90 Results for

Claims Specialist Jobs in Boston, MA

Jobs

New!

Quincy, MA5 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

New!

Andover, MA4 days ago

$60,000–$65,000

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.

New!

South Easton, MAToday

$23–$28 Per Hour

Ensures compliance with all applicable federal, state, and local regulation including but not limited to: Fair Debt Collections Practices Act, 940 CMR 7.00: Debt Collection Regulations, MGL Chapter 194 An Act Preventing Unlawful and Unnecessary Foreclosures, UDAAP, RESPA, Flood Disaster Protection Act, Fair Credit Reporting, Regulation Z (Truth in Lending), Regulation B (CRA), Bank Secrecy Act, Regulation P (Privacy of Consumer Financial Information), Service Members Civil Relief Act of 2003. Essential Job Responsibilities The essential functions include, but are not limited to the following: · Performs collection activities on all residential and consumer loans serviced including participation and investor loans in adherence to all applicable federal, state, local regulations, investor guidelines, mortgage insurance guidelines, and servicing agreements.

New!

Boston, MA5 days ago

Utilizing systems like Pharmacy Benefit Management, Facets, Outlook, Teams, Zoom, and Avaya for processing work. Making outbound calls when necessary, checking voicemails, and responding to emails/voicemails.

New!

Newton Lower Falls, MA1 day ago

$2,428–$2,428

A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.

Norwell, MA24 days ago

Full-time

They communicate with policyholders, insurance agents, and other parties involved to gather necessary information and resolve any issues. Clean Harbors, Norwell, MA is looking for a Claims Specialist to join their safety conscious team!

BJ's Club Support Center Marlborough, MA30+ days ago

The scope includes: ensuring injured team members receive the best possible care, provides oversight of third party claims administrator (TPA) to achieve optimal financial results; partnering with clubs/DC’s and internal partners to ensure that the workers’ compensation benefits are administered according to State regulations; provide training on workers’ compensation benefits; liaising with all external stakeholders including insurance carriers and outside counsel; accurately setting and monitoring the claim reserves; and proactively monitoring claim best practices and new risk management initiatives to reduce claim severity and costs. This includes ensuring TPA best practices are executed; responding to TPA requests for team member information; providing wage information, consults with outside counsel, processes claim billing and funding requests.

Chelsea, MA8 days ago

$1,895.49–$2,787.72 Per Week

Office machines as normally associated with a professional office environment, including the use of telephones, personal computers, word processing and other software, email, videoconference applications, copiers, scanners and fax machines. While performing duties of this job, the employee is regularly required to use hands to finger, handle, feel or operate objects, including office equipment, or controls and reach with hands and arms.

Beverly, MA30+ days ago

Operating in the UK company and Lloyd’s of London markets, Bermuda, U.S., and Europe, RiverStone International has transacted a wide variety of deals – from insurance and reinsurance portfolio transfers to company purchases, acquiring over $17.3 billion of gross liabilities since 2010 and with around $6.9 billion of liabilities currently under management. Claims Litigation Counsel will be responsible to research and provide legal advice a opinions to claims handlers on managing and resolving disputes related to insurance policies, claims, and coverage arising from the company’s insurance contracts, including auto and general liability; specialty (e.g.

Boston, MA30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Boston, MA30+ days ago

$80,000–$85,000

Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care.

Peabody, MA30+ days ago

$35,000–$65,000 Per Year

A leading pediatric healthcare center in Peabody, MA, is seeking a Medical Billing Specialist to support billing operations for a multidisciplinary team providing occupational therapy, speech therapy, psychotherapy, Behavioral Health and other specialized services. This role is ideal for someone who enjoys a detail-oriented environment and takes pride in keeping billing, insurance, and compliance processes running smoothly.

Devens, MA30+ days ago

$24–$28 Per Hour

The Hospital Collections Specialist is responsible for timely follow-up and collection of behavioral health and chemical dependency claims for Inpatient and Outpatient levels of care to ensure timely receipt of payment including but not limited to third party payer receivables. Hospital Collection Specialist will have the following: Must be knowledgeable on Massachusetts insurances as well as commercially insured in state and out of state insurances, Medicaid, and Managed Care insurance.

