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.
Revenue Cycle Specialist III NeighborHealth CorpRevenue Cycle Specialist IIIRevere, MA$21.51–$32.26 / hourWhether youre 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. As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.
Accounts Receivable Specialist Pharmaron Beijing Co LtdAccounts Receivable SpecialistWaltham, MA$75,000–$80,000 / yearFounded in 2004, Pharmaron has invested in its people and facilities and established a broad spectrum of research, development, and manufacturing service capabilities throughout the entire drug discovery, preclinical, and clinical development process across multiple therapeutic modalities, including small molecules, biologics, and CGT products. We're looking for an Accounts Receivable Specialist to join our growing finance team and play a key role in managing customer accounts, driving collections, and ensuring timely payment of outstanding invoices.
Payment Integrity Program Development Senior Manager - Clinical & Facility Specialist Devoted Health IncPayment Integrity Program Development Senior Manager - Clinical & Facility SpecialistWaltham, MARemote$110,500–$150,000 / yearData Hypothesis Validation: Perform primary data analysis (utilizing modern AI tools for SQL query generation) to test your clinical hypotheses across clinical settings, prove financial viability on real-world datasets, and design parameters that prevent provider abrasion. Cross-Functional Policy Leadership: Pitch your original clinical concepts to directors and executive stakeholders; drive consensus across Clinical Operations, SIU, Claims, and Legal to approve novel policy interpretations and rule architectures.
Sr Prior Authorization Specialist - Winchester Hospital Lahey Hospital and Medical CenterSr Prior Authorization Specialist - Winchester HospitalWinchester, MA$21.53–$28.98 / hourContacts patients, providers and insurance companies to validate data, collect missing information and resolve information discrepancies, Understands clinical guidelines for payors requiring authorization to better build cases for authorization requests and provide feedback to clinical departments on required notes. Works with the Financial Counselors, clinical departments, outside providers, third party insurers and any other individual or entity to assist in resolving patient financial clearance questions or problems in the most effective and positive manner possible.
NewBusiness Office Specialist Hospice Amedisys, Inc.Business Office Specialist HospiceWoburn, Massachusetts$29–$32 / hourFull timeMaintains filing of medical records, physicians' orders, lab reports, progress notes, and clinical notes on active and discharged patients in EMR. Responsible for performance of various clerical and billing duties including but not limited to accurate data input, maintenance of patient medical records, answering multi-line office phones.
Clinical Sales Specialist, Sports Medicine (Nassau County) - Johnson & Johnson MedTech - Orthopaedics Johnson & JohnsonClinical Sales Specialist, Sports Medicine (Nassau County) - Johnson & Johnson MedTech - OrthopaedicsRaynham, MA$54,000–$87,000 / yearThe overall responsibilities of the Clinical Sales Specialist position include advancing the Company's sales of orthopedic surgical products by providing clinical and logistical expertise in hospitals and operating rooms - such as independent coverage of surgical cases, management of billing/purchase orders, logistics, and asset management. DePuy Synthes solutions, in specialties including joint reconstruction, trauma, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide.
Medical Assistant - Specialty Center - Norfolk Tufts MedicineMedical Assistant - Specialty Center - NorfolkBoston, MA$22–$25.15 / hourResponds to hourly variations in patient volume, clinician and room availability to continually maximize efficient use of space and resources in the clinic; identifies and provides necessary clinical and administrative preparation pertaining to patient care according to protocols; assists with patient care as warranted and within their scope of practice. In addition, this role focuses performing the following duties: Prepares patient rooms, escorts patients to rooms, takes vitals and documents patient information; assists physicians with procedures and educates patients on specimen collection.
Medical Assistant - Urology - Woburn/Boston Tufts MedicineMedical Assistant - Urology - Woburn/BostonBoston, MA$22–$25.15 / hourResponds to hourly variations in patient volume, clinician and room availability to continually maximize efficient use of space and resources in the clinic; identifies and provides necessary clinical and administrative preparation pertaining to patient care according to protocols; assists with patient care as warranted and within their scope of practice. In addition, this role focuses performing the following duties: Prepares patient rooms, escorts patients to rooms, takes vitals and documents patient information; assists physicians with procedures and educates patients on specimen collection.
Certified Medical Assistant - Nephrology - Boston Tufts MedicineCertified Medical Assistant - Nephrology - BostonBoston, MA$21.53–$26.91 / hourResponds to hourly variations in patient volume, clinician and room availability to continually maximize efficient use of space and resources in the clinic; identifies and provides necessary clinical and administrative preparation pertaining to patient care according to protocols; assists with patient care as warranted and within their scope of practice. In addition, this role focuses performing the following duties: Prepares patient rooms, escorts patients to rooms, takes vitals and documents patient information; assists physicians with procedures and educates patients on specimen collection.
