- Fresenius Medical Center (Waltham, MA)
- …PRINCIPAL DUTIES AND RESPONSIBILITIES: + Monitors all work lists specific to the Denials Management Specialist Role. + Ensures escalation of any ... any issues. Performs Accounts Receivable collection duties as assigned by Denials Supervisor, ensuring collection of past due balances to maintain profitability.… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denial Specialist I role is vital to ensure that hospital denied accounts are thoroughly ... includes review and rework of all types of PFS denials . Good writing and analytical skills are a must....that they are maintained at the levels expected by management . 2. Analyzes work queues and other system report… more
- Beth Israel Lahey Health (Danvers, MA)
- …just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims and denied claims for ... complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission.… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims and denied claims for ... complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission.… more
- Beth Israel Lahey Health (Burlington, MA)
- …lives.** Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
- Beth Israel Lahey Health (Charlestown, MA)
- …America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Department: Patient Accounts All Locations: East Boston Position Summary: The Billing Specialist II is responsible for organizing work flow to complete the timely ... consistently learning how to better utilize EPIC (NeighborHealth's practice management software), comply with the various payor requirements and...and maintain a low backlog of work. The billing specialist III works as part of a team that… more
- Tufts Medicine (Burlington, MA)
- …setting (ICU, ED, Critical Care, strong Med/Surg Specialty) or equivalent case management , utilization review, denials management , or progressive leadership ... **Job Profile Summary** The role of the Clinical Documentation Integrity (CDI) Specialist III is responsible for concurrent and retrospect review and analysis of the… more
- Tufts Medicine (Tyngsboro, MA)
- …health insurers about submitted claims, and performs appeals for non-clinical denials , etc. An organizational related support or service (administrative or clerical) ... of bad debt or charity care. 11. Processes adjustments due to denials , contractual requirements, and credit balances. 12. Processes special projects for batch… more
- South Middlesex Opportunity Council (Framingham, MA)
- …all individuals and families seeking assistance through the HCEC. The Assessment Specialist is responsible for carrying ongoing caseload of clients applying for ... accept new cases from OMNI-E2E; follow DHCD guidance on time-out of cases, denials and submitting them for final review. + Participate in ongoing trainings and… more
- Spaulding Rehabilitation (Charlestown, MA)
- Clinical Documentation Integrity Specialist , Per Diem - ( 3303241 ) **Description** **Job Summary** Under the direction of the Clinical Documentation Integrity (CDI) ... on an ongoing basis. Assists with IRF CMS 60% management , concurrent CMG or DRG assignment, ICD 10 documentation...compliance, coding staff, physicians, and finance to reduce payment denials and improve medical necessity documentation. * Acts as… more
- LogixHealth (Bedford, MA)
- $5,000 Signing Bonus Location: On-Site in Bedford, MA This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, ... communication, and experience in third-party billing. Key Responsibilities: + Review/work denials on an explanation of benefits (EOB) statement + Analyze A/R… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …the general direction of the Lead Biller, the NeighborHealth Revenue Cycle Specialist performs a wide spectrum of billing functions to minimize accounts receivable ... work queues, including but not limited to: Insurance verification (Epic RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure… more
- Tufts Medicine (Burlington, MA)
- …acute-care hospital setting (ICU, ED, Critical Care, strong Med/Surg Specialty) OR case management , utilization review, or denials management in an ... signs/symptoms and/or coding guidelines when applicable and forward such discrepancies to management staff in a timely manner for resolution. 6. Provides relevant… more
- Tufts Medicine (Lawrence, MA)
- …health insurers about submitted claims, and performs appeals for non-clinical denials , etc. An organizational related support or service (administrative or clerical) ... and communication skills and a basic understanding of team management concepts. 3. Ability to work independently and as...based programs (Excel, MS Word) 6. Organizational and time management skills in order to complete tasks within a… more
- Beth Israel Lahey Health (Boston, MA)
- …Assists professional billing service with back-end billing issues, such as COB denials , reaching out to patients requesting specific information to assist with ... for review, records prior authorization #, when received, into the referral management system, notifies administrative schedulers and the provider of approval or… more
- Bear Mountain Health Care (Andover, MA)
- Bear Mountain Healthcare is Seeking a full-time Billing Specialist with experience in a Skilled Nursing Home setting, with experience in Medicaid, HMO/Insurance, ... residents approved for Medicaid. * Investigate, resolve and process claim denials and resubmits according to the Insurance/Medicaid guidelines. * Calculate, prepare,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …through American Academy of Professional Coders) or CCS-P (Certified Coding Specialist Physician based through American Health Information Management ... include hands-on coding, documentation review, coding dictionary updates, rejections and denials , surgical coding, physician or other care provider education, and… more