- Dana-Farber Cancer Institute (Brookline, MA)
- …CT)** Reporting to the Director of Billing Compliance , the Senior Billing Compliance Reviewer ensures the integrity, accuracy, and regulatory ... guidelines as well as national coding guidelines. The Senior Reviewer will assist in the development and execution of...assist in the development and execution of the annual Billing Compliance work plan. They will monitor… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …CT)** Reporting to the Director of Billing Compliance , the Billing Compliance Reviewer plans and executes risk-based audits, analyzes documentation ... payer requirements, national coding guidelines, and internal policies. The Billing Compliance Reviewer is responsible for developing clear findings,… more
- Robert Half Accountemps (Woburn, MA)
- …billing records in computerized systems to ensure data integrity. * Generate and review billing statements, ensuring compliance with company standards and ... in billing processes. * Familiarity with relevant billing regulations and compliance standards. * Strong organizational skills to manage multiple tasks… more
- Beth Israel Lahey Health (Charlestown, MA)
- …for the health system. Requires an increased level of oversight to ensure both compliance and successful billing and collection of payments are obtained within ... including but not limited to** : * Utilizes the Epic Hospital Billing System to review and monitor accounts through the Billing , Denial, & Follow-Up… more
- Fallon Health (Worcester, MA)
- …related tasks. Works department returned mail Quality control of enrollment and billing processes for accuracy and compliance to established policies and ... by providing and maintaining timely and accurate enrollment and billing information. Documents pertinent information enabling tracking of group/subscriber/member and… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …of research activity in an academic medical center + Knowledge of billing compliance and Medicare regulations/policy, applicable federal, state, and local ... and other relevant study-related documents to create a coverage analysis/ billing guide. The coverage analysis indicates which medical procedures/services maybe… more
- Beth Israel Lahey Health (Charlestown, MA)
- …overpayments, credits and undistributed balances. Works directly with the Supervisor, Billing to resolve complex issues and denials through independent research and ... and identifies denial/non-payment trends and reports them to the Supervisor, Billing . 2. Responds to incoming insurance/office calls with professionalism and helps… more
- South Middlesex Opportunity Council (Framingham, MA)
- …outpatient services to individuals, children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential ... fashion, for the RRS and outpatient clinic programs. + Review denials and partially paid claims and resolve discrepancies....and operating reports. + Recommend write-off and process in billing system as directed. + Ensure compliance … more
- Deloitte (Boston, MA)
- …revenue cycle experience including conducting charge capture and coding reviews for compliance with billing and coding regulatory requirements + Experience in ... service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of medical terminology, disease conditions and procedures to… more
- Cardinal Health (Boston, MA)
- …to the Compliance Director, this position supervises and manages compliance audits to determine organizational integrity of billing for professional ... **What Ethics & Compliance contributes to Cardinal Health** Ethics & ...coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Prepares written reports… more
- Intermountain Health (Boston, MA)
- …language, and tracking trends. This specialist works facility claims ("Hospital billing ") and maintains inventory (work queue lists) at acceptable aging levels ... by prompt review and follow up of claims. Performs all duties...interpret EOB's (Explanation of Benefits). + Knowledge of medical billing and collections + Medical terminology - Participate and… more
- Beth Israel Lahey Health (Burlington, MA)
- …on variances. 7) Acts as contact person for the Finance Department to assure compliance with the Clinic's billing procedures as required. 8) Rotates stock and ... department and must provide a detailed monthly report on any overage. 3) Review /modify min/max inventory levels. 4) Audits inventory levels not associated with Pyxis… more
- Tufts Medicine (Burlington, MA)
- …role focuses on activities related to revenue cycle operations such as billing , collections, and payment processing. In addition, this role focuses on performing ... related coding education, evaluation of denials, and ensuring regulatory compliance . The coder will share feedback to providers to...to capture the full scope of work, collaborate with billing specialists on denials and interact with Epic to… more
- Cardinal Health (Boston, MA)
- …simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible ... of accounts and supporting overall revenue cycle process. This includes, billing follow up, collections, payment posting, denial resolution, and responding to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Resolute Professional Billing and end-user workflows. * Assist in the review of Epic upgrade features with IT. Reviews new software releases and participates ... and operational efficiencies for all One BILH Epic Professional Billing Revenue Cycle entities. Due to its unique involvement...in the full review of upgrade opportunities, and system enhancements, and makes… more
- Beth Israel Lahey Health (Woburn, MA)
- …* Review changes in CPT, HCPCS, and wRVUs for accuracy, compliance with applicable coding and billing guidelines, and optimization of reimbursement. ... policies and confirm all professional charges are captured and reported accurately * Review and document changes within the charge description master (CDM) and fee… more
- Rodenhiser Home Services Inc (Holliston, MA)
- …and customer rebates. + Ensure that cash flow is maintained by supervising field billing and collection of payments in compliance with the contacts and terms. ... their position. Total compensation is determined through a structured review considering experience, education, certifications, and licenses. Comprehensive Benefits… more
- CVS Health (Boston, MA)
- …+ Maintain productivity and quality standards of all PFS functions + Review accounts receivable adjustments for accuracy and submit adjustment requests as defined ... departmental policies and procedures for upper management approval + Maintain compliance with government reimbursement programs + Suggest changes to department… more
- Dana-Farber Cancer Institute (Boston, MA)
- …for certification. Cores, Centers and Chargebacks: Assist in pricing development and annual review of pricing, process monthly billing for internal and external ... + Portfolio Management (post-award) + Procurement + Human Resources + Compliance + Cores, Centers, and Chargebacks Grant Preparation (pre-award): Responsible for… more
- BJs Wholesale Club (Marlborough, MA)
- …Data Center connectivity. The position also involves managing vendor relationships, telecom billing , and leading a team of network engineers to support business ... + Manage relationships with network vendors, ISPs, and telecom carriers. + Review , negotiate, and optimize telecom and WAN contracts for cost efficiency. +… more