Associate Director, Field Reimbursement - Boston Daiichi Sankyo, Inc.Associate Director, Field Reimbursement - BostonBoston, MI$168,400–$252,600 / yearFull timeDemonstrate extensive knowledge of specialty payer landscape, the appropriate utilization of NCCN/ASCO guidelines, private payer, GPOs, Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes and the general evolution of the healthcare landscape. The ADFR may advise sites of care on payer specific nuances related to utilization managements protocols and appeals Partner with DSI oncology field staff to ensure aligned customer approach.
NewTravel RN Lactation Specialist - $2,370 per week Cross Country NursesTravel RN Lactation Specialist - $2,370 per weekPittsfield, MARequired Qualifications: Massachusetts license, 1+ years of experience as a Lactation Consultant, a minimum of 2500 hours as a breastfeeding consultant, inpatient lactation program experience, outpatient prenatal and postpartum lactation education, certifications in BLS (AHA) and Board Certification, Meditech Expanse EMR experience strongly preferred, own vehicle required, and all certifications must be in hand and included in profile upload. The role involves providing expert assessment, treatment, consultation, planning, and leadership oversight for optimal lactation management in both inpatient and outpatient settings.
NewTravel Medical Infusion Nurse - $2,141 per week Trusted TalentTravel Medical Infusion Nurse - $2,141 per weekBoston, MAFounded in Buffalo, NY in 2008, Trusted Talent has spent nearly two decades building a different kind of healthcare staffing company — one where travel nurses, allied professionals, and locum providers are treated like family, not file numbers. We are also the Official Healthcare Staffing Partner of the Buffalo Sabres, named to the 2025 SIA Fastest-Growing US Staffing Firms list, the 2024 SIA Largest US Staffing Firms list, and recognized as a 2023 Inc.
MDS Specialist Care-OneMDS SpecialistEast Longmeadow, MA$93,000–$99,000 / yearThe MDS/Clinical Reimbursement Coordinator will be responsible for, but not limited to: Direct the Resident Assessment Process through assisting with the completion of the Minimum Data Set (MDS) and CAA's. Participate in developing individualized resident Care Plans, identifying the needs of the resident and projected outcomes as required by Federal and State regulations.
Lead MDS Specialist Care-OneLead MDS SpecialistEast Longmeadow, MA$93,000–$99,000 / yearThe Lead MDS/Clinical Reimbursement Coordinator will be responsible for, but not limited to: Direct the Resident Assessment Process through assisting with the completion of the Minimum Data Set (MDS) and CAA's. Participate in developing individualized resident Care Plans, identifying the needs of the resident and projected outcomes as required by Federal and State regulations.
MDS Specialist RN Care-OneMDS Specialist RNPeabody, MA$93,000–$99,000 / yearThe MDS/Clinical Reimbursement Coordinator will be responsible for, but not limited to: Direct the Resident Assessment Process through assisting with the completion of the Minimum Data Set (MDS) and CAA's. Participate in developing individualized resident Care Plans, identifying the needs of the resident and projected outcomes as required by Federal and State regulations.
NewTravel Medical-Surgical RN - $2,438 per week Healthcare SupportTravel Medical-Surgical RN - $2,438 per weekPittsfield, MAYour travel team will include a designated credentialing expert to help you navigate every step of the on-boarding process, a payroll specialist who you can communicate with directly, and a skilled recruiter who takes the time to understand your needs and works hard to find the right position for you. Not only does HealthCare Support reimburse for relocation and travel costs on your first check, but we also offer license and certification reimbursements required for your assignments so that you can focus on building your career.
Equipment Specialist, Senior - Secret DCS CorporationEquipment Specialist, Senior - SecretBedford, MA$90,220–$130,000 / yearSupport configuration control by processing, tracking, and recommending dispositions for change notices, ecps, deviation/waiver requests, service bulletins, deficiency reports, Airworthiness Directive Notes, and qcps. Provide integrated logistics support, including provisioning, source coding, maintenance data collection, configuration management data, QDR analysis, and identifying alternate sources of supply for DMS/MS issues.
