Managed Care Services Representative Brigham and Women's HospitalManaged Care Services RepresentativeSomerville, MA$21–$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. Managed Care Services Insurance Verification Representative is vital for the team and you will be serving as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement for healthcare services.
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.
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.
NewCollection Representative Brigham and Women's HospitalCollection RepresentativeSomerville, MA$17.71–$25.28 / 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.
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.
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.
Payment Integrity Program Development Manager Devoted Health ServicesPayment Integrity Program Development ManagerMassachusettsRemoteThat’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).
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.
NewCollection Specialist I Baldor Specialty Foods IncCollection Specialist IChelsea, MAThis role manages routine collection activities for assigned accounts, ensures timely follow-up on past due balances, documents collection efforts, and partners with internal teams to resolve basic account discrepancies. Bachelor's Degree preferred or equivalent combination of education and experience.0-2 years of experience in collections, accounts receivable, customer service, finance, or a related field preferred.
Accounts Receivable Specialist Encore Fire ProtectionAccounts Receivable SpecialistPawtucket, Rhode IslandFull timeThis role supports the day-to-day management of receivables across our growing service business and partners closely with Operations, Service, and Account Management to keep communication and processes running smoothly. You are the kind of person who would rather catch a messy balance early than chase it months later, and you do your best work when customers, coworkers, and numbers are all on the same page.
FAST Service Specialist Opensity SolutionsFAST Service SpecialistMassachusettsOur capabilities include IT and technology solutions, document processing and administrative support, marketing and communications, billing and AP/AR services, records and information governance, workflow automation, consulting and hospitality and facilities services. Facilities Services may include hanging pictures, small office moves, cleaning services and communication with key client contacts regarding building/equipment concerns.
Senior On-Site Service Specialist Pyramid, IncSenior On-Site Service SpecialistWaltham, MA$18.72–$23.72 / hourFull timeBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Must Have Skills: 1–2 years of experience in mailroom, copy center, print production, or office services .
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.
Associate Chiropractor HealthSource ChiropracticAssociate ChiropractorMilford, MassachusettsWe are a fast-paced, upbeat Chiropractic and Progressive Rehab clinic dedicated to helping patients get out of pain and back to doing what they love through chiropractic, progressive rehab, spinal decompression, sports therapy, laser therapy, massage, orthotics, nutrition, and wellness products. We practice a variety of therapeutic modalities including chiropractic, progressive rehab, spinal decompression, Class IV laser therapy, nutritional support, and custom orthotics; all with the focus of providing better patient outcomes.
Client Relations Specialist LaBovick Law GroupClient Relations SpecialistQuincy, MassachusettsJoin our growing PIP (Personal Injury Protection) team as a Client Support Specialist , where you’ll play an important role in helping our medical provider clients obtain timely payment from insurance carriers for services rendered under the PIP statute. This position offers a great balance of remote work and travel —you’ll spend approximately 40% of your time visiting client sites , cultivating relationships, and ensuring documentation accuracy.
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.
Senior Clinical Research Finance Specialist Iterative HealthSenior Clinical Research Finance SpecialistCambridge, MA$85,000–$105,000 / yearYou will own core transactional AR workflows, including monitoring sponsor and site-level accounts, supporting timely collections, posting cash in RealTime CTMS, and assisting with invoicing as needed. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology.
NewMedical Assistant-Per diem Boston Medical CenterMedical Assistant-Per diemBoston, MA$24.09–$28.22 / hourAssists with intake process in the following areas as determined by departmental needs: Checks two patients identifiers Accurately collects and documents in the medial records vital signs, chief complaint/reason for visit, and medical/family/social history Enter allergies and smoking status Documents current medications and prescriptions that need to be renewed Obtains immunization records/history, and enters findings into patient medical record Instructs patient on how to prepare for the provider (assisting as necessary) Anticipates/sets up special equipment and/or supplies needed for visit Administers preventative/population health management screens and questionnaires (e.g. Under direction of the licensed nurse or designee maintains competence of tasks and performs tasks in relation to a variety of technical skills which may include but are not limited to: Cast/splint care Guaiac, sugar and acetone, urine pH Glucose finger stick Application of external monitors GU irrigation set up Routine EKGs Hearing Test POCT (i.e. glucometer, pregnancy test, etc.) Peak flow Visual acuity Vital signs Oxygen saturation by pulse oximeter Personal patient glucometer downloads Leg/girth measurements Biopsy set up Procedure tray set up Urine culture prep Simple dressing changes eg.
NewMedical Assistant - Belkin Breast Center Boston Medical CenterMedical Assistant - Belkin Breast CenterBoston, MA$24.09–$28.22 / hourAssists with intake process in the following areas as determined by departmental needs: Checks two patients identifiers Accurately collects and documents in the medial records vital signs, chief complaint/reason for visit, and medical/family/social history Enter allergies and smoking status Documents current medications and prescriptions that need to be renewed Obtains immunization records/history, and enters findings into patient medical record Instructs patient on how to prepare for the provider (assisting as necessary) Anticipates/sets up special equipment and/or supplies needed for visit Administers preventative/population health management screens and questionnaires (e.g. Under direction of the licensed nurse or designee maintains competence of tasks and performs tasks in relation to a variety of technical skills which may include but are not limited to: Cast/splint care Guaiac, sugar and acetone, urine pH Glucose finger stick Application of external monitors GU irrigation set up Routine EKGs Hearing Test POCT (i.e. glucometer, pregnancy test, etc.) Peak flow Visual acuity Vital signs Oxygen saturation by pulse oximeter Personal patient glucometer downloads Leg/girth measurements Biopsy set up Procedure tray set up Urine culture prep Simple dressing changes eg.
Contingent Medical Receptionist I Trinity HealthContingent Medical Receptionist IChelsea, MassachusettsAssists in entering demographic data on cases new to the practice into intake database, prepares monthly-periodic reports of intake service requests/actions, and extracts and analyzes data related to impact of intake processes on patient care, customer satisfaction and related process and outcome variables. For non-English speaking patients, coordinates translation services to be provided only by qualified medical interpreters for high risk communication, including medical information, advice and patient plans from providers and clinical staff.