- State of Massachusetts (Boston, MA)
- …available for work, and looking for work and looking for a job. The appeals process for unemployment issues is governed by Massachusetts General Laws, Chapter 151A. ... in person at various locations throughout the state. The Office Support Specialist II provides administrative support to the Regional Hearings Manager, the Program… more
- Beth Israel Lahey Health (Burlington, MA)
- …escalation grids for submissions monthly or sooner as needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior to ... Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital...interprets third party denials. 7. Initiates corrected claims and appeals according to payer guidelines. 8. Responds to incoming… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Work Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to ... correct revenue flow of charges and billing. The Billing Specialist will be responsible for charge and claim review...on the resolution of complex claims issues, denials and appeals . 15. Completes projects and research as assigned. 16.… more
- Tufts Medicine (Tyngsboro, MA)
- …for the entire receivable assigned to the 3rd Party AR Specialist , including verification, billing, analysis, follow-up, denial and appeal processing, and ... payers and takes action for resolution. + Reviews, evaluates and processes all appeals through research and resubmission to appropriate third party of complete and… more
- Beth Israel Lahey Health (Burlington, MA)
- …in order to determine appropriate coding and initiate corrected claims and appeals . Duties include hands on coding, documentation review and other coding needs ... the Billing Supervisor with the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17. Provides feedback and… 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 ... appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review...on the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17.… 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 ... appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review...on the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17.… more
- Beth Israel Lahey Health (Charlestown, MA)
- …interprets third party payments, adjustments and denials. Initiates corrected claims, appeals and analyzes unresolved third party and self-pay accounts, initiating ... edits of the same nature. Initiates claim rebilling, written appeals or corrections and obtains and submits information necessary...Supervisor with the resolution of complex claims issues, denials, appeals and credits. 17. Works with cash team to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …interprets third party payments, adjustments and denials. Initiates corrected claims, appeals and analyzes unresolved third party and self-pay accounts, initiating ... edits of the same nature. Initiates claim rebilling, written appeals or corrections and obtains and submits information necessary...Supervisor with the resolution of complex claims issues, denials, appeals and credits. 17) Works with cash team to… more
- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- CLINICAL REIMBURSEMENT SPECIALIST / MULTI FACILITY We offer competitive compensation and benefit plans including: + Competitive Pay + Medical, Dental, Vision ... Team, and Atmosphere! We are seeking an experienced Clinical Reimbursement Specialist to support our MDS/MMQ teams in Massachusetts. The Clinical Reimbursement… more
- State of Massachusetts (Boston, MA)
- *_Executive Office of Housing and Livable Communities (EOHLC)_*__*_is seeking a Paralegal Specialist in the Office of the General Counsel!_* *_AGENCY MISSION:_* The ... and other support to Massachusetts communities. *_OVERVIEW OF ROLE:_* The Paralegal Specialist provides legal and administrative support to the Division of Hearings… more
- LogixHealth (Bedford, MA)
- …Review A/R reports to follow up on any unpaid claims + Submit required appeals when needed + Submit any required documentation to insurance companies as requested + ... 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, ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit required documentation to insurance… more
- Army National Guard Units (Hanscom AFB, MA)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a TRAFFIC MANAGEMENT SPECIALIST , Position Description Number PDT5262000 and is part of the MA ARNG ... and traffic procedures. Experience preparing reports and recommendations involving appeals , special permits, adjustments in rates and charges. Experience which… more
- American Red Cross (Medford, MA)
- …Cross is currently seeking a Disaster Health Services Individual Support Program Specialist . **This position is term-limited, benefits eligible: 2 years. The work ... alleviate human suffering. You can make a difference by volunteering in a position that appeals to you and allows you to use your unique skills and talents. The Red… more
- Forrester (Cambridge, MA)
- …Join us and build an extraordinary future. **About This Role:** The Benefits Specialist provides direction, guidance, and help to employees across the North America ... reports, and resolves any discrepancies + Reviews and may decide on appeals and escalated eligibility/enrollment issues. + Serves as primary day-to-day contact for… more
- Intermountain Health (Boston, MA)
- …from the patient or representative. Practice Details: As an Insurance Authorization Specialist you need to know how to: Verify the ordering clinician credentials ... contacting the patient to secure payment. Assist with the follow up on appeals , denials, answer inquiries and update accounts as necessary. Minimum Qualification -… more
- Beth Israel Lahey Health (Charlestown, MA)
- …abstracting and/or other account problems 6. Works on special projects 7. Writes appeals for coding audits **Required Qualifications:** 1. High School diploma or GED ... 1 Registered Health Info Tech required., or Certificate 2 Certified Coding Specialist required. 3. 3-5 years related work experience required. 4. Knowledge of… more
- Sutherland Global Services (Boston, MA)
- …phone, email, or online + Providing ongoing appropriate collection activity on appeals + Requesting additional information from Patients, Medical Records, and others ... as needed + Communicating with insurance plans and researching health plans for benefits and types of coverage + Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed. + Handling… more
- State of Massachusetts (Framingham, MA)
- …coverage and handles incoming phone calls. Provide assistance to the Office Support Specialist II and Superintendent on a daily basis. Maintain and track tickler ... meeting minutes in the absence of the Office Support Specialist II. Process office mail by reviewing, date stamping...to correspond with each other. Type incarcerated individual Grievance appeals in IMS and distribute upon completion. Visitor and… more