- 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 ...+ Follow workflows to complete daily tasks. + Conduct claims and provider research using claims… 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 ... accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review to ensure the correct… more
- LogixHealth (Bedford, MA)
- …require an appeal + Submit required documentation to insurance companies as requested + Research claims for information in order to process bills in a timely ... On-Site in Bedford, MA This Role: As a Billing Specialist at LogixHealth, you will work with a team...LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge… 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 ... determine fitting to quantify other efforts/ output. 15. As assigned, conducts research and analyses sufficient to vet the application of technologies with potential… more
- Tufts Medicine (Lowell, MA)
- …eligibility verification, claim edits, payer follow-up, correspondence review, corrected claims , appeals, reimbursement verification, and remittance research for ... the delivery of support services or activities, typically under supervision. A specialist level role that requires very advanced knowledge of operational procedures… 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
- Dana-Farber Cancer Institute (Brookline, MA)
- …refunds when necessary. + Fulfills documentation requests from payers, specifically, medical records, claims , itemized bills, Letters of Agreements, proof ... The primary function of the Patient Accounting Follow-Up Specialist II is the daily management of an...is a leader in life changing breakthroughs in cancer research and patient care. We are united in our… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …refunds when necessary. + Fulfills documentation requests from payers, specifically, medical records, claims , itemized bills, Letters of Agreements, proof ... The primary function of the Patient Accounting Follow-Up Specialist I is the daily management of an...is a leader in life changing breakthroughs in cancer research and patient care. We are united in our… more
- Fujifilm (Boston, MA)
- …needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography, ... visit_ _healthcaresolutions-us.fujifilm.com_ _._ **External US** **Job Title:** **Senior Compliance Specialist ** **Job purpose** The accomplished Senior Compliance Specialist… more
- City of Somerville (Somerville, MA)
- Statement of Duties The Safety and Training Specialist is responsible for the overall management of the Water and Sewer Department's safety, health, and associated ... regularly reviews safety policies, procedures, and disseminates information. + Provides research and technical expertise, designs programs and/or analysis, and makes… more