Specialist, ProFee Follow Up Lundbeck LLCSpecialist, ProFee Follow UpPawtucket, RIRemoteGENERAL SUMMARY: Follow Up Specialists will work on electronic denial, paper denials and unpaid claims reports to resolve any claims that are denied or unpaid by all insurance carriers. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
Medical Biller Part Time or Full Time Eye Care SpecialistsMedical Biller Part Time or Full TimeNorwood, MAThe ideal candidate will be organized, accurate, and comfortable working both independently and as part of a team. We look forward to hearing from you!
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.
Patient Information Specialist - Emergency Department (Full Time) Lahey Hospital and Medical CenterPatient Information Specialist - Emergency Department (Full Time)Boston, MA$19.50–$30 / hourCustomer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Interacts with diverse populations including the public, patients and their families, medical staff practitioners and medical center personnel and must handle difficult patient situations in an often fast-paced, stressful environment.
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.
Medical Office Coord-Clinical Lahey Hospital and Medical CenterMedical Office Coord-ClinicalMilton, MA$21–$28.26 / hourMust have a strong knowledge of medical terminology, health insurance programs and a variety of computer software including GE/Centricity Practice Management and Pocket Script Software, MediTech, Microsoft Word, Excel and medical office billing programs. 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.
Phlebotomist / Administrative Assistant Kendall Square One Medical of NY, PCPhlebotomist / Administrative Assistant Kendall SquareCambridge, MA$24–$26 / hourWhat you'll likely work on: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. As a One Medical Phlebotomist/Administrative Assistant (internally known as Lab Services Specialist/Member Support Specialist) at one of our offices, you'll provide an exceptional experience for our patients and help them accomplish an important part of their care journey by providing venipuncture as well as other clinical support services.
NewCollections Specialist AtriumCollections SpecialistBoston, MA$37–$42 / hourThis Collections Specialist is responsible for managing collections activities, analyzing accounts receivable, resolving billing issues, and supporting attorneys and clients throughout the collections process. Additional benefits may include accident insurance, supplemental life insurance, disability insurance, critical illness and cancer insurance, pet insurance, and commuter/transit programs where available.
NewPharmacy Benefit Verification Specialist Onco360Pharmacy Benefit 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.
Senior Patient Financial Services Specialist Hebrew Rehabilitation CenterSenior Patient Financial Services SpecialistDedham, MassachusettsThis role requires specialized expertise in Massachusetts Medicaid (MassHealth), including application, renewal, and compliance processes, as well as a strong understanding of reimbursement models for custodial care, skilled nursing facilities (SNF), and managed care programs. The ideal candidate will serve as a key liaison between patients, families, clinical teams, admissions, MassHealth and payers to ensure timely coverage, guarantor education, and financial compliance.
Senior Patient Financial Services Specialist Per Diem Hebrew Senior LifeSenior Patient Financial Services Specialist Per DiemRoslindale, MA$54,022.04–$81,033.59 / yearThis role requires specialized expertise in Massachusetts Medicaid (MassHealth), including application, renewal, and compliance processes, as well as a strong understanding of reimbursement models for custodial care, skilled nursing facilities (SNF), and managed care programs. The ideal candidate will serve as a key liaison between patients, families, clinical teams, admissions, MassHealth and payers to ensure timely coverage, guarantor education, and financial compliance.
Senior Patient Financial Services Specialist Per Diem Hebrew Rehabilitation CenterSenior Patient Financial Services Specialist Per DiemDedham, MassachusettsThis role requires specialized expertise in Massachusetts Medicaid (MassHealth), including application, renewal, and compliance processes, as well as a strong understanding of reimbursement models for custodial care, skilled nursing facilities (SNF), and managed care programs. The ideal candidate will serve as a key liaison between patients, families, clinical teams, admissions, MassHealth and payers to ensure timely coverage, guarantor education, and financial compliance.
Senior Patient Financial Services Specialist Hebrew Senior LifeSenior Patient Financial Services SpecialistDedham, MA$54,022.04–$81,033.59 / yearThis role requires specialized expertise in Massachusetts Medicaid (MassHealth), including application, renewal, and compliance processes, as well as a strong understanding of reimbursement models for custodial care, skilled nursing facilities (SNF), and managed care programs. The ideal candidate will serve as a key liaison between patients, families, clinical teams, admissions, MassHealth and payers to ensure timely coverage, guarantor education, and financial compliance.
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.
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.
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.
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.