Reed Smith USGuest/Office Services Specialist Reed Smith USGuest/Office Services SpecialistBoston, Massachusetts$26.44–$29.57Full timeThis position serves as the first point of contact for clients, visitors, and personnel, ensuring a welcoming and professional environment, while also managing document production, mail services, and general office support. The Guest/Office Services Specialist is a client-facing role responsible for delivering exceptional front-of-house service while supporting core office services operations.
L3Harris TechnologiesNewSpecialist Software Engineer L3Harris TechnologiesSpecialist Software EngineerNorthampton, MA$97,000–$180,000 / yearYou will work closely with cross-functional teams to ensure the successful integration of software and hardware components, while also providing technical leadership and mentorship to junior engineers. With customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.
L3Harris TechnologiesNewQuality Control Specialist L3Harris TechnologiesQuality Control SpecialistNorthampton, MA$73,000–$125,000 / yearWith customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security. By submitting your resume for this position, you understand and agree that L3Harris Technologies may share your resume, as well as any other related personal information or documentation you provide, with its subsidiaries and affiliated companies for the purpose of considering you for other available positions.
L3Harris TechnologiesNewSenior Specialist, Program Management L3Harris TechnologiesSenior Specialist, Program ManagementNorthampton, MA$106,000–$197,000 / yearWith customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security. For California, New Jersey, Massachusetts, Washington D.C., Maryland Greater Washington D.C. area, the city of Denver, Washington State and New York City, the salary range for this role is $106-$197K.
L3Harris TechnologiesNewSr. Specialist Software Engineer L3Harris TechnologiesSr. Specialist Software EngineerNorthampton, MA$109,500–$203,500 / yearYou will work closely with cross-functional teams to ensure the successful integration of software and hardware components, while also providing technical leadership and mentorship to the engineering team. With customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.
L3Harris TechnologiesNewSr. Specialist, Integration & Test Engineer L3Harris TechnologiesSr. Specialist, Integration & Test EngineerNorthampton, MA$102,000–$189,000 / yearLead customer discussions at a variety of forums such as the Systems Engineering Working Group, Management Working Group, Environmental Qualification Testing IPT, Integration meetings, and Test Readiness Review. Test Hardware: DC Power Supplies, Digital Multi-Meters, Oscilloscope, Signal Generator, RF Signal Generator, Spectrum Analyzer, Noise Figure Analyzer, Fiber Optic Scope Meter.
Vaco LLCNewAccounts Payable Specialist Vaco LLCAccounts Payable SpecialistHingham, MA$30–$35Determining 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.
Company ConfidentialPayroll Specialist Company ConfidentialPayroll SpecialistWilmington, MAFull timeBachelor’s degree in Accounting, Human Resources, or a related field (preferred)Professional payroll certification or progress toward certification is a plusMinimum of 3 years of payroll experience in a high-volume environmentStrong understanding of U.S. and/or Canadian payroll regulations, including tax laws and compliance requirementsKnowledge of federal, state/provincial, and local employment legislationProficiency with Microsoft 365 applications (Excel, Outlook, etc.)Experience working with payroll systems and external payroll providersStrong analytical and problem-solving abilitiesExcellent written and verbal communication skillsHigh level of discretion and ability to handle confidential informationAbility to work collaboratively and build effective working relationshipsExperience supporting payroll system implementations or upgrades is an asset. 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.
Lahey Hospital and Medical CenterBilling & Certified Coding Specialist I (Remote) Lahey Hospital and Medical CenterBilling & Certified Coding Specialist I (Remote)Charlestown, MARemote$25–$34 / hourReviews 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. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare''s yearly fee schedule, Medicare Website, and specialty newsletters.
UnitedHealth Group IncCoding Compliance Analyst UnitedHealth Group IncCoding Compliance AnalystWorcester, MARemote$23.89–$42.69 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Conducts random and scheduled internal audits of physician billing and medical records documentation to ensure: Correct Coding (CPT, ICD-10, HCPCS, Modifiers), Accurate Data Entry, Accurate Charge Preparation/Processing, Compliance with governmental and third-party billing regulations.