Devens, MA13 days ago

$24–$28 Per Hour

Boston, MA12 days ago

The Specialist works both independently and collaboratively with the billing team to manage daily workflows, resolve complex claims, and support overall revenue cycle operations. This role ensures that billing issues are fully investigated and resolved, while maintaining a high level of accuracy and productivity.

Boston, MA30+ days ago

$97,000–$105,000

Boston, MA30+ days ago

Remote

$20–$30 Per Hour

The RCM Specialist, reporting to the Senior Director of RCM, will be responsible for all aspects of the claim cycle from verification of benefits, patient financial counseling, utilization review follow-up, front end billing, claim data integrity, and AR follow up. Clinical Supervision & Growth: Pre-licensed clinicians receive structured clinical supervision toward licensure, and all clinicians benefit from best-in-class supervision grounded in our state-of-the-art PHP/IOP curriculum.

Boston, MA30+ days ago

Remote

$113,200–$188,800 Per Year

GE Vernova Inc. or its affiliates (collectively or individually, “GE Vernova”) sponsor certain employee benefit plans or programs GE Vernova reserves the right to terminate, amend, suspend, replace, or modify its benefit plans and programs at any time and for any reason, in its sole discretion. Available benefits include medical, dental, vision, and prescription drug coverage; access to Health Coach from GE Vernova, a 24/7 nurse-based resource; and access to the Employee Assistance Program, providing 24/7 confidential assessment, counseling and referral services.

Canton, MA30+ days ago

$25–$28

Prestige Capital Group is a family-owned and rapidly expanding organization with over 20 years in business, specializing in car wash and gas station operations, real estate development, and property management across Massachusetts. Partner closely with the Property Manager to coordinate maintenance requests, vendor communications, and project documentation as well as file for permits and follow up with vendors.

Burlington, MA30+ days ago

Reviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare's yearly fee schedule, Medicare Website, and specialty newsletters.

Burlington, MA30+ days ago

Boston, MA30+ days ago

$55,000–$65,000 Per Year

Working closely with senior specialists, product, and technical teams, you will help validate edit logic, assist with audits, and identify opportunities to reduce waste and recover overpayments for our customers. Shift combines generative, agentic, and predictive AI to transform underwriting, claims, and fraud and risk - driving operational efficiency, exceptional customer experiences and measurable business impact.

Boston, MA30+ days ago

Full-time

Mentor Technical Group es un empleador que ofrece igualdad de oportunidades y todos los solicitantes calificados recibirán consideración para el empleo sin importar raza, color, religión, sexo, orientación sexual, identidad de género, información genética, origen nacional, estado de veterano protegido, estado de discapacidad o cualquier otro grupo protegido por ley. He / she may frequently work inside weather conditions, near moving mechanical parts, exposed to wet and or humid conditions, and an odorous atmosphere, may be exposed to fumes and the risk of electrical shock, and occasionally work on ladders in high places, in small spaces, such as lift/metering stations, manholes, tanks and wet wells.

Brockton, MA30+ days ago

The Specialist responds to patient harm events, learns from individual cases, identifies risk trends, and actively educates leaders, administration, clinicians and staff regarding methods to maximize patient safety and simultaneously reduce professional liability claims. This includes but is not limited to: Development, coordination, and implementation of the continual readiness plan; Ongoing assessment of the continual readiness plan; identification of needed improvements; and preparation and implementation of plans to achieve needed improvements.

Westborough, MA21 days ago

$50,000–$55,000 Per Year

This role involves client-facing communication, outbound collection calls, multi-layered statement generation, account reconciliation, liaising with adjusters and mortgage companies, and ensuring timely, accurate financial tracking. This is a key position responsible for strengthening consistent communication, supporting positive cash flow, and operating autonomously with strong analytical and problem-solving skills.

Boston, MA27 days ago

Augmentative and Alternative Communication Specialist (AAC Specialist) is responsible for contributing to business growth by increasing awareness, developing networks, providing information on multiple product solutions to potential clients. As North America’s largest provider of mobility products and services, we deliver personalized solutions from manual and power wheelchairs to medical supplies and other assistive technologies that support health, independence, and everyday participation.

