- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical… more
- Zurich NA (Boston, MA)
- Sr. Claims Specialist , Workman's Compensation 119585 Zurich North America is seeking an experienced Senior Claims Specialist in Workers' Compensation to ... to fully remote applicants residing in Maine. The Senior Workers' Compensation Claims Specialist will manage multi-party commercial claims of moderate to… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
- Sedgwick (Boston, MA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry… more
- Carrington (Boston, MA)
- **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all ... FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform...**What you'll do:** + Prepare and file all HUD claims timely and accurately according to investor/insurer/CMS guidelines and… more
- US Tech Solutions (Canton, MA)
- **Job Summary:** The Medical Claims Research Specialist supports the HEDIS (Healthcare Effectiveness Data and Information Set) reporting period by reviewing ... medical claims , identifying appropriate medical records and providers, and documenting...+ Follow workflows to complete daily tasks. + Conduct claims and provider research using claims reports.… more
- Zurich NA (Boston, MA)
- Managed Care, Claims Vendor Management Sr Specialist 118916 Zurich North America is seeking a Managed Care, Claims Vendor Management Senior Specialist to ... anywhere in the United States. **About the Role** As a Senior Specialist in Managed Care and Claims Vendor Management, you will play a key role in administering… more
- Crawford & Company (Boston, MA)
- Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key ... areas of edjuster's content claims handling operations: + Acting/operating as a third party,...Focusing on the accurate and timely processing of content claims , via the use of edjuster's claims … more
- Zurich NA (Boston, MA)
- … Specialist 118919 Zurich is currently looking for a CROP Design and Development Specialist for our Crop Claims division. This position may work out of one ... of the following North American offices: 100% Virtual. Develops support and supplemental material (user guides, tip sheets, self-support/on-the-job guides, release notes) for larger learning solutions and initiatives. Works with Program Managers and more… more
- Tufts Medicine (Burlington, MA)
- …responsibilities may be assigned. 1. Serves as an experienced business specialist and technology generalist responsible for aligning technology solutions with ... business needs per the strategic direction set forth by leadership and key stakeholders. 2. Develops detailed understanding of application functionality by attending training and/or reading documentation. 3. Serves as an intermediary between internal groups… more
- Beth Israel Lahey Health (Burlington, MA)
- …not just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims , aged claims and denied ... resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission. The Billing ...claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review… 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 ... and accurate submission of medical and dental claims to Medicaid, Medicare, other third party payors and...and maintain a low backlog of work. The billing specialist III works as part of a team that… more
- Robert Half Accountemps (Dedham, MA)
- …offering a contract to permanent employment opportunity for a Medical Billing Specialist in Dedham, Massachusetts. This role is crucial within the Healthcare/NHS ... * Prepare and submit daily and monthly billing and claims to insurances for all service venues. * Interact...claim information from various departments to prepare or correct claims . * Follow up on all claims ,… 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, ... Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit required documentation to… more
- Beth Israel Lahey Health (Danvers, MA)
- …and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts, ... the EHR billing system in order to identify paid claims or root cause of denial when assessing denials....that impacts the resolution of current or potential future claims . + Establishes relationships and maintains open communication with… more
- Deloitte (Boston, MA)
- Manager/ Specialist Master, Operations and Technology Transformation, Guidewire Data Architect What we do Our Operations and Technology Transformation team (OTT) ... on January 31, 2025 Work you'll do As an OTT Insurance Transformation Manager/ Specialist Master, you will bring technical expertise to deliver effective solutions to… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The primary function of the Patient Accounting Follow-Up Specialist II is the daily management of an assigned portion of the accounts receivable, typically allocated ... based on payer and alphabetical splits. The Patient Accounting Follow-Up Specialist II will identify and escalate issues and trends. Located in Boston and the… more
- J&J Family of Companies (Raynham, MA)
- …Johnson & Johnson MedTech, is currently recruiting for a Senior Regulatory Affairs Specialist to support our Orthopedics business. This role will work a Flex/Hybrid ... for humanity. Learn more at https://www.jnj.com/. The Senior Regulatory Affairs Specialist is responsible for regulatory activities to support new, modified and… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals ... plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all work related to molecular pathology,… more
- Needham Bank (Needham, MA)
- …and communities via the Customer Care Center channel. A Customer Care Center Specialist will advise, advocate and deliver on the service and support needs of ... problems and provide information on products and services. Customer Care Center Specialist should anticipate needs and resolve concerns with the goal of exceeding… more