Managed Care Services Rep Brigham and Women's HospitalManaged Care Services RepSomerville, MA$19.81–$28.30 / 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. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.
Third Party Reviewer Brigham and Women's HospitalThird Party ReviewerSomerville, MA$19.81–$28.30 / 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.
NewClinical Authorization Specialist Dana-Farber Cancer Institute IncClinical Authorization SpecialistBrookline, MARemote$83,500–$95,400 / yearWith direct oversight, the Clinical Authorization Specialist: Manages approval process for clinically complex cases: Discusses complex medical necessity cases in all aspects of the prior authorization work (on-label drug, off-label drug, laboratory testing, and others as assigned) with attending physicians. Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans.
NewASR II - Orthopedic Surgery Boston Medical CenterASR II - Orthopedic SurgeryBoston, MA$22.36–$27.26 / hourThe incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.). POSITION SUMMARY: The incumbent in this role will support the clinical practice by focusing on billing and managed care functions (including charge entries, billing edits, charge reconciliations, responding to billing inquires, corresponding with insurance carriers, investigating billing discrepancies, etc.).
NewASR II - Radiology Boston Medical CenterASR II - RadiologyBoston, MA$22.36–$27.26 / hourThe incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.). POSITION SUMMARY: The incumbent in this role will support the clinical practice by focusing on billing and managed care functions (including charge entries, billing edits, charge reconciliations, responding to billing inquires, corresponding with insurance carriers, investigating billing discrepancies, etc.).
NewASR II Boston Medical CenterASR IIBoston, MA$22.36–$27.26 / hourThe incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.). POSITION SUMMARY: The incumbent in this role will support the clinical practice by focusing on billing and managed care functions (including charge entries, billing edits, charge reconciliations, responding to billing inquires, corresponding with insurance carriers, investigating billing discrepancies, etc.).
NewAmbulatory Service Rep ll Boston Medical CenterAmbulatory Service Rep llBoston, MA$22.36–$27.26 / hourThe incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.). POSITION SUMMARY: The incumbent in this role will support the clinical practice by focusing on billing and managed care functions (including charge entries, billing edits, charge reconciliations, responding to billing inquires, corresponding with insurance carriers, investigating billing discrepancies, etc.).
Financial Counselor- Hybrid Boston Children's HospitalFinancial Counselor- HybridBoston, MAThe Financial Counselor plays an essential role in supporting patient families and hospital financial operations by providing timely financial guidance, cost estimates, and assistance navigating insurance coverage and financial assistance programs. This role supports pre-service financial clearance by helping families understand their financial responsibilities, assisting with public health insurance applications, resolving insurance-related questions, and ensuring accurate patient billing information.
Ambulatory Service Representative II (Per Diem) - Mon - Friday 8am - 5pm Boston Medical CenterAmbulatory Service Representative II (Per Diem) - Mon - Friday 8am - 5pmBoston, MA$22.36–$27.26 / hourPOSITION SUMMARY: The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.). The incumbent in this role will support the clinical practice by focusing on billing and managed care functions (including charge entries, billing edits, charge reconciliations, responding to billing inquires, corresponding with insurance carriers, investigating billing discrepancies, etc.).
Ambulatory Service Representative II - Orthopedic Surgery Boston Medical CenterAmbulatory Service Representative II - Orthopedic SurgeryBoston, MA$22.36–$27.26 / hourPOSITION SUMMARY: The incumbent is responsible for coordinating all the functions and activities related to ambulatory patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, and a variety of administrative duties in support of department (such as, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc.). KNOWLEDGE AND SKILLS: Excellent English communication skills (oral and written) and interpersonal skills are required to interact with internal and external contacts in a courteous and patient focused manner.
