement resource specialist - first shift. + cambridge , massachusetts +...processes and provide necessary documents and requirements to Case Management team members - Re-verify insurance benefits and coverage… more
- Tufts Medicine (Lawrence, MA)
- …to help foster a positive work environment. 16. Works closely with Case Management and Admitting colleagues to confirm level of care changes, particularly for ... Cycle colleagues to complete root cause analysis on complex denials and formally appeal denials within a...if supervisor is out of the office; including worklist management , review of at-risk cases, and closed loop communication… more
- Spaulding Rehabilitation (Charlestown, MA)
- Clinical Documentation Integrity Specialist , Per Diem - ( 3303241 ) **Description** **Job Summary** Under the direction of the Clinical Documentation Integrity (CDI) ... on an ongoing basis. Assists with IRF CMS 60% management , concurrent CMG or DRG assignment, ICD 10 documentation...compliance, coding staff, physicians, and finance to reduce payment denials and improve medical necessity documentation. * Acts as… 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, ... communication, and experience in third-party billing. Key Responsibilities: + Review/work denials on an explanation of benefits (EOB) statement + Analyze A/R… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As an Electronic Claim/Remit Specialist at LogixHealth, you will work with internal teams to provide services that will ... by retrieving electronic bank files for each client and matching payments or denials to the corresponding insurance carrier + Access and store EOBs and related… more
- Tufts Medicine (Tyngsboro, MA)
- …the delivery of support services or activities, typically under supervision. A specialist level role that requires very advanced knowledge of operational procedures ... supporting documentation. 5. Responsible for the processing of adjustments due to denials and contractual requirements. 6. Resolves assigned accounts in a timely and… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …the general direction of the Lead Biller, the NeighborHealth Revenue Cycle Specialist performs a wide spectrum of billing functions to minimize accounts receivable ... work queues, including but not limited to: Insurance verification (Epic RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure… more
- LogixHealth (Bedford, MA)
- …that are up for revalidation + Obtain information as requested by management + Update /Maintain Provider Enrollment Credentialing System + Collaborate with Billing ... Operations staff and Account Managers to resolve provider denials + Work with all team members to ensure tasks are completed + Attend conference calls with clients… more
- State of Massachusetts (Boston, MA)
- …of Occupational Licensure values inclusiveness and diversity within their employee and management teams. Within our community we strive to create and maintain ... not limited to: support relative to multiple software systems (including IPS), data management , permits and inspections, as well as other general office duties as… more