- US Tech Solutions (Canton, MA)
- **Job Summary:** The Medical Claims Research Specialist supports the HEDIS (Healthcare Effectiveness Data and Information Set) reporting period by ... reviewing medical claims , identifying appropriate medical ...+ Follow workflows to complete daily tasks. + Conduct claims and provider research using claims… more
- LogixHealth (Bedford, MA)
- …require an appeal + Submit required documentation to insurance companies as requested + Research claims for information in order to process bills in a timely ... On-Site in Bedford, MA This Role: As a Billing Specialist at LogixHealth, you will work with a team...LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge… more
- Noblis (Boston, MA)
- …**Contracting Specialist ** to join our team at ARPA-H (Advanced Research Projects Agency for Health). As an ARPA-H **Intermediate** **Contracting Specialist ... work experience in contract management role, such as a **Contracting Specialist ** or acquisitions coordinatorpreferably in a governmental research or… more
- State of Massachusetts (Boston, MA)
- …of the Commonwealth's self-insured workers' compensation program. HRD/WC uses a medical management strategy to facilitate the employee's recovery and return to ... the leadership of the Director of Workers' Compensation, the Workers' Compensation Specialist is responsible for overseeing specialty programs that fall within the… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Performing a broad range of medical billing functions that cover an enterprise-wide scope, the PFS Revenue Billing ... Specialist role is responsible for identifying, researching and resolving...Claim Edits queues used to resolve errors prior to claims submission and prevent denials. . Professional & Hospital… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals ... plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all work related to molecular pathology,… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …refunds when necessary. + Fulfills documentation requests from payers, specifically, medical records, claims , itemized bills, Letters of Agreements, proof ... The primary function of the Patient Accounting Follow-Up Specialist II is the daily management of an...is a leader in life changing breakthroughs in cancer research and patient care. We are united in our… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …refunds when necessary. + Fulfills documentation requests from payers, specifically, medical records, claims , itemized bills, Letters of Agreements, proof ... The primary function of the Patient Accounting Follow-Up Specialist I is the daily management of an...is a leader in life changing breakthroughs in cancer research and patient care. We are united in our… 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 ... regularly reviews safety policies, procedures, and disseminates information. + Provides research and technical expertise, designs programs and/or analysis, and makes… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …with Clinical Trial Principal Investigators (PIs), Business Managers, and Clinical Research Coordinators to interpret protocol activity schedules for research ... trial budget billing. The manager works closely with the Clinical Research Finance to prepare, review, and monitor protocol budget schematics and ensure compliance… more
- Point32Health (Canton, MA)
- …of new product strategies by providing guidance on or helping to research benefit rules and regulations, competitor plan designs/strategies, and other relevant ... requirements and timelines. The Senior Manager works closely with claims , membership operations, clinical services, care management, customer relations, sales,… more