• Healthcare Medical Claims

    Commonwealth Care Alliance (Boston, MA)
    …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding more
    Commonwealth Care Alliance (07/18/24)
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  • Medical Coding Operations Assistant

    LogixHealth (Bedford, MA)
    …with MS Excel and Outlook required; Microsoft Teams experience is a plus + Medical office background, Coding experience and/or certification is a plus Specific ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
    LogixHealth (09/16/24)
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  • Senior Operations Manager, Coding Quality

    LogixHealth (Bedford, MA)
    …to enable individuals with disabilities to perform the duties. Required: + Prior medical coding or billing experience; coding certification + Proficiency ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
    LogixHealth (09/20/24)
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  • Senior Administrative Lead, Coding

    LogixHealth (Bedford, MA)
    …ien ce: Priorex pe r ie nce an dpro fi c ie ncywith MS Exc el and medical background r eq uired Coding experience and/or certification is a plus. Spe cificJ ob ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
    LogixHealth (08/06/24)
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  • Resource Assistant, Coding

    LogixHealth (Bedford, MA)
    …Diploma or equivalent combination of education and experience required 2. Baseline knowledge of medical coding or currently in a certification program is a plus ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
    LogixHealth (08/06/24)
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  • Claims Advisor, Professional Liability

    Sedgwick (Boston, MA)
    …maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to ... to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and… more
    Sedgwick (09/25/24)
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  • Claims Specialist, Audit & Contracting

    LogixHealth (Bedford, MA)
    …Excel, and Outlook Preferred: + One to two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We ... revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting… more
    LogixHealth (08/06/24)
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  • Medical Claims Rep - Self-Pay

    Atrius Health (Chelmsford, MA)
    …welfare benefit package **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Medical Claims Rep - Self-Pay* **Location:** *Chelmsford ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected...more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health's 645… more
    Atrius Health (09/27/24)
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  • Payment Integrity Recovery Analyst

    Commonwealth Care Alliance (Boston, MA)
    … experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , ... public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and… more
    Commonwealth Care Alliance (08/17/24)
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  • Customer Service Representatives/…

    Sutherland Global Services (Boston, MA)
    …others, answering questions and resolving problems? Do you have any experience in the healthcare / medical field or are you interested in pursuing a career in the ... and distraction-free dedicated workspace **Duties & Responsibilities;** + Assist providers with claims and claims investigations + Status Inquiries + Denial… more
    Sutherland Global Services (09/21/24)
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  • Healthcare Director, EDI

    LogixHealth (Bedford, MA)
    …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... teams to provide cutting edge solutions that will directly improve the healthcare industry. Specifically, this position manages employees who handle and process EDI… more
    LogixHealth (09/13/24)
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  • Medical Coder

    State of Massachusetts (Quincy, MA)
    …The Medical Coder will be responsible for providing clinical coding expertise, assuring that the ICD-10 CM/PCS (10th edition of International Classification ... of Diseases Clinical Modification/Procedure Coding System) code set, and other coding ...and Reporting. * Resolve errors associated with billing and claims processing; identify and report error patterns; and design… more
    State of Massachusetts (09/10/24)
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  • Multispecialty Pro Fee Medical

    Sutherland Global Services (Boston, MA)
    Have you kept up with the changes in medical coding , physician practices, and the healthcare industry in general? Are you proficient with ICD-10, CPT and ... and we've contracted with some of the country's largest healthcare systems and physician practices to help support their...coding for multi-specialty practices + Thorough knowledge of medical terminology and medical abbreviations and the… more
    Sutherland Global Services (08/31/24)
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  • Medical Revenue Analyst

    Atrius Health (Chelmsford, MA)
    …Bachelor's degree (or equivalent education, training or experience) required. o Certification in medical coding is preferred including CCS, CCS-P, CPC or other ... of complex medical necessity and billing policy related to denied claims for all payers. In accordance with department policies and procedures responsible for… more
    Atrius Health (09/18/24)
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  • Medical Billing Specialist

    LogixHealth (Bedford, MA)
    …revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting ... Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge solutions that will… more
    LogixHealth (08/06/24)
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  • Business Encounter Data Analyst

    WellSense (Boston, MA)
    …Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our ... Competitive salaries . Excellent benefits **Key** **Functions/Responsibilities:** + Understand the claims encounter data requirements in detail to ensure claims more
    WellSense (08/27/24)
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  • Medical Records Chart Specialist

    LogixHealth (Bedford, MA)
    …Preferred: + One to two years related experience + Experience with document management, medical records, or a coding background + Electronic medical record ... collaborative environment and will bring your expertise to process medical records that have been reviewed by Coders and...management services, offering a complete range of solutions, including coding and claims management and the latest… more
    LogixHealth (08/06/24)
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  • Senior Quality Applications Manager

    LogixHealth (Bedford, MA)
    …prior word processing, spreadsheet, and internet software experience Preferred: + Prior medical Billing/ Coding experience preferred + One or more years related ... management services, offering a complete range of solutions, including coding and claims management and the latest...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
    LogixHealth (08/13/24)
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  • Clerical Assistant, ED Billing

    LogixHealth (Bedford, MA)
    …and will bring your expertise to facilitate payment of Emergency Department Physician medical claims . The ideal candidate will have strong technical skills, ... a daily basis + Attach primary EOBs to secondary claims + Attach medical records to ...management services, offering a complete range of solutions, including coding and claims management and the latest… more
    LogixHealth (09/26/24)
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  • RN Clinical Provider Post Service Review Manager

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …required. Bachelor's degree preferred + Experience with the Provider appeals process required; coding and claims knowledge preferred + 4+ years of experience in ... Ready to help us transform healthcare ? Bring your true colors to blue. Department...and appeals, clinical review, member correspondence and reconsiderations, enrollment, claims processing, audits, compliance, quality assurance, documentation and a… more
    Blue Cross Blue Shield of Massachusetts (08/30/24)
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