- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative assists local pharmacies with claims adjudication to support ... HC & LTC hospice patients and reconcile historic billing issues. **Location: Remote US** **Shift: Monday-Friday 2 :30pm-11pm EST. Flexibility to work alternating… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to resolve telephone and written dental provider eligibility, benefit and claims -related inquiries in a fast pace, results driven, inbound call center. ... and dental policies and guidelines, timely filing, account receivables, and claims processing. The Dental Provider Service Representatives will represent the Dental… more
- HealthEdge Software Inc (Boston, MA)
- …the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting initiatives. The position provides in-depth and comprehensive subject matter ... are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The...+ Mentor and provide oversight for Tier 1 and 2 Service Delivery staff + Take direction from and… more
- HealthEdge Software Inc (Boston, MA)
- …Business Continuity Planning (BCP) plans. Supporting compliance efforts such asHiTrustand SOC 2 will also be part of your responsibilities. **The Product:** _With ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- LogixHealth (Bedford, MA)
- Location: Bedford, Ma; Hybrid; Remote in AL, FL, GA, MI, MO, NC, NH, OH, OK, TN, TX, WI, WV Purpose: Provide support to the Resource Team in the delivery of an ... all data recorded is easily searchable/accessible via hyperlinks to client coding policies 2 . Monitor all emails received through Outlook and to ensure all internal… more