NewCareer Advancement Specialist (B) TriangleCareer Advancement Specialist (B)Malden, MAFull timeTriangle's Expectation of EmployeeAdheres to Triangle policy and procedures Fosters a positive, solution-oriented culture consistent with Triangle's missionPromotes employment, self-advocacy, and independence across programs and participantsActs as a role model within and outside of Triangle Maintains a positive and respectful attitude towards participants, staff, and community partnersCommunicates regularly with supervisor Demonstrates flexible and efficient time management and ability to prioritize workloadConsistently reports to work on time prepared to perform duties of position, with a willingness to flex hours as neededPrimary Responsibilities Equips individuals with disabilities with job readiness skills to secure potential employment or collegiate pathwaysCreates an inviting, exciting, innovative, learning environmentTakes lead in developing and implementing activities and employment/collegiate opportunities focused on personal and professional development Aids in the development & implementation of new and engaging career and social experiences to meet program/participant driven goalsProduces weekly supported employment schedule/monitors utilization of contractsConsistently connects with community employers in order to identify or create employment opportunities/collegiate support for individuals Facilitates and implements after hours social opportunities and community engagement Establishes opportunities for training and job shadowing with local community businessesDeveloping job leads and cultivates employer relationships to enhance community partnershipsMonitors individual job performance, attitude, and behavior for appropriatenessImplements independent living, self-advocacy, and soft skills into daily activities and programmatic offeringsProvides individualized support to participants, when necessary, both during programming and 1:1 job/collegiate pathway coaching Conducts initial/ongoing assessments for personal growthProactively communicates with families over employment/collegiate progress and needsProvides support to participants and assists in developing natural support to ensure integration and increased or maintained independence in the communityTrains and develop independent skills related to employment and collegiate pathways, such as travel training, hygiene, self-advocacy, etc. Provides transportation for groups or individual career seekers to interviews, employment assessments, job searching, and other employment activities in the communityCommunicates in a professional manner with employers/collegiate stakeholders and trouble shoots issues at supported sites with all relevant partiesWorks with Case Management team to ensure individual's ISP/Life Plan goals are being metParticipates in ISP/Life Plan meetings with Department of Developmental Services, participants, and their families or other members of their support team as neededTake directions from Site Manager/Assistant to collect accurate data as needed for ISP/Life Plans, behavior plans, monthly progress notes, etc.
Payment Integrity Program Development Manager Devoted Health IncPayment Integrity Program Development ManagerWaltham, MARemoteThat's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. (Note: We provide modern AI tools to generate and edit SQL scripts; you do not need to be a software expert, but you must possess the ability to read, interpret, and understand data scripts to validate results and analyze proof-of-concept datasets).
Co-Founder & CEO - AI LegalTech | AI-Native Litigation Defence Operations FutureSightCo-Founder & CEO - AI LegalTech | AI-Native Litigation Defence OperationsBoston, MARemoteYou’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth. Product — Partner with the FutureSight product and engineering team to ship V1 (records retrieval, key-fact flagging, billing-reasonableness analysis, and discovery triage) and iterate on user feedback; sequence carrier reserving and prediction as a later phase.
Senior Specialist (Manager), Order Management Systems and Processes Lantheus Holdings IncSenior Specialist (Manager), Order Management Systems and ProcessesBedford, MA$111,000–$185,000 / yearReporting to the Director of Commercial Order Management Systems, this role partners cross-functionally to deliver process improvements, support and implement system enhancements, and maintain operational stability across OTC workflows. Lantheus (NASDAQ: LNTH) is the leading radiopharmaceutical-focused company, delivering life-changing science to enable clinicians to Find, Fight and Follow disease to deliver better patient outcomes.
NewRegistered Nurse Crossway HomecareRegistered NurseNorth Andover, MassachusettsRemote$40–$42Effectively communicates with other disciplines in the case (case conferencing) to effectively and appropriately problem solve as situations arise. Reviews billing processes with patient and/or family, advising patient and/or family when co-pay or Medicare is not likely to pay for services (ABN).
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistWaltham, MassachusettsSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, 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. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Accounting/Data Entry Specialist Ledgent Finance & AccountingAccounting/Data Entry SpecialistLynn, Massachusetts$20–$25 / hourThis role is ideal for someone looking to gain hands-on experience who enjoys data entry, organization, and learning new systems, and who is comfortable working onsite in a collaborative, small‑team environment. An independent Pre‑K through Grade 8 school in Marblehead is seeking a Part‑Time Accounting & Data Entry Assistant to support the Finance and IT teams during a system conversion and preparation for the new school year.
NewAccounting Contractor Deloitte Touche Tohmatsu LtdAccounting ContractorBoston, MA$65–$70 / hourWe are seeking a Accounting Contractor with experience in Patient Financial Services (PFS) / Revenue Cycle Management (RCM) to help supporting teams design and validate AI solutions for backend billing, denials, accounts receivable, payment reconciliation, underpayments, and self-pay workflows. Strong knowledge of CARC/RARC codes, payer contracts, fee schedules, appeal deadlines, 835/837 transactions, AR aging, COB, and write-off classification.
Coding Coordinator-Inpatient (Remote) Lahey Hospital and Medical CenterCoding Coordinator-Inpatient (Remote)MARemote$29–$40 / hourDept./Unit-Specific Skills: Coder 1 level ICD-10-CM, ICD-10-PCS Inpatient code assignment skills based on BILH Coding exam. 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.
Inpatient DRG Reviewer ZelisInpatient DRG ReviewerBoston, MassachusettsWhere the regrouped ‘new DRG’ differs from what was originally claimed by the provider, write a customer facing ‘rationale’ or ‘findings’ statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.