Medical Assistant, Certified - Wound Center - Boston Tufts MedicineMedical Assistant, Certified - Wound Center - BostonBoston, MA$23–$26.91 / hourResponds to hourly variations in patient volume, clinician and room availability to continually maximize efficient use of space and resources in the clinic; identifies and provides necessary clinical and administrative preparation pertaining to patient care according to protocols; assists with patient care as warranted and within their scope of practice. In addition, this role focuses performing the following duties: Prepares patient rooms, escorts patients to rooms, takes vitals and documents patient information; assists physicians with procedures and educates patients on specimen collection.
Medical Assistant, Certified - Float Pool Melrosewakefield, 24 Hours Tufts MedicineMedical Assistant, Certified - Float Pool Melrosewakefield, 24 HoursMedford, MA$23–$26.91 / hourResponds to hourly variations in patient volume, clinician and room availability to continually maximize efficient use of space and resources in the clinic; identifies and provides necessary clinical and administrative preparation pertaining to patient care according to protocols; assists with patient care as warranted and within their scope of practice. In addition, this role focuses performing the following duties: Prepares patient rooms, escorts patients to rooms, takes vitals and documents patient information; assists physicians with procedures and educates patients on specimen collection.
Senior Financial Clearance Specialist Lahey Hospital and Medical CenterSenior Financial Clearance SpecialistBurlington, MA$21.53–$28.98 / hourContacts patients, providers, and insurance companies to validate data, collect missing information, and resolve information discrepancies, Understands clinical guidelines for payors requiring authorization to better build cases for authorization requests and provide feedback to clinical departments on required notes. Works with the Financial Counselors, clinical departments, outside providers, third-party insurers, and any other individual or entity to assist in resolving patient financial clearance questions or problems in the most effective and positive manner possible.
Claims Review Specialist, DSNP Mass General BrighamClaims Review Specialist, DSNPSomerville, MassachusettsRemote$17.71–$25.28 / hourThe ideal candidate brings hands‑on experience with SCO and One Care claims processing and demonstrated proficiency in QNXT or similar claims adjudication systems (e.g., Facets).Essential Functions: Adjudicate claims to pay, deny, or pend as appropriate in a timely and accurate manner according to company policy and desktop procedure. Working 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.
Senior EMG Technician Boston Medical CenterSenior EMG TechnicianBoston, MA$24.04–$33.65 / hourTroubleshoots software or any related issues to current interface network with IT and EMG EDX Machine Vendors; following protocols making decisions in conjunction with managers should unexpected expenses arise due to such events. POSITION SUMMARY: Under general supervision of a Neuromuscular Neurologist physician, and following established policies and procedures, provides assistance to patients in the EMG Lab and performs nerve conduction studies as requested by physicians.
Medical Staff Office Specialist Lahey Hospital and Medical CenterMedical Staff Office SpecialistWoburn, MA$31.63–$41.73 / hourExperience: Minimum 1-3 years of healthcare administration, medical staff services, credentialing, provider enrollment or related experience; 2 years in a hospital MSO or CVO environment preferred. Job Description: Essential Duties & Responsibilities including but not limited to: Independently manages credentialing applications for initial appointment and reappointment, including application intake, validation, primary source verification, analysis, and ongoing status management.
Business Office Manager Business Office Manager Life Care Centers of America IncBusiness Office Manager Business Office ManagerPlymouth, MAIn this role, you will lead end-to-end revenue cycle management-with specialized oversight of MassHealth (Massachusetts Medicaid), Medicare Part A/B, Accountable Care Organizations (ACOs), Senior Care Options (SCO/One Care), Managed Care, and Private Pay. Direct the MassHealth Application & Pending pipeline: track long-term care applications through local MassHealth Enrollment Centers (MEC), submit required verification documentation, and monitor eligibility determinations.
NewDrug Authorization Specialist Dana-Farber Cancer Institute IncDrug Authorization SpecialistBrookline, MARemote$45,200–$48,600 / yearThe Drug Authorization Specialist, with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug authorizations for all injectable drug treatment plans ordered by Dana Farber Cancer Institute providers using knowledge of payer coverage policies and applies appropriate payer guidelines to all aspects of drug prior authorization work. Manages referral and authorizations information as assigned through daily work queues and documents activities into the hospital information system; may require contacting physician offices and/or payors for referrals and authorizations via phone calls and/or websites.
NewRegistration Specialist Dana-Farber Cancer Institute IncRegistration SpecialistBoston, MARemote$43,800–$51,100 / yearAssists patients with sign up for Patient Gateway and obtains signature for Registration consent forms via eCheck-In when possible: General Consent for Treatment, HIPAA Notice for Privacy Practice, Patient Rights and Responsibilities, New Patient Information, and DFCI Virtual Care Consent. Manages eligibility and coordination of benefits claim denials as assigned through daily work queues and documents activities into the hospital information system; may require contacting the payer and/or the patient to obtain the correct insurance information.