- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Consumer Service Operations Representative 2 represents the Dual Eligible Outreach Department by ... and/or providers regarding a variety of issues. The Consumer Service Operations Representative 2 performs advanced administrative/operational/customer support… more
- Fallon Health (Framingham, MA)
- …**About Fallon Health** Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. ... health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care...we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and… more
- Commonwealth Care Alliance (Boston, MA)
- …to: quality; regulatory affairs/compliance; clinical, operations, pharmacy, dental, reporting, and member services . - Supports the Senior Appeals & Grievance ... Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age,… more
- North Shore Community Health (Peabody, MA)
- …of the Primary Care Team (PCT) as a leader and an engaged team member . The Organization North Shore Community Health (NSCH) is a highly accomplished community health ... strong commitment to excellence, NSCH provides: * Comprehensive primary care. * Dental services . * Behavioral health care. * Care management. * Pharmacy services… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The primary functions of the Patient Accounting Billing Solutions Representative are to handle incoming patient-related calls, manage credit and collections ... activities, coordinate the Medicare Bad Debt program, and administer the hospital Patient...denials, and any overpayments. The Patient Accounting Billing Solutions Representative conducts appropriate research activity, utilizing billing and follow… more
- HealthEdge Software Inc (Boston, MA)
- …helps our customers understand andoptimizethe value customers receive fromHealthEdgeproducts and services . TheCustomer SuccessManager(CSM)is a key member of that ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
- Conviva (Boston, MA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... of revenue cycle processes, including credit balance validation, customer service escalations, payment reconciliation, and auditing. This role includes overseeing… more