Brigham and Women's HospitalNewCoding Specialist II, Remote Brigham and Women's HospitalCoding Specialist II, RemoteSomerville, MARemote$22.22–$31.71 / hourThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Lahey Hospital and Medical CenterCoding Validator 3 (Remote) Lahey Hospital and Medical CenterCoding Validator 3 (Remote)Charlestown, MARemote$31.37–$50.20 / yearMinimum Qualifications:Education:\u2022 High School diploma or equivalent, required\u2022 Minimum of Associate degree in Health Information Management or Completion of a AHIMA or AAPC Coding Certification program, requiredLicensure, Certification & Registration: \u2022 RHIA, RHIT or CCS from AHIMA or a COC from AAPC, requiredExperience: \u2022 Computer skills\u2022 Minimum 5 year of ICD-10-CM, CPT/HCPC Outpatient coding assignment, required\u2022 Minimum 1 year of ICD-10-CM, CPT/HCPC outpatient coding assignment at a Level 1 trauma or Academic Medical Center, preferred\u2022 Minimum of 5 years OP coding auditing and/or OP coding validation, preferred \u2022 Microsoft Office applications\u2022 Interventional Radiology, Cardiac Cath, Injection and Infusion, Observation, and Ambulatory Surgery coding experience, requiredRequired Skills, Knowledge & Abilities: \u2022 Medical terminology \u2022Proficient in Microsoft Office Excel, Word and PowerPoint applications\u2022 Knowledge and understanding of current ICD-10-CM and CPT/HCPC Official Guidelines for Coding and Reporting\u2022 Knowledge of medical records content and management\u2022 Strong written communication skills\u2022 Working knowledge of the EMR either through experience or education, including experience working with structured data and database management\u2022 Knowledge of laws and regulations about health information and patient confidentiality\u2022 Adheres to Department, Hospital, and Human Resource Policies PreferredQualifications & Skills: \u2022 Epic experience\u2022 3M-360 Computer Assisted Coding Dept\u2022 OP Validator III level ICD-10-CM, CPT Outpatient code assignment skills based on BILH OP Coding Validator Exam Pay Range: $31.37 - $50.20The 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. The Coding Validator II is also responsible for exceeding quality and quantity expectations while performing coding functions to support timely coding and billingJob Description:Essential Duties & Responsibilities: \u2022 Performs pre-bill reimbursement audits on outpatient records to determine if codes need to be added/deleted, to ensure that the care of the patient is recorded in language that the payers can interpret, and coding is compliant with all coding guidelines.\u2022
Brigham and Women's HospitalCoding Specialist II, Anesthesia Brigham and Women's HospitalCoding Specialist II, AnesthesiaSomerville, MA$22.22–$31.71 / hourThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.
Gather Health Primary Care IncRisk Adjustment Coding Specialist Gather Health Primary Care IncRisk Adjustment Coding SpecialistBoston, MA$65,000–$85,000 / yearGather's model achieves superior care by individualizing care and is reinforced by a three-prong approach: a unique care model quarterbacked by PCPs and supported by multi-disciplinary care teams, tailored Social Care Plans that are led by Gather Guides and facilitated by deeply rooted community partners, and a proprietary "Tech Enabled Home Model.". With deep expertise in the CMS-HCC Risk Adjustment Payment Model (V28), Hierarchical Condition Category (HCC) and CPT coding, the Specialist will serve as a trusted partner to providers, offering 1:1 feedback, leading group education sessions, and identifying opportunities for documentation improvement.
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.
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.
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.
Lahey Hospital and Medical CenterNewProfessional Coding Manager Lahey Hospital and Medical CenterProfessional Coding ManagerCharlestown, MA$83,637–$112,570 / yearWorks with staff to ensure compliance of, and proper coding technique as defined by CMS regulations, Local Medicare Review Policies (LMRPs), Local Carrier Determinations (LCDs), the AMA, any applicable BILH compliance policies, and/or any relevant accrediting organizations. Attends management meetings, interacts with other managers to resolve problems, and conducts regular staff meetings to ensure consistent communication of the Coding department as well as BILH policies, expectations, and goals.
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.
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.
Army National Guard of the United StatesNew68K Medical Laboratory Specialist Army National Guard of the United States68K Medical Laboratory SpecialistWorcester, MA$200–$250 / weekJob training for Medical Laboratory Specialist consists of 10 weeks of Basic Training, where you''ll learn basic Soldiering skills, and 52 weeks of Advanced Individual Training. The certifications available to you after continued study and experience are medical laboratory technician, cytotechnologist, and clinical laboratory technician.
