Claims Review Specialist, Dsnp Brigham and Women's HospitalClaims Review Specialist, DsnpSomerville, MARemote$17.71–$25.28 / hourWorking with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. The 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.
Inpatient Coding Quality Specialist Brigham and Women's HospitalInpatient Coding Quality SpecialistSomerville, MA$30.60–$44.51 / hourEnsure coding practices align with official coding conventions, guidelines, and regulatory requirements set forth by organizations such as the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other relevant bodies. The 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.
Inpatient Coding Quality Specialist, Remote Brigham and Women's HospitalInpatient Coding Quality Specialist, RemoteSomerville, MARemote$30.60–$44.51 / hourEnsure coding practices align with official coding conventions, guidelines, and regulatory requirements set forth by organizations such as the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other relevant bodies. The 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.
Coding Specialist - Telecommute Brown University HealthCoding Specialist - TelecommuteProvidence, RI$24.29–$40.07 / hourMonitors and resolves rejected accounts on the Claims Edit Report and e Clinical Works error reports by established timeframe researching coding conflicts including chargemaster, medical necessity and various other coding and billing issues. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics.
Coding Specialist Outpatient Telecommute-Surgical Coder Brown University HealthCoding Specialist Outpatient Telecommute-Surgical CoderRI$24.29–$40.07 / hourMonitors and resolves rejected accounts on the Claims Edit Report and e Clinical Works error reports by established timeframe researching coding conflicts including chargemaster, medical necessity and various other coding and billing issues. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics.
Outpatient Health Information Coding and Reimbursement Specialist Cape Cod Healthcare IncOutpatient Health Information Coding and Reimbursement SpecialistMA$25.45–$41.80 / hourDemonstrates complete understanding of Official Coding Guidelines, CCI edits, anatomy, physiology, and medical terminology to appropriately code complex outpatient encounters; including but not limited to clinics such as oncology/infusion clinics, outpatient surgery, observation encounters including infusion and injection procedures. Active CCS (AHIMA Certified Coding Specialist), CPC (AAPC Certified Professional Coder), RHIT (AHIMA Registered Health Information Management Technician), or COC (AAPC Certified Outpatient Coder).
Accounts Receivable Specialist Pharmaron Beijing Co LtdAccounts Receivable SpecialistWaltham, MA$75,000–$80,000 / yearFounded in 2004, Pharmaron has invested in its people and facilities and established a broad spectrum of research, development, and manufacturing service capabilities throughout the entire drug discovery, preclinical, and clinical development process across multiple therapeutic modalities, including small molecules, biologics, and CGT products. We're looking for an Accounts Receivable Specialist to join our growing finance team and play a key role in managing customer accounts, driving collections, and ensuring timely payment of outstanding invoices.
Revenue Cycle Specialist III NeighborHealth CorpRevenue Cycle Specialist IIIRevere, MA$21.51–$32.26 / hourWhether youre a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly - every role at NeighborHealth is vital. As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.
Coding Specialist - Inpatient Telecommute Brown University HealthCoding Specialist - Inpatient TelecommuteProvidence, RI$26.80–$44.21 / hourThe employee agrees to be accessible by telephone/e-mail within a reasonable time period during the agreed upon work schedule, and to formally maintain timely and accurate work and rest period records and to submit such work hours weekly to department management in accordance with Brown University Health's system wide written "Telecommuting" policy. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
Referral Specialist Brown Health Medical GroupReferral SpecialistEast Providence, Rhode IslandThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Schedule/coordinate/triage all referrals created by and sent to the practice via Lifechart work ques. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
Referral Specialist Brown University HealthReferral SpecialistEast Providence, RI$19.03–$31.39 / hourThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Schedule/coordinate/triage all referrals created by and sent to the practice via Lifechart work ques. Brown University Health employees are expected to successfully role model the organization''s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
Referral Specialist Gastroenterology Brown University HealthReferral Specialist GastroenterologyEast Providence, RI$19.03–$31.39 / hourThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Schedule/coordinate/triage all referrals created by and sent to the practice via Lifechart work ques. Brown University Health employees are expected to successfully role model the organization''s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
Payment Integrity Program Development Senior Manager - Clinical & Facility Specialist Devoted Health IncPayment Integrity Program Development Senior Manager - Clinical & Facility SpecialistWaltham, MARemote$110,500–$150,000 / yearData Hypothesis Validation: Perform primary data analysis (utilizing modern AI tools for SQL query generation) to test your clinical hypotheses across clinical settings, prove financial viability on real-world datasets, and design parameters that prevent provider abrasion. Cross-Functional Policy Leadership: Pitch your original clinical concepts to directors and executive stakeholders; drive consensus across Clinical Operations, SIU, Claims, and Legal to approve novel policy interpretations and rule architectures.