NewTravel Nurse RN - Medical-Surgical - $2,278 to $2,546 per week in Springfield, MA TravelNurseSourceTravel Nurse RN - Medical-Surgical - $2,278 to $2,546 per week in Springfield, MASpringfield, MA$2,278–$2,546Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Nurse RN - Medical-Surgical - $1,936 to $2,164 per week in Newton, MA TravelNurseSourceTravel Nurse RN - Medical-Surgical - $1,936 to $2,164 per week in Newton, MANewton, MA$1,936.30–$2,164.10Prime Time Healthcare is seeking dynamic individuals like you to join our team in Newton, MA and make a real impact in patient care! Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
NewTravel Nurse RN - Medical-Surgical - $957 to $1,069 per week in Tewksbury, MA TravelNurseSourceTravel Nurse RN - Medical-Surgical - $957 to $1,069 per week in Tewksbury, MATewksbury, MA$956.76–$1,069.32Prime Time Healthcare is seeking dynamic individuals like you to join our team in Tewksbury, MA and make a real impact in patient care! Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
NewTravel Nurse RN - Medical-Surgical - $2,005 to $2,240 per week in Greenfield, MA TravelNurseSourceTravel Nurse RN - Medical-Surgical - $2,005 to $2,240 per week in Greenfield, MAGreenfield, MA$2,004.64–$2,240.48Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Nurse RN - Medical-Surgical - $1,936 to $2,164 per week in Nantucket, MA TravelNurseSourceTravel Nurse RN - Medical-Surgical - $1,936 to $2,164 per week in Nantucket, MANantucket, MA$1,936.30–$2,164.10Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Nurse RN - Medical-Surgical - $1,930 to $2,144 per week in Gardner, MA TravelNurseSourceTravel Nurse RN - Medical-Surgical - $1,930 to $2,144 per week in Gardner, MAGardner, MA$1,929.60–$2,144Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Nurse RN - Medical-Surgical - $1,936 to $2,164 per week in Boston, MA TravelNurseSourceTravel Nurse RN - Medical-Surgical - $1,936 to $2,164 per week in Boston, MABoston, MA$1,936.30–$2,164.10Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Nurse RN - Medical-Surgical - $2,164 to $2,419 per week in Pittsfield, MA TravelNurseSourceTravel Nurse RN - Medical-Surgical - $2,164 to $2,419 per week in Pittsfield, MAPittsfield, MA$2,164.10–$2,418.70Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel NICU Respiratory Therapist - ECMO Specialist - $2,794 per week MedPro Healthcare Allied StaffingTravel NICU Respiratory Therapist - ECMO Specialist - $2,794 per weekBoston, MAAs a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation. *Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses.
NewDiagnostic Radiology Mammography Specialist - Breast Imaging Radiologist Trinity HealthDiagnostic Radiology Mammography Specialist - Breast Imaging RadiologistSpringfield, MATrinity Health Of New England Medical Group is seeking a Board Certified/Board Eligible Breast Imaging Diagnostic Radiologist for our full-time position at Mercy Medical Center in Springfield MA. Use state-of-the-art diagnostic imaging including 3D mammography (digital breast tomosynthesis), breast ultrasound and MRI, and image guided breast biopsies.
Travel Medical Laboratory Technician (MLT) - $1,822 to $2,037 per week in Nantucket, MA Prime Time HealthcareTravel Medical Laboratory Technician (MLT) - $1,822 to $2,037 per week in Nantucket, MANantucket, MA$1,822.40–$2,036.80As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible. Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
NewTravel Medical Technologist - $1,936 to $2,164 per week in Boston, MA Prime Time HealthcareTravel Medical Technologist - $1,936 to $2,164 per week in Boston, MABoston, MA$1,936.30–$2,164.10Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Medical Technologist - $1,839 to $2,056 per week in Boston, MA Prime Time HealthcareTravel Medical Technologist - $1,839 to $2,056 per week in Boston, MABoston, MA$1,839.49–$2,055.90Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Registered Respiratory Therapist - Neonatal/Pediatric ECMO Specialist - $2,498 per week Health Carousel - Travel AlliedTravel Registered Respiratory Therapist - Neonatal/Pediatric ECMO Specialist - $2,498 per weekBoston, MAHealth Carousel Allied Travel is a healthcare staffing brand dedicated to providing excellent travel assignments for allied healthcare professionals. We work closely with medical and care facilities across the United States to fill vacant positions with highly talented medical staff in places that make a difference.
