TaraVistaMedical Coder, 40hrs TaraVistaMedical Coder, 40hrsDevens, MA$23–$28 / hourAs a Medical Coder: You will code hospital and professional inpatient visits using the International Classification of Disease 10-Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelines . You will maintain current working knowledge with all coding rules, coding guidelines, Medicare, and Medicare like payer regulations in accordance with the hospital coding compliance policies and procedures .
UnitedHealth GroupSenior Medical Coder UnitedHealth GroupSenior Medical CoderNorth Andover, MA$23.89–$42.69 / hourWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._. + 3+ years of experience working with DRG coding with a mastery of complex procedures, cardiac catheterization, complex cardiology, interventional radiology, orthopedic and neurology cases.
Westborough Behavioral Healthcare HospitalCoder - Per Diem Westborough Behavioral Healthcare HospitalCoder - Per DiemWestborough, MA$33,000–$47,000Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bill are satisfied in a timely manner. Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization diagnosis treatments for Children, Special Needs, and Adult populations in both inpatient and outpatient settings.
Boston Children's HospitalPhysician Specialty Coder Boston Children's HospitalPhysician Specialty CoderBoston, MAThis role ensures accurate and compliant ICD-10, CPT, and/or ASA coding while partnering closely with physicians, billing teams, and operational staff to resolve coding and reimbursement issues. The Physician Specialty Coder works independently to manage complex coding review, validation, and charge submission processes for assigned specialty departments.
South Shore HealthProfessional Coder I South Shore HealthProfessional Coder IWeymouth, MAThe Professional Surgical Coder I is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires clarification and he/she proactively works with medical leadership to address concerning documentation trends. Under experienced leadership the Professional Surgical Coder I is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding.
Shift TechnologyCertified Medical Coding Specialist Shift TechnologyCertified Medical Coding SpecialistBoston, MA$55,000–$65,000 / yearWorking 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.
JobotMedical Biller JobotMedical BillerAuburn, MA$25–$35ContractorInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
Evolve Chiropractic & WellnessExperienced Medical Billing Coordinator - Part Time Evolve Chiropractic & WellnessExperienced Medical Billing Coordinator - Part TimeBoston, MAWe are looking for someone with knowledge of PIP insurance billing, verifications, authorizations, obtaining referrals, and collecting money. Evolve is looking for an experienced Medical Billing Coordinator to join our dynamic team!
Staffing ProxyMedical Billing & Insurance Specialist Staffing ProxyMedical Billing & Insurance SpecialistBelmont, MAPosition Overview: The Medical Billing & Insurance Specialist is responsible for managing the practice’s core insurance and billing functions, including insurance verification, prior authorizations, claims submission, payment posting, denial follow-up, and patient account support. This role works closely with patients, insurance carriers, and internal team members to help ensure accurate billing, timely reimbursement, and a positive patient experience.
PHYSICIAN MANAGEMENT RESOURCES LLCMedical Billing Specialist PHYSICIAN MANAGEMENT RESOURCES LLCMedical Billing SpecialistNeedham, MAIn this role, you will be responsible for supporting clients in their day-to-billing operations including reviewing, coding, and processing medical claims and well providing a high-level approach to creating workflow processes, analyzing and sharing RCM results. The successful candidate will possess the following: End to end knowledge of the revenue cycle: charge capture, coding, billing, follow up, denials, and payment posting including a strong understanding of payer rules, contracts, and reimbursement methodologies.
Eye Care SpecialistsMedical Biller / Charge Entry Specialist (PT/FT) Eye Care SpecialistsMedical Biller / Charge Entry Specialist (PT/FT)Norwood, MAWork with insurance companies to monitor claims status, pursue and dispute claim denials, elevate claims to appeals, and/or seek all methods to resolve open claims. Eye Care Specialists is a busy multi-specialty ophthalmology practice with 7 physicians and 3 locations in Norwood and Norfolk.
Ophthalmic Consultants of BostonNewSenior Medical Billing Specialist Ophthalmic Consultants of BostonSenior Medical Billing SpecialistPlymouth, MAFull timeAs a senior member of the team, you’ll play a critical role in optimizing revenue cycle performance by: Resolving complex claim edits, rejections, and denials with accuracy and efficiency. In this role, you will be a key contributor to the financial health of the organization, tackling complex billing challenges, supporting team development, and helping ensure a seamless experience for our patients and providers.