NewBusiness Office Specialist Hospice Amedisys, Inc.Business Office Specialist HospiceWoburn, Massachusetts$29–$32 / hourFull timeMaintains filing of medical records, physicians' orders, lab reports, progress notes, and clinical notes on active and discharged patients in EMR. Responsible for performance of various clerical and billing duties including but not limited to accurate data input, maintenance of patient medical records, answering multi-line office phones.
Practice Manager, Primary Care Brigham and Women's HospitalPractice Manager, Primary CareNatick, MA$65,998.40–$96,033.60 / yearIn addition to leading day-to-day operations, the Practice Manager will play a key role in driving strategic growth initiatives, helping to expand both practices by enhancing operational efficiency, supporting provider recruitment and retention, improving patient access, and identifying opportunities to grow services and patient volume. In collaboration with the Director of Operations, Primary Care and the Medical Directors, the Practice Manager will be responsible for all aspects of site operations, oversight of budgets, quality measures and will work collaboratively with administrative, clinical, and leadership teams to achieve operational and clinical care goals.
Sr 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.
Clinical Sales Specialist, Sports Medicine (Nassau County) - Johnson & Johnson MedTech - Orthopaedics Johnson & JohnsonClinical Sales Specialist, Sports Medicine (Nassau County) - Johnson & Johnson MedTech - OrthopaedicsRaynham, MA$54,000–$87,000 / yearThe overall responsibilities of the Clinical Sales Specialist position include advancing the Company's sales of orthopedic surgical products by providing clinical and logistical expertise in hospitals and operating rooms - such as independent coverage of surgical cases, management of billing/purchase orders, logistics, and asset management. DePuy Synthes solutions, in specialties including joint reconstruction, trauma, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide.
Claims Review Specialist, DSNP Mass General BrighamClaims Review Specialist, DSNPSomerville, MassachusettsRemote$17.71–$25.28 / hourThe ideal candidate brings hands‑on experience with SCO and One Care claims processing and demonstrated proficiency in QNXT or similar claims adjudication systems (e.g., Facets).Essential Functions: Adjudicate claims to pay, deny, or pend as appropriate in a timely and accurate manner according to company policy and desktop procedure. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
Medical Assistant - Specialty Center - Norfolk Tufts MedicineMedical Assistant - Specialty Center - NorfolkBoston, MA$22–$25.15 / hourResponds to hourly variations in patient volume, clinician and room availability to continually maximize efficient use of space and resources in the clinic; identifies and provides necessary clinical and administrative preparation pertaining to patient care according to protocols; assists with patient care as warranted and within their scope of practice. In addition, this role focuses performing the following duties: Prepares patient rooms, escorts patients to rooms, takes vitals and documents patient information; assists physicians with procedures and educates patients on specimen collection.
Medical Assistant - Urology - Woburn/Boston Tufts MedicineMedical Assistant - Urology - Woburn/BostonBoston, MA$22–$25.15 / hourResponds to hourly variations in patient volume, clinician and room availability to continually maximize efficient use of space and resources in the clinic; identifies and provides necessary clinical and administrative preparation pertaining to patient care according to protocols; assists with patient care as warranted and within their scope of practice. In addition, this role focuses performing the following duties: Prepares patient rooms, escorts patients to rooms, takes vitals and documents patient information; assists physicians with procedures and educates patients on specimen collection.