NewReimbursement Resource Specialist Integrated Resources, IncReimbursement Resource SpecialistCambridge, MARemoteThe Reimbursement Support Specialist will support and work collaboratively with Case Managers in the Rare Blood Disorders and ONC business to support enrolment processing for our Rare Haematology and ONC portfolio, assist with the facilitation of the reimbursement process for our Rare Haematology product portfolio, which includes assisting with benefit investigations and being the first in line for inbound calls. Complete daily documentation of all interactions and input accurate data, which includes inbound phone calls, prescription information, insurance and PBM information, coverage approvals and/or denials, prior authorization information and ongoing coverage requirements in iCare Database while maintaining compliance with HIPAA and other applicable healthcare and privacy regulations.
NewReimbursement Resource Specialist Aequor Technologies LLCReimbursement Resource SpecialistCambridge, MARemoteThe Reimbursement Support Specialist will support and work collaboratively with Case Managers in the Rare Blood Disorders and Onc business to support enrollment processing for our Rare Hematology and Onc portfolio, assist with the facilitation of the reimbursement process for our Rare Hematology product portfolio, which includes assisting with benefit investigations and being the first in line for inbound calls. " Complete daily documentation of all interactions and input accurate data, which includes inbound phone calls, prescription information, insurance and PBM information, coverage approvals and/or denials, prior authorization information and ongoing coverage requirements in iCare Database while maintaining compliance with HIPAA and other applicable healthcare and privacy regulations.
NewReimbursement Specialist - Customer Support NAVERISReimbursement Specialist - Customer SupportWaltham, MARemoteWhile Naveris partners with an outsourced RCM vendor, this role will provide additional oversight and direct involvement, including reviewing claim submissions, supporting appeals, and communicating with payers, providers, and patients across Medicare, Medicaid, and commercial insurance plans. Our flagship test, NavDx, is a breakthrough blood‑based DNA test for HPV cancers, clinically proven and already trusted by thousands of physicians and institutions across the U.S.OpportunityWe are looking for a conscientious, knowledgeable individual to join our team and support the varied aspects of the reimbursement process.
Clinical Reimbursement Specialist CareOne Management LLCClinical Reimbursement SpecialistMAThe Regional Clinical Reimbursement Specialist/MDS plays a crucial role in ensuring the accurate and timely completion of the Minimum Data Set (MDS) assessments for residents in long-term care facilities. Audit the completion and accuracy of MDSs and Care Plans per schedule as required for Medicare, Managed care and OBRA schedules.
Reimbursement Specialist - Appeals NaverisReimbursement Specialist - AppealsWaltham, MARemoteFull timeNaveris, a commercial stage, precision oncology diagnostics company with facilities in Boston, MA and Durham, NC, is looking for a Reimbursement Specialist - Appeals team member to help us advance our mission of developing and delivering novel diagnostics that transform cancer detection and improve patient outcomes. While Naveris partners with an outsourced RCM vendor, this role focuses on denials management and appeals to ensure accurate reimbursement across Medicare, Medicaid, and commercial insurance plans.
NewMedical Collections Specialist ARMSTRONG AMBULANCE SERVICE INCMedical Collections SpecialistArlington, MAPOSITION SUMMARY: The Medical Collections Specialist is responsible for managing outstanding patient account balances by contacting patients, coordinating with insurance carriers, resolving billing concerns, establishing payment arrangements, and ensuring timely collection of accounts receivable. Proactively contact patients and insurance companies to resolve low reimbursement claims, coordinate claim corrections and reprocessing, and reduce outstanding patient balances while ensuring accurate reimbursement.
Medical 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.