Lahey Hospital and Medical CenterMedical Assistant- Wound Center Per Diem Lahey Hospital and Medical CenterMedical Assistant- Wound Center Per DiemPlymouth, MA$18.81–$33 / hourEnsures accurate coding for visits and procedures performedCarries out other tasks as directed by the Clinical Leader, Nurse Practitioner or DirectorMaintain and adhere to all Beth Israel Deaconess Plymouth, OSHA, CLIA and government regulations. Reviews and prepares medical record and clinic rooms prior to clinic start, between patients and end of clinic dayMaintains optimal flow of patients for efficiency of practice.
South Shore HealthCoding and Compliance Auditor South Shore HealthCoding and Compliance AuditorWeymouth, MAThe Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. Support all departments of the Health System with coding guidance: Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.
Baystate HealthQuality Improvement Specialist II Baystate HealthQuality Improvement Specialist IISpringfield, MA$66,081–$75,982 / yearActively pursues effective and efficient operations of their respective areasin accordance withHealth New England’s Values, its Code ofConductand the Associate Handbook, while ensuring the adequacy, adherence to and effectiveness of day-to-day business controls to meet obligations with respect to operational, compliance, and conduct. + Usingmedical record and clinical qualityexpertise, performs HEDIS clinical abstraction in both directelectronic medical record (EMR) and physical medical records to auditprovider compliance with HEDIStechnical specifications.
Beth Israel Lahey HealthNewRevenue Integrity Senior Analyst Beth Israel Lahey HealthRevenue Integrity Senior AnalystBoston, MA$55,370–$74,110 / year5 or more years of physician/professional revenue operations experience with a focus in one or more of the following areas: coding, revenue integrity, charge reconciliation, charge compliance, charge auditing, and CDM management. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistBoston, MA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
IconmaRN - Operating Room IconmaRN - Operating RoomBrighton, MA$55.58–$58.25 / hourWith a proven track record, our Healthcare and Clinical Division has successfully placed candidates in various roles, from Allied Professionals, Healthcare IT to Business Professionals, Finance/Accounting, Registered Nurses (both travel and local), Case Managers, Medical Coders, and more. We understand that high-quality employees like you know other talented people who would want to work with ICONMA.
ICONMA, LLCRN - Operating Room ICONMA, LLCRN - Operating RoomBrighton, MA$55.58–$58.25 / hourWith a proven track record, our Healthcare and Clinical Division has successfully placed candidates in various roles, from Allied Professionals, Healthcare IT to Business Professionals, Finance/Accounting, Registered Nurses (both travel and local), Case Managers, Medical Coders, and more. We understand that high-quality employees like you know other talented people who would want to work with ICONMA.
Heywood HospitalCoding Supervisor, HIM, 40-Hours, Days, Monday - Friday, Hybrid Heywood HospitalCoding Supervisor, HIM, 40-Hours, Days, Monday - Friday, HybridGardner, MassachusettsAttributesThe following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications: Job Requirements:Minimum EducationCoding credential certification from the American Health Information Management Association (CCA, CCS, CCS-P), or the American Academy of Professional Coders (CPC, CIC, COC, CRC) is required.
EPOCH HEALTHCARE LLCAmbulance Billing & Revenue Cycle Specialist EPOCH HEALTHCARE LLCAmbulance Billing & Revenue Cycle SpecialistNorwood, MAhandle claims submission, payment posting, denials management, and collections for Medicare. • Enter BLS/ALS level-of-service codes, mileage, diagnosis codes (ICD-10), and procedure codes.
Tufts UniversityPractice Administrator - School of Dental Medicine Tufts UniversityPractice Administrator - School of Dental Medicineboston, MAThis includes maintaining a safe environment, assuring that patients'' dental needs are addressed in a caring, confidential, timely and thorough manner, ensuring that patients are properly informed about their treatment and clinic procedures, and those procedures are accurately captured in the patient care system by notifying the front desk operations team prior to services being provided and makes sure that residents/students have obtained all patient related consents, waivers and financial responsibilities have been collected in full. What You''ll Do The Practice Administrator oversees the overall management, direction of the clinic/department and directly backs-up all clinic/practice operations and provides leadership, planning, financial management, clinical staff supervision, patient management and operational oversight and implements measures that prevent financial losses related to treatment changes that necessitate separate or additional signed consents/waivers.
