Payment Posting Specialist Masiello Employment ServicesPayment Posting SpecialistPeterborough, NHWhether you have previous payment posting experience or strong office skills and a willingness to learn, this role offers the chance to build a long-term career with a respected organization. This is an excellent opportunity for someone who enjoys detailed administrative work, data entry, and working with financial records in a collaborative office environment.
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.
NewMedical Records Specialist HCA Healthcare IncMedical Records SpecialistDerry, NHSubmit your application for the opportunity below: Medical Records Specialist Job Summary and Qualifications As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Apply share Share Email X Facebook LinkedIn bookmark_border Save Job bookmark Unsave Job // Save Jobs functionality detectsavedjob('1-INFOR-4934320','save-job','unsave-job');
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.
Pharmacy 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.
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.
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.
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.
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.
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.
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.
Cash Posting Specialist - Full Time Monadnock Community HospitalCash Posting Specialist - Full TimePeterborough, NHAs a Cash Posting Specialist, you will play a crucial role in ensuring the financial health of our hospital by accurately and efficiently posting and reconciling cash transactions. In every department and at every level, MCH employees go above and beyond to deliver an exceptional patient experience in an atmosphere that is healthy, friendly, respectful, and personally fulfilling.
Patient Access Specialist I - New England Neurological Associates, Lawrence Tufts MedicinePatient Access Specialist I - New England Neurological Associates, LawrenceLawrence, MA$20.12–$25.15 / hourCollects patient's necessary demographic and financial information from physician offices, acute-care entities, or the patients themselves, schedules services for patients, and handles referrals from primary care doctors to ensure patients are scheduled for recommended appointments/procedures, etc. Works closely with and communicates consistently with Social Work, Case Management, Billing, and Contracting to provide a cohesive support system to the patient and the clinical providers.
Financial Clearance Specialist UMass Memorial HealthFinancial Clearance SpecialistWorcester, MassachusettsExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Consistently demonstrates ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
Practice Manager, Primary Care Brigham and Women's HospitalPractice Manager, Primary CareNatick, MA$65,998.40–$96,033.60 / yearIn addition to leading day-to-day operations, the Practice Manager will play a key role in driving strategic growth initiatives, helping to expand both practices by enhancing operational efficiency, supporting provider recruitment and retention, improving patient access, and identifying opportunities to grow services and patient volume. In collaboration with the Director of Operations, Primary Care and the Medical Directors, the Practice Manager will be responsible for all aspects of site operations, oversight of budgets, quality measures and will work collaboratively with administrative, clinical, and leadership teams to achieve operational and clinical care goals.