- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denial Specialist I role is vital to ensure that hospital denied accounts are thoroughly ... includes review and rework of all types of PFS denials . Good writing and analytical skills are a must....completes continuous daily work queue volume of PFS related denials . Monitors days in A/R and ensures that they… more
- Beth Israel Lahey Health (Burlington, MA)
- …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 claims for ... complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission.… more
- Beth Israel Lahey Health (Danvers, MA)
- …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 claims for ... complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission.… more
- Beth Israel Lahey Health (Charlestown, MA)
- …America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
- Beth Israel Lahey Health (Charlestown, MA)
- …America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… 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 maintain a low backlog of work. The billing specialist III works as part of a team that...remittance advices to identify trends in payment delays or denials . + Communicates with Director and other Business Office… more
- Tufts Medicine (Burlington, MA)
- **Job Profile Summary** The role of the Clinical Documentation Integrity (CDI) Specialist III is responsible for concurrent and retrospect review and analysis of the ... Care, strong Med/Surg Specialty) or equivalent case management, utilization review, denials management, or progressive leadership in an acute-care hospital setting… more
- Beth Israel Lahey Health (Winchester, MA)
- …most effective and positive manner possible. + Researches claim edits and payment denials related to financial clearance and works closely with the Lahey Patient ... Financial Services staff to resolve these denials . Communicates resolution to patients. **Organizational Requirements:** + Maintain strict adherence to the Lahey… more
- South Middlesex Opportunity Council (Framingham, MA)
- …all individuals and families seeking assistance through the HCEC. The Assessment Specialist is responsible for carrying ongoing caseload of clients applying for ... from OMNI-E2E; follow DHCD guidance on time-out of cases, denials and submitting them for final review. + Participate...of the responsibilities of this position, the HCEC Assessment Specialist will have direct or incidental contact with clients… more
- Carrington (Boston, MA)
- **Come join our amazing team and work remote from home!** The Default Claims Specialist is responsible for preparing, filing, and following up on all FHA, VA, USDA, ... of all trends and problems including, but not limited to, claim denials /curtailments, FHA re-conveyance, FHA offsets, delays in getting properties in conveyance… more
- Spaulding Rehabilitation (Charlestown, MA)
- Clinical Documentation Integrity Specialist , Per Diem - ( 3303241 ) **Description** **Job Summary** Under the direction of the Clinical Documentation Integrity (CDI) ... Collaborates with compliance, coding staff, physicians, and finance to reduce payment denials and improve medical necessity documentation. * Acts as a consultant to… 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)
- …and billing specialists doing similar work. Duties and Responsibilities + Review all denials on an explanation of benefits (EOB) and work on issues/errors until ... One to two years related billing experience preferred; Previous Billing Specialist experience highly desired. Prior word processing, spreadsheet and internet… 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)
- …email as needed + Collaborate with Account Managers to resolve provider denials + Update/Maintain Provider Enrollment Credentialing System + Attends conference calls ... with clients as requested Qualifications To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable… more
- Beth Israel Lahey Health (Boston, MA)
- …Assists professional billing service with back-end billing issues, such as COB denials , reaching out to patients requesting specific information to assist with ... from the reports into Excel spreadsheets. 16. Coordinates daily with the Referral Specialist and the support staff team in the running of the referral management… more
- Beth Israel Lahey Health (Charlestown, MA)
- …include hands-on coding, documentation review, coding dictionary updates, rejections and denials , surgical coding, physician or other care provider education, and ... through American Academy of Professional Coders) or CCS-P (Certified Coding Specialist Physician based through American Health Information Management Association) or… more
- Bear Mountain Health Care (Andover, MA)
- Bear Mountain Healthcare is Seeking a full-time Billing Specialist with experience in a Skilled Nursing Home setting, with experience in Medicaid, HMO/Insurance, ... residents approved for Medicaid. * Investigate, resolve and process claim denials and resubmits according to the Insurance/Medicaid guidelines. * Calculate, prepare,… more