Regional Medical Staff Specialist Baystate Health SystemRegional Medical Staff SpecialistGreenfield, MA$27.13–$31.19 / hourRESPONSIBILITIES: As the Regional Medical Staff Specialist, you will provide operational leadership and administrative oversight for key medical staff functions across two community hospitals while serving as backup support for Baystate Noble Hospital when needed. Baystate Health is seeking a Regional Medical Staff Specialist to play a critical role in supporting the medical staff of Baystate Franklin Medical Center (BFMC) and Baystate Wing Hospital (BWH).
Regional Medical Staff Specialist Baystate HealthRegional Medical Staff SpecialistGreenfield, MassachusettsAs the Regional Medical Staff Specialist, you will provide operational leadership and administrative oversight for key medical staff functions across two community hospitals while serving as backup support for Baystate Noble Hospital when needed. Baystate Health is seeking a Regional Medical Staff Specialist to play a critical role in supporting the medical staff of Baystate Franklin Medical Center (BFMC) and Baystate Wing Hospital (BWH) .
Medical Account Specialist II - Oncology - Boston, MA Regeneron Pharmaceuticals IncMedical Account Specialist II - Oncology - Boston, MABoston, MA$154,600–$198,600 / yearFacilitate partnership with multiple collaboration partners; Regional Director, Territory-based Oncology Account Specialists, OKALs (Oncology Key Account Leaders), Reimbursement Specialists to proactively resolve customer needs, identify market dynamics and trends, and develop strategies which support brand and corporate objectives in assigned territory. Build our future together: The Oncology Account Specialist will engage HCPs who treat NSCLC/NMSC patients within specific accounts - including academic centers, large group practices, IDN's, and community accounts.
Medical Account Specialist II - BOSTON, MA Regeneron Pharmaceuticals IncMedical Account Specialist II - BOSTON, MABoston, MA$158,950–$220,000 / yearDevelops strong working relationships with customers, collaboration colleagues and Internal contacts - Clinics, physicians, nurses, additional important health care providers, key patient advocacy support groups, collaboration teammates, Reimbursement and Access Specialist team, Clinical Nurse Educators, Marketing, National Accounts, Training and Trade. This role involves developing and executing account strategies to grow market share, building relationships with clinicians, nurses, and patient advocacy groups, and collaborating with cross-functional partners (e.g., Reimbursement and Access, Regional Science Managers) to address customer needs and market dynamics.
Medical Account Specialist II - NEUROLOGY - BOSTON, MA Regeneron PharmaceuticalsMedical Account Specialist II - NEUROLOGY - BOSTON, MABoston, MassachusettsDevelops strong working relationships with customers, collaboration colleagues and Internal contacts - Clinics, physicians, nurses, additional important health care providers, key patient advocacy support groups, collaboration teammates, Reimbursement and Access Specialist team, Clinical Nurse Educators, Marketing, National Accounts, Training and Trade. This role involves developing and executing account strategies to grow market share, building relationships with clinicians, nurses, and patient advocacy groups, and collaborating with cross-functional partners (e.g., Reimbursement and Access, Regional Science Managers) to address customer needs and market dynamics.
Medical Biller / Referral & Authorization Specialist UNITED FAMILY MEDICAL CENTERMedical Biller / Referral & Authorization SpecialistNewburyport, MAWe are a growing Primary Care Physician (PCP) office committed to providing high-quality patient care. We are seeking a reliable and detail-oriented Medical Biller / Referral & Authorization Specialist to join our team.
Field Reimbursement Manager FRM, Endocrinology - New England Corcept Therapeutics IncField Reimbursement Manager FRM, Endocrinology - New EnglandBoston, MARemote$154,000–$200,000 / yearThis role serves as the subject matter expert on access and reimbursement for Korlym, Mifepristone AG, and Relacorilant, supporting healthcare providers (HCPs), field sales teams, specialty pharmacies (SPs), and our patient support HUB to resolve barriers to patient access. With advanced clinical trials in patients with hypercortisolism, solid tumors, ALS and liver disease, Corcept is unlocking the power of cortisol modulation to help address some of the most devastating diseases patients face today.