Framingham, MA30+ days ago

Advocates fosters a culture of inclusion that celebrates and promotes diversity along multiple dimensions, including race, ethnicity, sex, gender identity, gender expression, sexual orientation, partnered status, age, national origin, socioeconomic status, religion, ability, culture, and experience. Preferred at least one year experience in third party billing, knowledge of insurance carrier regulations, policies and procedures, collections and overall accounts receivable management.

Boston, MA30+ days ago

We are The Hollister Group, the Boston area's leading women-owned staffing firm guiding candidates through the job search process and connecting top-tier talent with opportunities that meet the needs of our candidates and our clients. Our Administrative & HR Staffing team is currently looking to speak with candidates who would be interested in hybrid opportunities in Cambridge, MA with similar specifications to those below: Compensation: $40.00-$45.00/hr*.

BOSTON, MA30+ days ago

$49,700–$59,500 Per Year

Accurately and courteously communicates financial clearance process to patients, including a high-level benefits explanation, network status of DFCI for their plan, and authorization/ referral requirements; assists patients with resolving insurance related issues prior to initiating treatment. Reporting to, and under close direction of, the Access & Financial Engagement Supervisor, the Financial Clearance Specialist is responsible for managing all work related to financial clearance of new or prospective patients at DFCI and ongoing authorization for patients with out-of-network/high risk insurance plans.

Plymouth, MA30+ days ago

Full-time

We’re looking for a knowledgeable, patient-focused professional who thrives in a fast-paced environment and isn’t afraid of high call volumes or complex insurance scenarios. Are you confident discussing insurance, skilled at navigating surgical authorizations, and passionate about helping patients understand their financial responsibility?

Boston, MA30+ days ago

$26.93–$40.98 Per Hour

This role plays a key part in CMS Stars initiatives, including but not limited to medication adherence, MTM (Medication Therapy Management), SUPD (Statin Use in Persons with Diabetes), and other targeted projects aimed at improving CMS Star Ratings. + Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

Milton, MA30+ days ago

$55,000–$60,000 Per Year

Conduct ACH processing daily: ensure accuracy and verify receipt of incoming ACH files, ACH returns and reversal requests, and business client ACH files, balance collection and distribution of files, record and verify settlement dates, file totals to transmittals to ensure proper posting. Maintain all IRA membership accounts for accuracy and completeness of year-end IRS tax reporting, process IRA death claims in a timely manner, administer the IRA program including the processing of new accounts, rollovers and withdrawals.

Boston, MA27 days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

New!

Boston, MA6 days ago

$60,000–$70,000 Per Year

As a Collections Specialist, you'll play a key role in ensuring the smooth management of payment processes, working closely with attorneys, clients, and internal teams to resolve outstanding balances. A day in the life of a Collections Specialist is fast-paced and dynamic, where you'll take charge of reviewing cash receipts, ensuring payments are accurately posted, and proactively following up on overdue balances.

Burlington, MA30+ days ago

Provides exceptional customer service to internal and external customers; resolves any patient requests in a timely and accurate manner; escalates complaints accordingly; maintains frequent phone contact with patient, provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving.

Woburn, MA30+ days ago

Tags: RVT, Registered Veterinary Technician, Registered Vet Tech, Registered Vet Technician, Registered Veterinary Tech, CVT, Certified Veterinary Technician, Certified Vet Tech, LVT, Licensed Veterinary Technician, Licensed Vet Tech, Credentialed Veterinary Technician, Credentialed Vet Tech, Credentialed Veterinary Tech, Veterinary Technician, Veterinary Tech, Vet Tech, Vet Technician, Veterinary Assistant, Vet Assistant, Technician Assistant, Tech Assistant, Kennel Assistant, Kennel Technician, Kennel Tech, Animal Assistant, Veterinary Nurse, Vet Nurse. From our dedicated ambulance bay for emergency situations to multiple treatment wards, over 20 exam rooms, digital radiography suites, MRI and CT suites, and advanced operating rooms, we spare no effort in providing a comprehensive array of services.