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.
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.
Lahey Hospital and Medical CenterNewDenial Specialist 1-Professional Billing Lahey Hospital and Medical CenterDenial Specialist 1-Professional BillingCharlestown, MA$22.05–$29.68 / hourActual 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. The PFS Denial Specialist I role is vital to ensure that hospital denied accounts are thoroughly reviewed for any opportunity to correct, refile and or appeal claims for re-processing and reimbursement.
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.
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.
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.
UnitedHealth Group IncNewClinical Documentation Integrity Specialist RN (MNA) UnitedHealth Group IncClinical Documentation Integrity Specialist RN (MNA)Auburndale, MARemote$38.66–$71.87 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. We"re an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts.
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.
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.
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.
Dana-Farber Cancer Institute IncNewBilling Compliance Curriculum Development Specialist Dana-Farber Cancer Institute IncBilling Compliance Curriculum Development SpecialistBOSTON, MARemote$83,400–$91,100 / yearWe strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. Primary Duties and Responsibilities: Design, develop, and maintain billing compliance curricula for providers, coders, reviewers, and revenue cycle staff, including onboarding, annual education, and targeted risk-based training.
Lahey Hospital and Medical CenterNewPFS Denial Specialist 3 Lahey Hospital and Medical CenterPFS Denial Specialist 3Charlestown, MA$24.15–$32.50 / hourWorking in an SBO (Single Billing Office), environment the Denial Specialist 3 will need to know Hospital and Professional Billing to assist customers with questions and accurate registration of insurance and or processing physician billing denials. Provides support for the mentoring and training of new and end existing A/R staff as required following the training program set forth to include but not limited to policy and procedures, EHR system functionality, audits and staff reviews.
CVS Health CorpNewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, MA$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
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.
UMass Memorial Health Care IncNewAccounts Receivable Follow-Up Specialist II, Hospital Billing UMass Memorial Health Care IncAccounts Receivable Follow-Up Specialist II, Hospital BillingWorcester, MA$20.94–$29.27 / hourExperience/Skills: Required: Two or more years of previous Revenue Cycle knowledge including experience in one of the following areas PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding or 3rd party Reimbursement. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve.
Lahey Hospital and Medical CenterSr Prior Authorization Specialist - Winchester Hospital Lahey Hospital and Medical CenterSr Prior Authorization Specialist - Winchester HospitalWinchester, MA$21.53–$28.98 / hourContacts patients, providers and insurance companies to validate data, collect missing information and resolve information discrepancies, Understands clinical guidelines for payors requiring authorization to better build cases for authorization requests and provide feedback to clinical departments on required notes. Works with the Financial Counselors, clinical departments, outside providers, third party insurers and any other individual or entity to assist in resolving patient financial clearance questions or problems in the most effective and positive manner possible.
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 .
Ajinomoto Cambrooke, Inc.Reimbursement Authorization Specialist I Ajinomoto Cambrooke, Inc.Reimbursement Authorization Specialist IAyer, MassachusettsProvides 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.
Ajinomoto Health & Nutrition North America, Inc.Reimbursement Authorization Specialist I Ajinomoto Health & Nutrition North America, Inc.Reimbursement Authorization Specialist IAyer, MassachusettsProvides 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.
Lahey Hospital and Medical CenterNewFinancial Clearance Specialist Lahey Hospital and Medical CenterFinancial Clearance SpecialistBeverly, MA$20.50–$27.59 / hourCustomer 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. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
Brigham and Women's HospitalClinical Review Specialist Brigham and Women's HospitalClinical Review SpecialistSomerville, MA$63,648–$90,750.40 / yearThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. 2+ years experience with chart reviews in electronic medical records, clinical data, supporting or leading work around quality and improvements and creating and/or presenting education material required.
UMass Memorial Health Care IncNewAR Follow-Up Specialist, Hospital Billing UMass Memorial Health Care IncAR Follow-Up Specialist, Hospital BillingWorcester, MA$19.74–$26.96 / hourExperience/Skills: Required: Previous Revenue Cycle knowledge including experience in one of the following areas PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding or 3rd party Reimbursement. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve.