Boston Children's HospitalRevenue Integrity Program Manager Boston Children's HospitalRevenue Integrity Program ManagerBoston, MAIf appropriate to bill for new services, ensures related systems are set up correctly, tested, and monitors initial charging of services for proper billing as well as following. Certification preferred: Coding certification such as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or AHIMA Certified Coding Specialist (CCS).
Boston Children's HospitalProvider Revenue Integrity Specialist (hybrid) Boston Children's HospitalProvider Revenue Integrity Specialist (hybrid)Boston, MACertification preferred: Coding certification such as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or AHIMA Certified Coding Specialist (CCS). License preferred: Clinical license such as Registered Nurse (RN), Registered Respiratory Therapist (RT), Medical Technologist (MT), Registered Pharmacist (RPh).
Dana-Farber Cancer Institute IncClinical Audit Response Specialist Dana-Farber Cancer Institute IncClinical Audit Response SpecialistBOSTON, MARemoteReporting to the Director of Patient Financial Services, the Revenue Protection Specialist is responsible for managing and responding to external audits from government and commercial insurance companies, as well as interpreting evolving payer policies to safeguard the Institutes revenue. The Revenue Protection Specialist will utilize their clinical expertise and knowledge of billing practices to address audit findings, interpret payer policies, prepare detailed responses, and implement corrective actions to enhance compliance and revenue integrity.
Dana-Farber Cancer Institute IncReferral Specialist Dana-Farber Cancer Institute IncReferral SpecialistBrookline, MARemote$41,800–$44,800 / yearPrimary Duties and Responsibilities With direct supervision, the Referral Specialist: Manages referral and authorization information as assigned through daily work queues and documents activities into the hospital information system; may require contacting physician offices and/or payors for referrals and authorizations via phone calls and/or websites. Overview Reporting to the Referral/Authorization Supervisor under direct supervision, the Referral Specialist is responsible for coordinating referral orders for continuation of treatment, such as specialty services and diagnostic testing, timely and efficiently.
Phenom PeopleNewPrior Authorization Trainer/QA Reviewer - Inpatient Accounts - Hybrid schedule Phenom PeoplePrior Authorization Trainer/QA Reviewer - Inpatient Accounts - Hybrid scheduleBoston, MAThe QA Reviewer/Analyst, under the direction of the Director, is responsible for identifying and mitigating risk of denials to the Department and ensuring highest quality of work by the Admissions Counselors via daily management of Patient Access EPIC WQs (Patient/Account/Claims); weekly review of the in-house high dollar Ontrac accounts; monitoring of DFCI patients in BWH beds; oversight of denials in conjunction with Department Team Leads and Manager, among other responsibilities aimed at improving the financial healthof the Department overall. Will assist Team Leads and Manager in reviewing Ontrac exceptions and tracking KPI and meeting Department expectations, e.g., elective teams days out, urgent team completed post discharge metrics.
Tufts UniversityPatient Financial Coordinator - School of Dental Medicine Tufts UniversityPatient Financial Coordinator - School of Dental MedicineBoston, MassachusettsThis position reports directly to the Patient Financial Administrator and works closely with school clinics it supports: Dental Faculty Practice, Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology and Tufts Dental Facilities, the Pre-doctoral (students), Postgraduate (residents) Specialty clinical treatment areas, which includes: Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics, Oral and Maxillofacial Surgery, AEGD and Geriatric Dentistry. What You'll Do: Our onsite patient-facing Patient Financial Coordinators play a vital role in the Dental School’s revenue cycle management, ensuring patient services payments in full, which has a direct impact on the Dental School’s clinical services financial and claims outcomes success.
Lahey Hospital and Medical CenterSingle Billing Office Cash Specialist (On-Site) Lahey Hospital and Medical CenterSingle Billing Office Cash Specialist (On-Site)Burlington, MA$21–$28.26 / yearMinimum Qualifications:Education:High School Diploma required, bachelor\u2019s degree preferredLicensure, Certification & Registration:Billing Certification preferredExperience:2 years of experience in cash management and customer service or related fieldsSkills, Knowledge & Abilities:Understanding and ability to utilize various electronic, web based and manual coding resourcesAbility to perform transactions in a patient accounting systemProficient data entry computer skillsDemonstrated ability to utilize word processing, spreadsheets and work files in performing work tasksDemonstrated attention to detail and accuracySkillful ability to use calculators to reconcile amountsStrong communication skills including verbal in person, telephone and writtenDemonstrated ability in being a cooperative and productive member of teamAbility to troubleshoot problemsAbility to continue to learn skills and expand knowledgeStrong multitasking skills Pay Range: $21.00 - $28.26The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. This position is responsible for supporting the Customer service department, posting of self-pay payments, credit balances, cash balancing, reconciliation and depositing cash for BILH, as well as the patient window inquiries at BILH.
