- 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 (Taunton, MA)
- …including researching issues and addressing approvals or denials. * Manage medical billing processes accurately and in compliance with healthcare standards. * ... high balance accounts and report problematic account activities to the Billing Manager. * Review aging reports regularly to ensure claims are submitted within… more
- Robert Half Finance & Accounting (Providence, RI)
- …Island. In this role, you will play a critical part in managing billing processes, ensuring accuracy, and maintaining compliance with client requirements. You ... for accuracy, including corrections for grammar and spelling. * Review and reconcile balances in Work In Progress and...identify potential billing issues. * Enter client-specific billing details into online portals in compliance … 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
- Vitra Health (Braintree, MA)
- …insurance companies. Ensure accurate billing , timely reimbursement, resolving billing issues, and compliance with healthcare regulations. Essential ... + Resubmit delayed or denied claims as needed. + Review and manage the eligibility process. + Submits reauthorizations...with necessary departments to gather data to ensure accurate billing . + Updates job knowledge by participating in educational… more
- Insight Global (Pawtucket, RI)
- Job Description As the Billing Manager, you will serve as the first line of defense for any billing issues and ensure smooth operations across the billing ... team. You will manage a group of four (or more) Billing Specialists, providing guidance and oversight on daily tasks. This role involves close collaboration with the… 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 (Providence, RI)
- …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
- Cardinal Health (Providence, RI)
- …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
- Insight Global (Pawtucket, RI)
- Job Description As a Billing Specialist, you will manage the end-to-end medical billing process for multiple hospitals, facilities, and clients. Your role will ... follow up on unpaid or denied claims, resolve discrepancies, and ensure compliance with payer requirements. Additionally, you'll collaborate with internal teams and… 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
- Vitra Health (Braintree, MA)
- …Submission + CCT compliance + Compliance Visits + Annual/Semi-Annual Compliance + Scheduling Review per productivity standards + Participate in care team ... development across all regions. + Oversee the weekly CCT billing process, and escalating issues to the clinical manager...communications. + Contract and care plan at admission quality review check + Compliance with level changes… more
- CVS Health (Woonsocket, RI)
- …+ 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
- Robert Half Legal (Boston, MA)
- …organization, and review of legal documents to ensure accuracy and compliance . * Handle administrative tasks to support the overall workflow of the litigation ... Legal Assistant, you will play a vital role in supporting attorneys through administrative, billing , and document preparation tasks. This is 5 days in the office -… 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
- 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
- Dana-Farber Cancer Institute (Boston, MA)
- …+ **Cores, Centers and Chargebacks:** Assist in pricing development and annual review of pricing, process monthly billing for internal and external ... administrative aspects of grant preparation of sponsored research applications. Review sponsor eligibility and application requirements and ensure applicants… more