Westford, MA30+ days ago

$110,000–$130,000 Per Year

NETSCOUT unlocks insight at unequaled scale, from every data packet to the broadest view of global internet traffic, so the world’s essential organizations can solve problems faster, constantly transform their digital ecosystems, secure what matters – and stay unstoppable for a world that relies on them every second. Works on complex global deals with named accounts using the reseller community to encompass local customer support, customs product release, and provide ongoing first line service support .

Scituate, Massachusetts30+ days ago

$41,500–$101,000 Per Year

At Flagship Financial powered by AMERICAN SENIOR BENEFITS, where we put people back in the people business, we are at the front line in our communities, helping to protect retirement income, educating seniors on safeguards available to them. Create custom solutions using our toolbox of over 220 top named carriers.

Boston, MA30+ days ago

Remote

$113,000–$120,000 Per Year

Product Specialist , you will make an impact by configuring and maintaining QNXT systems to support provider contracts, benefits, and fee schedules. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

Cambridge, Massachusetts30+ days ago

Join Allied Universal as a Dispatch Professional in a healthcare location, where you will help monitor communications, coordinate security-related responses, and support daily operations with professionalism and care. Provide customer service to employees, visitors, and/or vendors by carrying out security-related procedures, site-specific policies, and when appropriate, emergency response activities within a healthcare location.

Braintree, Massachusetts15 days ago

Join Allied Universal as an armed patrol officer at a government transportation location, where you will conduct routine patrols, maintain a visible presence to help deter security-related incidents, and support the public with strong communication and customer service. Respond to incidents, disturbances, and critical situations in a calm, problem-solving manner, including documenting observations and communicating with site contacts and/or public emergency services when appropriate.

Massachusetts30+ days ago

$55,000–$59,000 Per Year

Performs following day-to-day billing and collection activities such as preparing claims for payment from Managed Care Carriers and following up on any/all unpaid claims using established criteria. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.

Charlestown, MA30+ days ago

Handles payer 277 rejections on accounts with the highest level of complexity and resubmits claims through Epic Billing system or other means of submission (i.e., email, fax, payer portal, certified mail) and provides trends to management for payer outreach and/or internal billing system updates to ensure timely filing and reimbursement. Skills, Knowledge & Abilities: · Demonstrates excellent attention to detail and prioritization of accounts · Demonstrates strong working knowledge of Epic Hospital Billing Follow Up and Denial workflows, considered as Subject Matter Expert (SME) to team and other colleagues.

Charlestown, MA30+ days ago

Remote

Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist – Hospital Billing will be responsible for efficient & timely billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable of higher complexity within assigned work queues for a large multi-facility healthcare system with future expansion anticipated to maximize reimbursement to the health system. Handles payer 277 rejections on accounts with higher level of complexity and resubmits claims through Epic Billing system or other means of submission (i.e., email, fax, payer portal, certified mail) and provides trends to management for payer outreach and/or internal billing system updates to ensure timely filing and reimbursement.

Waltham and Marlborough, MA30+ days ago

Full-time

We believe in and are looking for new staff who embrace:Accountability: At every level of the organization we are accountable: to the people we serve, to our funders, to our employees, to community professionals who rely on our support. For more than 40 years, Springwell has worked to help ensure that seniors and individuals with disabilities have the village they need and the support that is necessary for them to live at home with dignity and independence.

Boston, MA30+ days ago

$65,000–$72,000 Per Year

Shift combines generative, agentic, and predictive AI to transform underwriting, claims, and fraud and risk - driving operational efficiency, exceptional customer experiences and measurable business impact. Shift Technology does not accept unsolicited CVs from recruiters or employment agencies in response to the Shift Technology Careers page or a Shift Technology social media post.

Hanscom AFB, Massachusetts11 days ago

Maintain detailed record keeping for adherence to locally established and required military processes and procedures services which ensure that networks are compliant with applicable directives, publications, and/or guidelines as governed by external DoD agencies. Diagnose data issues, open and route trouble tickets and handle customer support cases with third party subject matter experts through tier 3 contracted support constructs and ensure proper and timely resolutions.