Lahey Hospital and Medical CenterPatient Financial Counselor Lahey Hospital and Medical CenterPatient Financial CounselorPlymouth, MA$18.81–$33 / hourJob details Employment: Full-time Hours/Week: 40 Shift: Day Category: Billing, Collections, & Patient Financial Services Pay Range: $18.81 - $33.00 FLSA: Non-Exempt Req ID: JR86034 275 Sandwich Street, Plymouth, MA, 02360 Get directions Get Directions Beth Israel Deaconess Hospital Plymouth 275 Sandwich Street, Plymouth, MA 02360 Start Mode Car Transit Bike Walk Transit Bus Subway Train Tram Rail Default Fewer transfers Less walking Avoid Tolls Highways Ferries G Google Maps Apple Maps Waze Apple Maps doesn't support Bike mode; we'll open Driving. Education/Experience Required: • High School Diploma or equivalent required • 2-3 years' experience in a Financial Counseling, Social Work, Case Work, Patient Access or Billing field preferred and a general understanding of hospital and professional billing procedures.
Max AI, Inc.Regional Sales Manager - Dermatology Max AI, Inc.Regional Sales Manager - DermatologyBoston, MA$140,000–$220,000Market Feedback Loop: Working closely with the Product/Engineering team to relay customer feedback regarding payer-specific rules, integration blockers (e.g., ModMed/EMA API issues), and feature requests to shape the roadmap. Full-Cycle SaaS Ownership: Taking ownership of the entire sales lifecycle—from cold prospecting private practices and PE-backed groups to running technical demos, negotiating contracts, and closing.
Merrimack HealthPatient Account Representative Merrimack HealthPatient Account RepresentativeLawrence, MAAs the Patient Account Representative, you will be responsible for ensuring accurate and timely billing and collection of assigned patient accounts with the goal of providing patient-focused customer service and achieving the departmental goal of ensuring maximum revenue and cash flow benefit to the hospital. Merrimack Health is a private, non-profit community hospital providing the Merrimack Valley & southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.
ISO SERVICES INCLegal Nurse Reviewer ISO SERVICES INCLegal Nurse ReviewerWoburn, MARemoteFull timeUnsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property. Specialty Business Solutions - provides an integrated suite of software for full end-to-end management of insurance and reinsurance business, helping companies manage their businesses through efficiency, flexibility, and data governance.
Pittsfield DentalDental Receptionist Pittsfield DentalDental Receptionistpittsfield, MAThe ideal candidate will be the first point of contact for our patients, providing exceptional customer service while managing the administrative tasks that keep our dental practice running smoothly. This role requires a blend of interpersonal skills and administrative expertise, ensuring that patients feel welcomed and cared for from the moment they enter our office.
ISO CLAIMS PARTNERS INCMSA Nurse Reviewer ISO CLAIMS PARTNERS INCMSA Nurse ReviewerWoburn, MARemoteFull timeCertification in any of the following preferred: Medicare Set-aside Certified Consultant (MSCC), Life Care Planner (CLCP or CNLCP), Certified Case Manager (CCM), Medical Coding, Legal Nurse Consulting, Rehabilitation Counseling, Disability Management, Utilization Review . Unsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property.
Lawrence Comprehensive Treatment CenterAdministrative Support II Lawrence Comprehensive Treatment CenterAdministrative Support IILawrence, Massachusetts$22.44–$23.11 / hourLawrence Comprehensive Treatment Center (CTC), located in Lawrence, MA, is part of Acadia Healthcare's Comprehensive Treatment Centers—the nation's leader in medication-assisted treatment (MAT) for individuals seeking recovery from Opioid Use Disorder. Familiarity with MAT Protocols and Guidelines: The billing specialist should understand how Medication-Assisted Treatment works, including services like opioid substitution therapy (e.g., methadone, buprenorphine) and how these treatments are billed differently from other medical services.