PPR Specialist UMass Chan Medical SchoolPPR SpecialistWestborough, MAThe Revenue Operations Specialist will work closely with PPR staff and collaborate with the staff of EOHHS health and human services agencies that may include the Department of Developmental Services, Department of Mental Health, the Department of Public Health, the Department of Youth Services, the Division of Health Care Finance and Policy, the Executive Office of Elder Affairs, the Massachusetts Commission for the Blind, the Massachusetts Commission for the Deaf and Hard of Hearing, the Massachusetts Rehabilitation Commission, the Office of Medicaid, and the Chelsea and Holyoke Soldiers' Homes. POSITION SUMMARY: The Public Provider Reimbursement (PPR) Department withinHealth Care Finance Solutions (HCFS) unit conducts statewide business services for several health and human services agencies of the Executive Office of Health and Human Services (EOHHS) to maximize revenue for the Commonwealth of Massachusetts.
Public Provider Reimbursement Specialist UMass Chan Medical SchoolPublic Provider Reimbursement SpecialistWestborough, MAPOSITION SUMMARY: The Public Provider Reimbursement (PPR) Department withinHealth Care Finance Solutions (HCFS) unit conducts statewide business services for several health and human services agencies of the Executive Office of Health and Human Services (EOHHS) to maximize revenue for the Commonwealth of Massachusetts. Outreach to, proactively support and work with clients, clients' families, guardians and representatives to complete and process applications, forms and other documents required to determine, redetermine, validate, reinstate and maintain health care coverage and related benefits.
Hospital Collections Specialist, 40hrs Onsite in Holyoke, MA MiraVistaHospital Collections Specialist, 40hrs Onsite in Holyoke, 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 MiraVistaSeasonal/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.
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.
Medical Equipment Documentation Specialist Rotech Healthcare Inc.Medical Equipment Documentation SpecialistSouthborough, MAWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.
Public Provider Reimbursement Specialist University of Massachusetts Medical SchoolPublic Provider Reimbursement SpecialistWestborough, MassachusettsThe Public Provider Reimbursement (PPR) Department withinHealth Care Finance Solutions (HCFS) unit conducts statewide business services for several health and human services agencies of the Executive Office of Health and Human Services (EOHHS) to maximize revenue for the Commonwealth of Massachusetts. Outreach to, proactively support and work with clients, clients’ families, guardians and representatives to complete and process applications, forms and other documents required to determine, redetermine, validate, reinstate and maintain health care coverage and related benefits.
Sr. Client Operations Specialist University of Massachusetts Medical SchoolSr. Client Operations SpecialistWestborough, MassachusettsClient Operations Specialist will work within the Federal Claiming unit that specializes in the configuration of technical solutions and provides expertise and resources to local governmental agencies for the purposes of seeking federal reimbursement for eligible expenditures and services. Client Operations Specialist will be responsible for compiling and submitting claims for eligible health care and other services or expenditures for private, state, or federal reimbursement on behalf of contracted clients with required deadlines.
Public Provider Reimbursement Specialist- Westborough MA University of Massachusetts Medical SchoolPublic Provider Reimbursement Specialist- Westborough MAWestboro, MassachusettsThe Public Provider Reimbursement (PPR) Department withinHealth Care Finance Solutions (HCFS) unit conducts statewide business services for several health and human services agencies of the Executive Office of Health and Human Services (EOHHS) to maximize revenue for the Commonwealth of Massachusetts. Outreach to, proactively support and work with clients, clients’ families, guardians and representatives to complete and process applications, forms and other documents required to determine, redetermine, validate, reinstate and maintain health care coverage and related benefits.
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.
NewSpecialist, 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 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!
Phlebotomist / Administrative Assistant (Seaport) One MedicalPhlebotomist / Administrative Assistant (Seaport)Boston, MA$24–$26 / hourUse 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.
Phlebotomist / Administrative Assistant (Newton) One MedicalPhlebotomist / Administrative Assistant (Newton)Boston, MA$24–$26 / hourUse 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.
Phlebotomist / Administrative Assistant (Staniford) One MedicalPhlebotomist / Administrative Assistant (Staniford)Boston, 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.
NewPhlebotomist / Administrative Assistant Seaport One Medical of NY, PCPhlebotomist / Administrative Assistant SeaportBoston, 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.
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.
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.
Claims Review Specialist, Medicare Advantage Brigham and Women's HospitalClaims Review Specialist, Medicare AdvantageSomerville, 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.
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.