PFS Denial Specialist 3 Lahey Hospital and Medical CenterPFS Denial Specialist 3MA$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.
Seasonal/Temporary Hospital Collections Specialist TaraVistaSeasonal/Temporary Hospital Collections SpecialistDevens, MA$24–$28 / hourThe 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.
Hospital Collections Specialist, 40hrs Onsite in Auburn, MA TaraVistaHospital Collections Specialist, 40hrs Onsite in Auburn, MADevens, MA$24–$30 / hourThe 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.
Veterinary Medical Oncologist (Board Certified / Diplomate / Residency Trained) Global Talent PartnersVeterinary Medical Oncologist (Board Certified / Diplomate / Residency Trained)Swansea, MA$220,000–$250,000This is an ideal position for a board-certified or board-eligible oncologist who is eager to collaborate with a team of specialists, contribute to the growth of our facility, and help foster a positive workplace culture. We are a proud partner hospital of United Veterinary Care, and we support our specialists by empowering them to practice excellent medicine without corporate pressures.
NewUSA-Documentation Specialist II (Administrative) MindlanceUSA-Documentation Specialist II (Administrative)Cambridge, MARemoteThe Reimbursement Support Specialist will support and work collaboratively with Case Managers in the Rare Blood Disorders and Onc business to support enrollment processing for our Rare Hematology and Onc portfolio, assist with the facilitation of the reimbursement process for our Rare Hematology product portfolio, which includes assisting with benefit investigations and being the first in line for inbound calls. " Complete daily documentation of all interactions and input accurate data, which includes inbound phone calls, prescription information, insurance and PBM information, coverage approvals and/or denials, prior authorization information and ongoing coverage requirements in iCare Database while maintaining compliance with HIPAA and other applicable healthcare and privacy regulations.
Customer Service Specialist Temporary Part Time BiofronteraCustomer Service Specialist Temporary Part TimeWoburn, MA$25–$35 / hourIn this role, the Specialist will handle complex service interactions—including order fulfillment, shipment coordination, and issue resolution—while also developing new business leads, maintaining customer relationships, and supporting sales efforts. This hybrid position combines responsibilities from both customer service and inside sales, ensuring seamless coordination between order processing, customer support, and commercial initiatives/support.
Medical Biller - Full-time Sturdy Memorial HospitalMedical Biller - Full-timeAttleboro, MA$21.06–$31.96 / hourWorking under the supervision of the Revenue Cycle Manager and Lead Biller will share the responsibilities of being accessible to physicians, staff and patients regarding billing questions; assures that all billing functions are completed in a timely fashion and develops billing goals. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusBoston, MARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Inpatient Medicare Collection Specialist TaraVistaInpatient Medicare Collection SpecialistDevens, MA$24–$28 / hourThis role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by managing claim edits, resolving denials, and navigating the Medicare Direct Data Entry (DDE/FISS) system to secure accurate and timely payment. The Inpatient Medicare Collections Specialist is responsible for maximizing reimbursement and ensuring timely resolution of Medicare inpatient accounts receivable.
Pharmacy Benefits Verification Specialist Onco360Pharmacy Benefits Verification SpecialistWaltham, MassachusettsSkills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.
Clinical Trials Specialist Lahey Hospital and Medical CenterClinical Trials SpecialistBoston, MA$60,000–$95,000 / yearThe Clinical Trials Specialist will help manage research projects including study coordination for an ongoing multicenter randomized controlled trial and managing multiple research projects using observational or real world datasets. The Cardio-Oncology and Heart Failure section combines the use of randomized clinical trials and real-world data with advanced statistical and epidemiological methods to answer questions related to the intersection between cancer and heart disease.
Hospital Collections Specialist, 40hrs Onsite in Auburn, MA MiraVistaHospital Collections Specialist, 40hrs Onsite in Auburn, MADevens, MA$24–$30 / hourThe 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.
Denial Specialist 1-Professional Billing Lahey Hospital and Medical CenterDenial Specialist 1-Professional BillingMA$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.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistMA$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.