- Takeda Pharmaceuticals (Boston, MA)
- …processing experience in the pharmaceutical industry required. + ModelN/Flex Revenue Manager experience in contract implementation and maintenance preferred. + ... management and administration of assigned accounts. Ensures all pertinent contract attributes are properly translated into the correct ...bring all issues to a satisfactory resolution. + Gather Payer claim level data files, reconcile Payer … more
- East Boston Neighborhood Health Center (East Boston, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... - Taylor Building Position Summary: The 340B Program, Licensing and Credentialing Manager is charged with oversight of NeighborHealth's 340B pharmacy program. This… more
- Beth Israel Lahey Health (Plymouth, MA)
- …resolution, monitoring & reporting of clinical denials. + Maintains current knowledge of payer contract changes as they pertain to level of care determination ... Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth...knowledge of InterQual Level of Care Criteria. + Understands payer contractual guidelines for all third party and government… more
- CenterWell (Boston, MA)
- …responsible for supporting the organization's billing operations with a focus on contract interpretation, validation, and payer setup. This role works ... needs. **Key Responsibilities:** + ** Payer Setup:** Create and manage payer configurations, ensuring accuracy and timeliness. + ** Contract Interpretation:**… more
- Robert Half Accountemps (Taunton, MA)
- …high balance accounts and report any account activity concerns to the Billing Manager . * Stay informed about payer specifications and independently research ... Billing Clerk to join our team on a long-term contract basis in Taunton, Massachusetts. In this role, you...claims reconciliations and resolve issues independently. * Knowledge of payer specifications and timely filing requirements for claims. *… more
- Beth Israel Lahey Health (Milton, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration: 16. Efficiently registers patients, capturing and verifying all… more
- Beth Israel Lahey Health (Cambridge, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration: 16. Efficiently registers patients, capturing and verifying all… more