- Sedgwick (Boston, MA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
- Ryder System (Boston, MA)
- …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Humana (Boston, MA)
- …and other associates who have been assigned different case types. This position is permanent Remote /Work at Home. Work hours are Monday - Friday (8 - 4:30 with a ... and/or Service Read Only + Previous experience in medical claims processing + Previous inbound call center or related...+ Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Ability to manage large… more
- Fallon Health (Worcester, MA)
- …helping the elderly and their families? Fallon Health is hiring an Enrolle Service Representative to work Hybrid- Remote , Mostly from Home but coming into the ... the best possible outcomes. **Brief Summary of Purpose:** The Enrollee Service Representative is responsible: + To execute the following tasks in accordance with… more
- Ryder System (Boston, MA)
- …reporting; I-9 compliance; Pre-employment services; Unemployment Insurance claims ; Immigration Services; Leave Administration; Workplace Accommodations; Drug ... to the established policies and procedures, and established governance process. REMOTE work from HOME **Essential Functions** + Experience completing Federal and… more
- State of Massachusetts (Boston, MA)
- …/* _Division Chief_ _Health Care & Fair Competition Bureau_ _False Claims Division_ Attorney General Andrea Joy Campbell is looking for an ... her management team as the Chief of the False Claims Division. The False Claims Division investigates...Type_: Full Time/Exempt. Our current hybrid model includes some remote workdays for most positions. _Salary_: $137,417 *_To apply… more
- HealthEdge Software Inc (Boston, MA)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- HealthEdge Software Inc (Boston, MA)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- HealthEdge Software Inc (Boston, MA)
- …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- Health Plans, Inc. (Westborough, MA)
- …assisting the Vice President of Client Services, Account Manager and Client Service Representative with the plan implementation for new clients, as well as assisting ... the Account Coordinator will assist the Account Manager and Client Service Representative in the coordination of the plan implementation by producing and compiling… more
- LogixHealth (Bedford, MA)
- Location: Bedford, MA; Remote in AL, FL, GA, MI, MO, NC, NH, OH, OK, TN, TX, WI, and, WV This Role: Manage and ensure timely enrollment of client groups and ... individual providers and monitor contract termination dates and make sure that claims are processed based on the contracted rates. Key Responsibilities: + Assigning… more
- HealthEdge Software Inc (Boston, MA)
- …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... and deliver excellent software and services to our customers._ **Geographic Responsibility:** Remote but ideal candidate would live within the driving distance to… more
- LogixHealth (Bedford, MA)
- Location: Bedford, Ma; Hybrid; Remote in AL, FL, GA, MI, MO, NC, NH, OH, OK, TN, TX, WI, WV This Role: Manage and monitor projects and operations to support ... to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this… more
- LogixHealth (Bedford, MA)
- Location: Bedford, Ma; Hybrid; Remote in AL, FL, GA, MA, MI, MO, NC, NH, OH, OK, TN, TX, WI, WV This Role: The purpose of the Application Specialist in Billing ... to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this… more
- LogixHealth (Bedford, MA)
- Location: Bedford, MA; Remote in AL, FL, GA, MI, MO, NC, NH, OH, OK, TN, TX, WI, and WV $2500 Signing Bonus Are you interested in joining a team that strives to ... related procedures for physicians/mid/level providers to ensure groups can submit claims to insurance carriers for reimbursement. Duties and Responsibilities +… more
- LogixHealth (Bedford, MA)
- Location: Bedford, MA; Remote in AL, FL, GA, MI, MO, NC, NH, OH, OK, TN, TX, WI, and WV $2500 Signing Bonus Are you interested in joining a team that strives to ... related procedures for physicians/mid-level providers to ensure groups can submit claims to insurance carriers for reimbursement. Duties and Responsibilities +… more
- WellSense (Boston, MA)
- …caregivers. The Care Management Coordinator is a key contact and department representative and must have excellent written and verbal communication skills. This ... Perform other duties as requested. Our Investment in You: + Full-time remote work + Competitive salaries + Excellent benefits **Key Functions/Responsibilities:** +… more