HUMAN SERVICES MANAGEMENT CORPORATIONRevenue Cycle Specialist HUMAN SERVICES MANAGEMENT CORPORATIONRevenue Cycle SpecialistMilford, MAThe Revenue Cycle Specialist is a multi-specialized role responsible for supporting all aspects of the revenue cycle, including cash posting, insurance coordination, and billing functions. These services include accounting, payroll, third party billing and collections, human resources, online and live Continuing Education, marketing, facility development and quality assurance programs.
Boston Medical CenterNewPrior Authorization Specialist I - Patient Access Services Boston Medical CenterPrior Authorization Specialist I - Patient Access ServicesMARemote$25.42–$30.97 / hourWorks collaboratively with primary care practices, specialty practices, referring physicians, primary care physicians, insurance carriers, patients and any other parties to ensure that required managed care referrals and prior authorizations for specified specialty visits and other services are obtained and appropriately recorded in the relevant practice management systems for patient appointments/visits prior to scheduled patient visits or retro-actively if not in place at the time of the appointment/visit. The Prior Authorization Specialist role belongs to the Revenue Cycle Patient Access team and is responsible for coordinating all financial clearance activities by navigating all pre-registration (to include acquiring or validating patient demographic, insurance, and other required elements along with insurance verification activities), obtaining referral authorization, or precertification number(s).
Lahey Hospital and Medical CenterNewMedical Secretary - Cambridge - Front Desk Lahey Hospital and Medical CenterMedical Secretary - Cambridge - Front DeskCambridge, MA$20–$26.92 / hourConsistently complies with the hospital''s Hand Hygiene Policy, i.e. cleans hands before every patient contact (even if gloves are worn), before donning sterile gloves for aseptic task, after handling body fluids, after every patient contact, and after contact with patient''s environment. 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.
Lahey Hospital and Medical CenterMedical Secretary Lahey Hospital and Medical CenterMedical SecretaryBelmont, MA$20–$26.92 / hourConsistently complies with the hospital''s Hand Hygiene Policy, i.e. cleans hands before every patient contact (even if gloves are worn), before donning sterile gloves for aseptic task, after handling body fluids, after every patient contact, and after contact with patient''s environment. 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.
RIVER VALLEY COUNSELING CENTER INCSr Insurance Specialist - Commercial/Blue Cross RIVER VALLEY COUNSELING CENTER INCSr Insurance Specialist - Commercial/Blue CrossHolyoke, MAStrong time management, organization skills and ability to work independently or in a team ï‚· Good plus knowledge of ICS/HCPCS/CPT Coding and medical terminology ï‚· Knowledge of commercial, state and federal healthcare regulations ï‚· Excellent Math Skills and knowledge of general accounting principals ï‚· Ability to logically and accurately organize data ï‚· Excellent problem solving skills ï‚· Strong attention to detail QUALIFICATIONS/JOB REQUISITES: Education: High School Diploma or GED is required, an Associate or Bachelors degree in HealthAdministration or related Study preferred Experience: Eight plus (8+) years in the health insurance, hospital business office or claimsprocessing/management. Required Skills ï‚· Must show honesty, integrity, strong ethics, data entry skills and time management skills ï‚· Insurance follow up experience especially Blue Cross and all Commercial Lines ï‚· Strong understanding of Medetech and finThrive billing programs ï‚· Strong Verbal and written skills for preparing and presenting appeals, negotiating settlementsand presenting reports to Senior Management.
Signature HealthcareFinancial Clearance Specialist Signature HealthcareFinancial Clearance SpecialistWest Bridgewater, MACenter Street, West Bridgewater, MA Department:Financial Clearance Specialist This is a full-time 40 hour/ week position Responsibilities: Accesses work queues and reports and reviews patient accounts to determine financial clearance status of specific patient services. We believe our distinctive Signature Healthcare team approach is the way healthcare should be: medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference in the lives and health of our patients.
MSPCA - AngellClient Care Specialist - Veterinary Hospital MSPCA - AngellClient Care Specialist - Veterinary HospitalBoston, MAPart timeClient Care Specialist (CCS) - Veterinary Hospital - Full Time 32-40 hrs/week schedule options - Varying shifts including weekends and holidays (one weekend day required). You’re the first person pet owners meet during some of their most emotional moments — and the steady, compassionate presence that helps them feel supported from the moment they walk through our doors.