- Takeda Pharmaceuticals (Lexington, MA)
- …true to the best of my knowledge. **Job Description** **Job Title** : 3PL Operations Management Specialist **Location** : Lexington, MA **About the role:** As a ... 3PL Operations Management Specialist , you will provide support...including Inventory management activities at 3PLs DCs (stock counts, claims , etc.) to meet financial and quality guidelines. +… more
- Evolent (Boston, MA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass ... auditing. This position reports to the Associate Director, Credentialing Operations . **Collaboration Opportunities:** The Specialist , Credentialing Operations… more
- Beth Israel Lahey Health (Burlington, MA)
- …functions that cover an enterprise-wide scope, the PFS Revenue Billing Specialist role is responsible for identifying, researching and resolving various Professional ... issues for all commercial and government payors. The Revenue Billing Specialist 's duties primarily involve registration error, coverage and eligibility related… more
- Travelers Insurance Company (West Bridgewater, MA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- Travelers Insurance Company (Boston, MA)
- …complete service transition can be achieved. + Assist the Operations Account Specialist and BDD in securing the executed Claim Service Agreement/Contract. + ... partnerships with the company. Operational Support * Supporting the Operations Account Specialist (OAS): the CSEO works...process in concert with internal resources (eg Risk Control, Claim , RMIS, Operations , etc.). + Conduct/attend account… more
- LogixHealth (Bedford, MA)
- …NH, OH, OK, TN, TX, WI, WV This Role: The purpose of the Application Specialist in Billing Operations is to implement and configure Office 365/Azure applications ... integrating Office 365 applications with other enterprise systems. The Application Specialist will monitor and optimize the performance of these applications, manage… more
- Crawford & Company (Boston, MA)
- …which focuses primarily in the following four key areas of edjuster's content claims handling operations : + Acting/operating as a third party, intermediary ... Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + Operating from their home-based offices, edjuster's...detailed work/time logs on a daily basis, for all claims processed. + Maintain claim related notes… more
- Beth Israel Lahey Health (Burlington, MA)
- …and accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review to ensure the ... you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims ,...claim and it was billed appropriately. The Billing Specialist will work directly with Supervisors and Managers to… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …state guidelines, and policies. 4. Provide instructions to the claims operations department prepayment reviews to initiate claim adjustments 5. Provide ... health care fraud, waste, and abuse and to facilitate accurate claim payments. The coding specialist will conduct pre-payment reviews of claims submitted by… more
- State of Massachusetts (Lowell, MA)
- …emerging labor market needs of the Commonwealth, now and in the future. The Job Specialist IV assists in the operation of a unit of Employment Counselors, DVOP, and ... or other personnel providing services to DCS clients; interprets and explains operations rules and procedures; refers clients to various training and employment… more
- Walgreens (Boston, MA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- Molina Healthcare (Boston, MA)
- …managed care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations , Hospital or Physician Billing, or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Assistant Secretary for Fair Housing and Equal Opportunity (Boston, MA)
- …training to help you grow in this position. As a/an Supervisory Equal Opportunity Specialist , you will: Serve as the principal advisor to the Regional Director with ... all aspects of the intake and assess processes for inquiries, claims and complaints ensuring that jurisdictional complaints are assigned for… more
- City of Somerville (Somerville, MA)
- Statement of Duties The Safety and Training Specialist is responsible for the overall management of the Water and Sewer Department's safety, health, and associated ... including current or proposed regulations and their potential impact upon operations . + Investigates incidents and accidents, to include responding to accident… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Refund Specialist at LogixHealth, you will work independently to provide cutting-edge solutions that will directly ... improve business operations . You'll contribute to our fast-paced, collaborative environment and...offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards… more
- LogixHealth (Bedford, MA)
- …MA; Hybrid in MA $400 Signing Bonus This Role: As a Deficient Chart Specialist at LogixHealth, you will work with internal teams to provide solutions that will ... directly improve business operations . You'll contribute to our fast-paced, collaborative environment and...offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards… more
- Integra LifeSciences (Boston, MA)
- …regulations in product development and life cycle activities, product/clinical/marketing claims , labeling content, and promotional materials; and helps to define ... + Reviews promotional and advertising material for adherence to approved product claims and regulatory compliance. + Works in partnership with cross functional… more
- LogixHealth (Bedford, MA)
- …OK, TN, TX, WI, WV This Role: Manage and monitor projects and operations to support interdepartmental goals. Key Responsibilities: + Assist in the development and ... services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients… more
- GE Vernova (Foxborough, MA)
- …through management of project related activities and resources. Impacts departmental operations and responsible for planning/execution. The role has some autonomy ... between approved project financial data and books + Support project close out and claims /Provide support to tenders + Oversee the planning function on the project +… more
- Boston Public Schools (Boston, MA)
- …ensuring edit checks are accurate and complete for timely submission of monthly claims . Monitors supply and labor costs by management through use of site-based ... all site-monitoring requirements are met. Works with financial management to ensure claim information is submitted in a timely fashion Assists in defining needs… more