Boston, MA30+ days ago

With its strong 55+ year heritage and deep industry expertise, Capgemini is trusted by its clients to address the entire breadth of their business needs, from strategy and design to operations, fueled by the fast evolving and innovative world of cloud, data, AI, connectivity, software, digital engineering and platforms. The ideal candidate will have 10+ years of P&C insurance product management or consulting experience, strong expertise in personal lines pricing, underwriting, and compliance, and familiarity with technology platforms like Guidewire, Duck Creek, and Majesco.

Boston, MA30+ days ago

$21.84–$33.23 Per Hour

3. Works in all phases of provider enrollment, re-enrollment and expirables management ensuring the timely and accurate enrollment (and recredentialing) of providers in commercial and government payers. We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Ayer, Massachusetts30+ days ago

Provides excellent customer service resolving inquiries & issues in a timely, professional, and caring manner with compassion and drive to ensure patient(s) and their families receive optimal coverage so they can receive Cambrooke products with the least financial impact on them. This position requires the ability to interact professionally with patients, insurance companies, institutions (including state programs, clinics, and other health professionals), as well as internal employees.

Stand out to leading employers.

Upload your resume and let employers find you for new Claims Specialist job openings. Plus, receive relevant job matches delivered straight to your inbox.

Claims Specialist Jobs in Boston, MA

Jobs

Claims Examiner MedMalDiedre Moire Corp.

Accounts Payable SpecialistVaco LLC

Sr. Collections SpecialistNorth Easton Savings Bank

Member Appeals SpecialistAxelon Services Corporation

Travel Nurse RN - Outpatient Clinic - $2,428 per week in Newton Lower Falls, MAMagnet Medical

Claims SpecialistClean Harbors

Sr. Workers Comp Claims SpecialistBJs Wholesale Club

Claims Management Specialist (Construction)Massachusetts Water Resources Authority

Sr. Claims Litigation CounselRiverStone International

Medical Director - Claims ManagementHumana

Compliance SpecialistVITRA Health

Medical Billing SpecialistMP RPO

Seasonal/Temporary Hospital Collections SpecialistTaraVista

Hospital Collections SpecialistTaraVista

Physician Billing SpecialistBoston Children's Hospital

Clinical Compliance Specialist (RN)VITRA Health

RCM SpecialistGuidelight Health

Office Support SpecialistPrestige Capital Group

Billing and Certified Coding SpecialistBeth Israel Lahey Health

Billing & Certified Coding Specialist IIBeth Israel Lahey Health

Certified Medical Coding SpecialistShift Technology

EHS Specialist (Regulated Industry)Mentor Technical Group

Accreditation Regulatory and Risk Management Specialist (Brockton)Boston Medical Center

Accounts Receivable SpecialistMA Restoration

Augmentative and Alternative Communication SpecialistNumotion

Data Entry Payment & Denial SpecialistAdvocates

Benefits SpecialistThe Hollister Group, Inc.

Financial Clearance SpecialistDana-Farber Cancer Institute

Medical Billing SpecialistOphthalmic Consultants of Boston

Pharmacy Government Stars SpecialistIntermountain Health

Senior Deposit Operations SpecialistTremont Credit Union

Reporting SpecialistMaximus

Collections SpecialistMorrison Mahoney LLP

In-Clinic Medication Access SpecialistBeth Israel Lahey Health

Overnight Client Care SpecialistEthos Veterinary Health

Senior Channel Operations SpecialistNetScout

Insurance Sales Specialist 😎 HybridAMERICAN SENIOR BENEFITS LLC

Sr. QNXT Configuration SpecialistCognizant

Security Officer Dispatch SpecialistAllied Universal

Security Officer Armed Patrol SpecialistAllied Universal

Billing and Collections SpecialistFltr Massachusetts

Patient Financial Services Senior Specialist - Hospital BillingBeth Israel Lahey Health

Patient Financial Services Specialist (Hospital Billing) RemoteBeth Israel Lahey Health

Tech Support SpecialistSpringwell

Tech Support SpecialistShift Technology

Network Support Specialist (TACLANES)Abacus Technology

Senior P&C Insurance Product Management SpecialistCapgemini

Provider Enrollment SpecialistIntermountain Health

Reimbursement Authorization Specialist IAjinomoto Cambrooke, Inc.

Similar Job Searches