NewMedical 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!
Senior Patient Financial Services Specialist Hebrew Rehabilitation CenterSenior Patient Financial Services SpecialistDedham, Massachusetts$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. Track and manage all resident MassHealth renewal dates on a rolling 12-month cycleInitiate renewal process upon receipt of MassHealth notices; monitor deadlines and follow up on outstanding documentationFinancial Coordination.
Senior Patient Financial Services Specialist Hebrew Senior LifeSenior Patient Financial Services SpecialistRoslindale, 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.
NewSenior Patient Financial Services Specialist Per Diem Hebrew Rehabilitation CenterSenior Patient Financial Services Specialist Per DiemDedham, Massachusetts$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. Monitor and track accounts receivable, ensuring all payments are received timelyWork with residents, families, and external agencies to resolve any billing issues or payment delays.
NewSenior Patient Financial Services Specialist Per Diem Hebrew SeniorLifeSenior Patient Financial Services Specialist Per DiemMA$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.
Clinical Audit Response Specialist Dana-Farber Cancer Institute IncClinical Audit Response SpecialistBOSTON, MARemoteReporting to the Director of Patient Financial Services, the Revenue Protection Specialist is responsible for managing and responding to external audits from government and commercial insurance companies, as well as interpreting evolving payer policies to safeguard the Institutes revenue. The Revenue Protection Specialist will utilize their clinical expertise and knowledge of billing practices to address audit findings, interpret payer policies, prepare detailed responses, and implement corrective actions to enhance compliance and revenue integrity.
Inpatient Medicare Collection Specialist TaraVista Behavioral Health CenterInpatient Medicare Collection SpecialistMA$24–$28 / hourThis role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by managing claim edits, resolving denials, and navigating the Medicare Direct Data Entry (DDE/FISS) system to secure accurate and timely payment. Inpatient Medicare Collections Specialist Job Responsibilities: Monitor Medicare DDE (FISS) system for claim status updates including edits, RTP, and suspended claims.
Coding Quality Specialist - Inpatient Brigham and Women's HospitalCoding Quality Specialist - InpatientSomerville, 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.
Hospital Collections Specialist TaraVista Behavioral Health CenterHospital Collections SpecialistMA$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.
ACO Medicaid Claims Review Specialist Brigham and Women's HospitalACO Medicaid Claims Review SpecialistSomerville, 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.
Senior Clinical Research Accounting Specialist Dana-Farber Cancer Institute IncSenior Clinical Research Accounting SpecialistBROOKLINE, MA$88,700–$98,000 / yearActively manages and tracks study financial activity across multiple complex disease centers and sites of service in the Clinical Trials Management System (CTMS) and works closely with study teams to ensure financial activity is up to date. Prepares accounts payable reports including payment of hospital bills, professional bills, internal and external research site bills, and vendor bills including tracking and troubleshooting charge posting errors.
Imaging Resource Specialist I UnitedHealth Group IncImaging Resource Specialist IWeymouth, MARemote$16–$29 / 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. Complete WQ outreaches, notify patients of exam orders (typically via calls and myhealth messages) and ensure that patients are provided the appropriate number and prompt options to call back to schedule their studies.
Coding Quality Specialist - Inpatient Mass General BrighamCoding Quality Specialist - InpatientSomerville, MassachusettsEnsure 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.
Senior On-Site Service Specialist Pyramid Consulting, IncSenior On-Site Service SpecialistWaltham, MA$18.72–$23.72 / hourBy 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 .
Specialty Navigator II UnitedHealth Group IncSpecialty Navigator IINorwood, MAWorks in collaboration with the person designated as the Practices 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 providersvendors. Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
ACO Medicaid Claims Review Specialist Mass General BrighamACO Medicaid Claims Review SpecialistSomerville, MassachusettsRemote$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.
Manager - Arbitration Operations MaximusManager - Arbitration OperationsBoston, MAFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
Float Medical Assistant Fenway One Medical of NY, PCFloat Medical Assistant FenwayBoston, MA$25.75–$27.75 / 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 Float Medical Assistant (internally called Lab Services Specialist/ Member Support Specialist) at One Medical, 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.
Float Medical Assistant South End One Medical of NY, PCFloat Medical Assistant South EndBoston, MA$25.75–$27.75 / 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 Float Medical Assistant (internally called Lab Services Specialist/ Member Support Specialist) at One Medical, 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.
Senior Clinical Research Finance Specialist Iterative Scopes Inc.Senior Clinical Research Finance SpecialistCambridge, MAThe Senior Clinical Research Finance Specialist is a critical member of Iterative Health's growing Finance team, partnering closely with the Research Finance Manager to own end-to-end accounts receivable operations across sponsor-funded clinical studies and internal research sites. This role sits at the intersection of finance and clinical research - ensuring accurate billing, timely cash application, and prompt resolution of outstanding balances across a complex, multi-site research environment.