NewSpecialty Navigator II UnitedHealth Group IncSpecialty Navigator IINorwood, MA$18–$32 / 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. Works in collaboration with the person designated as the Practice"s Benefits Coordinator to maintain cost control, ensure that services provided are within benefit plan guidelines, and that necessary policies and procedures are followed when dealing with non-preferred providers/vendors.
Claims Analyst Pharmacy Revenue Cycle GTT, LLCClaims Analyst Pharmacy Revenue CycleBoston, MAUnder the direction of the Revenue Cycle Supervisor Pharmacy, the Revenue Cycle Claims Analyst is responsible through extensive telephone and written correspondence, will pursue insurance companies for payment or underpayment of services rendered. Improving performance requires fine-tuned workflows, training, dedicated resources, collaboration across multiple departments, and routine updates to core systems.
NewSpecialty Navigator UnitedHealth Group IncSpecialty NavigatorWorcester, MA$18–$32 / 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. Works in collaboration with the person designated as the Practice"s Benefits Coordinator to maintain cost control, ensure that services provided are within benefit plan guidelines, and that necessary policies and procedures are followed when dealing with non-preferred providers/vendors.
NewDeal Desk Manager Genesys Cloud Services IncDeal Desk ManagerBoston, MA$105,100–$184,900 / yearAs Deal Desk Manager, you will own critical elements of deal strategy and governance, partnering with Sales leaders and account teams to structure agreements that balance customer value with Genesys financial and commercial objectives. Drive Deal Desk transformation and quote-to-cash improvements across Sales Operations, Revenue Operations, Billing Operations, Legal, Pricing, Product Management, and Customer Success Operations.
NewAmbulatory Pharmacy Clinical Specialist - Pediatrics Boston Medical CenterAmbulatory Pharmacy Clinical Specialist - PediatricsBoston, MA$112,000–$162,500 / yearThe ambulatory clinical pharmacy specialist will be responsible for providing pediatric-focused pharmacotherapy services within the clinic, and evaluate and manage patients with chronic conditions (e.g., DM, Hyperlipidemia, Hypertension, Weight Management, COPD/Asthma) through direct patient care as outlined in the individual's CDTM. Required: Either Board of Pharmacy Specialties (BPS) certification OR Council on Credentialing in Pharmacy (CCP) recognized certification (except BLS, ACLS, or PALS) pertinent to the area of clinical practice is required or obtained after initial start date per credentialing requirements.
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.
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.
Specialist, EDI & Payment Poster NeighborHealth CorporationSpecialist, EDI & Payment PosterRevere, MAFull timeUnder the direct supervision of the Patient Financial Services Director, the Payment Poster/EDI Specialist is responsible for the accurate and timely processing and posting of all incoming payments and rejections of payment from insurance companies, patients, and third party payers to customer accounts. Whether you're 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.
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.
NewPharmacy Technician (Fulfillment) Brigham and Women's HospitalPharmacy Technician (Fulfillment)Burlington, MAExcellent customer service skills, excellent written and verbal communication skills, proficient in the English language, good attention to detail, ability to problem solve effectively, ability to follow policies and procedures, basic math skills, advanced computer skills and proficient with medical terminology. Commit to Building Relationships: Quickly forge and sustain (or develop and maintain) strong relationships with pharmacists, coworkers, prescribers, nurses and patients to build/support the services we provide.
Specialist, EDI & Payment Poster East Boston Neighborhood Health Center CorporationSpecialist, EDI & Payment PosterRevere, MassachusettsUnder the direct supervision of the Patient Financial Services Director, the Payment Poster/EDI Specialist is responsible for the accurate and timely processing and posting of all incoming payments and rejections of payment from insurance companies, patients, and third party payers to customer accounts. Whether you're 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.
Patient Access Associate Specialist - PRN Ensemble Health PartnersPatient Access Associate Specialist - PRNNashua, New HampshirePatient Access Associate Specialist are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. This role ensures data integrity, regulatory compliance, and a positive patient experience while directly influencing revenue cycle KPIs such as registration accuracy, point-of-service collections, and first-pass claim rates.
NewPharmacy Technician - Customer Care Specialist Onco360Pharmacy Technician - Customer Care SpecialistWaltham, MassachusettsRemoteOnco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturer s. Work with other functional areas to resolve customer problems, and in system databases, and notifying appropriate parties as to what action will be taken to resolve the problem.
Medical Coder II/III CodaMetrixMedical Coder II/IIIBoston, MassachusettsThis role requires a proven ability to communicate highly complex coding issues and solutions to a wide range of stakeholders, alongside an unwavering commitment to continuous learning, quality, and innovation in medical coding practices. They will play a pivotal role in improving the quality and efficiency of coding operations by collaborating closely with cross-functional teams, including Machine Learning, Product, and Customer Implementations.
Patient Access Associate Specialist Ensemble Health PartnersPatient Access Associate SpecialistNashua, New HampshirePatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
B2B Collections Specialist Ledgent Finance & AccountingB2B Collections SpecialistWaltham, Massachusetts$27–$32 / hourManage complex B2B, A/R activity including credits, debits, rebills, tax exempt adjustments, customer deductions, and correcting misapplied payments. Our renowned engineering client Headquarters in Waltham, MA is seeking a B2B Cash Collections specialist to join their team immediately in a 3 month, full time contract.
Client Service Specialist Paul HastingsClient Service SpecialistBoston, MassachusettsIn this capacity, the Client Service Specialist will: Maintain a consistent physical presence to foster a collaborative and interactive environment, optimizing assignments, cross-training, and peer-level support to ensure seamless operations for the practice; Serve as a facilitator of client communications and coordinator of client meetings; Oversee administrative functions and ensure timely completion of tasks, including finance and billing-related tasks, time and expense entries, opening of new matters, creation and maintenance of client presentations, and other administrative projects as assigned; Draft, format, and proofread legal documents, including pleadings, motions, subpoenas, discovery requests, TOAs/TOCs, and correspondences. Proficiencies: Proficiency in Intapp Time, Chrome River, and iManage; Proficiency in Table of Contents and Table of Authorities; Ability to effectively prioritize and multitask, demonstrating collaboration, delegation, and teamwork; Strong attention to detail; Advanced proficiency of English grammar, spelling, and punctuation; Advanced proficiency in MS Word, document editing, and comparison tools; Advanced proficiency in MS Outlook and web-based conference call/web-sharing applications; Advanced proficiency in MS Excel, including spreadsheet and database applications; Advanced proficiency in MS PowerPoint and presentation tools; Advanced knowledge of timekeeping, expense processing, and billing; Proficiency in document management systems; Ability to thrive in a fast-paced environment, working both independently and within a team; and.
Patient Services Coord. III Brigham and Women's HospitalPatient Services Coord. IIIBoston, MA$19.37–$27.71 / hourPerforms a wide range of administrative tasks utilizing well established skills and experience to support a medical office, including surgical scheduling, prior authorizations, medical office coding and billing as well as coordinating patient services such as appointments, testing, and referrals; Performs administrative coordination of a physician's office to include secretarial support, data management and billing/financial support. 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.
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.).