Payment Integrity Program Development Manager Devoted Health IncPayment Integrity Program Development ManagerWaltham, MARemoteThat's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. (Note: We provide modern AI tools to generate and edit SQL scripts; you do not need to be a software expert, but you must possess the ability to read, interpret, and understand data scripts to validate results and analyze proof-of-concept datasets).
NewMedical Director, Vascular Surgery - Remote UnitedHealth Group Inc.Medical Director, Vascular Surgery - RemoteBoston, MARemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
NewMedical Director, Orthopedic Surgery - Remote UnitedHealth Group Inc.Medical Director, Orthopedic Surgery - RemoteBoston, MARemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
NewMedical Director, Otolaryngology with expertise in Facial Plastic Surgery - Remote UnitedHealth Group IncMedical Director, Otolaryngology with expertise in Facial Plastic Surgery - RemoteBoston, MARemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Current board certification through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) in Otolaryngology (ENT) with expertise in facial plastic and reconstructive surgery.
HIM Audit Coordinator Lahey Hospital and Medical CenterHIM Audit CoordinatorBurlington, MA$20–$26.92 / hourResponds appropriately to miscellaneous requests from third party payors and the Patient Financial Services department, in order to achieve proper reimbursement, satisfy contractual obligations and assure compliance with regulations. Works with Physicians and Administrative personnel throughout the Clinic to formulate appeals to assure that Lahey receives appropriate reimbursement or to correct incorrect documentation/billing practices to assure compliance with Federal law and plan requirements.
Managed Care Services Representative Mass General BrighamManaged Care Services RepresentativeSomerville, MassachusettsThe 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. Managed Care Services Insurance Verification Representative is vital for the team and you will be serving as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement for healthcare services.
NewAccount Follow-Up Representative I Harris Computer SystemsAccount Follow-Up Representative IBoston, MARemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
Medical Coder, 40hrs TaraVista Behavioral Health CenterMedical Coder, 40hrsMA$23–$28 / hourAs a Medical Coder: You will code hospital and professional inpatient visits using the International Classification of Disease 10-Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) coding methodology in accordance with official coding and reimbursement guidelines. You will maintain current working knowledge with all coding rules, coding guidelines, Medicare, and Medicare like payer regulations in accordance with the hospital coding compliance policies and procedures.
Revenue Excellence Trainer - Revenue Excellence - Full Time SolutionHealthRevenue Excellence Trainer - Revenue Excellence - Full TimeManchester, New HampshireThe Revenue Excellence Trainer plays a critical role in advancing the operational excellence of the Revenue Cycle team by designing, delivering, and continuously improving training programs that enhance staff knowledge, performance, and compliance. This position supports the tactical execution of departmental goals by equipping team members with the tools and understanding needed to navigate complex revenue cycle workflows, payer requirements, and system functionalities.
NewDsnp Claims Resolution Coordinator Brigham and Women's HospitalDsnp Claims Resolution CoordinatorSomerville, MARemote$19.81–$28.30 / hourThis role determines whether claim adjustments are needed, applies Medicare and Medicaid benefit and payment guidelines, and ensures claims are processed accurately, timely, and in accordance with Mass General Brigham Health Plan policies, contractual requirements, and regulatory expectations. The DSNP Claims Resolution Coordinator is responsible for reviewing, researching, and resolving Dual Eligible Special Needs Plan (DSNP) claim inquiries, provider correspondence, and escalations received through Customer Service and internal business partners.
DSNP Claims Resolution Coordinator Brigham and Women's HospitalDSNP Claims Resolution CoordinatorSomerville, MARemote$19.81–$28.30 / hourThis role determines whether claim adjustments are needed, applies Medicare and Medicaid benefit and payment guidelines, and ensures claims are processed accurately, timely, and in accordance with Mass General Brigham Health Plan policies, contractual requirements, and regulatory expectations. The DSNP Claims Resolution Coordinator is responsible for reviewing, researching, and resolving Dual Eligible Special Needs Plan (DSNP) claim inquiries, provider correspondence, and escalations received through Customer Service and internal business partners.
Practice Support Assistant II UnitedHealth Group IncPractice Support Assistant IIWellesley, MAClinical › 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. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Sr. Medicare Coverage Analyst Dana-Farber Cancer Institute IncSr. Medicare Coverage AnalystBOSTON, MARemote$77,500–$90,400 / yearThe Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1) and designates medical procedures/services based on relevant regulations and determinations. The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other relevant study-related documents to create a coverage analysis/billing guide.
Patient Accounting Billing Specialist Dana-Farber Cancer Institute IncPatient Accounting Billing SpecialistBROOKLINE, MARemote$53,900–$58,300 / yearResponsibilities of the Patient Accounting Billing Specialist I include regular and consistent billing for all payers and follow-up work on Client, NMDP, Bluebird Bio, and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations.
Revenue Cycle Specialist III East Boston Neighborhood Health Center CorporationRevenue Cycle Specialist IIIRevere, MassachusettsWhether 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. 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.
Phlebotomist UnitedHealth Group IncPhlebotomistConcord, MAClinical › 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. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog. Assembles equipment such as tourniquet needles disposable containers for needles blood collection devices gauze cotton and alcohol on work tray according to requirements for specified tests or procedures.
Part Time Phlebotomist UnitedHealth Group IncPart Time PhlebotomistBurlington, MAClinical ›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. Assembles equipment such as tourniquet needles disposable containers for needles blood collection devices gauze cotton and alcohol on work tray according to requirements for specified tests or procedures.
Chief Pharmacist- Atrius Health UnitedHealth Group IncChief Pharmacist- Atrius HealthPlymouth, MALeads and manages the daily operations of the department and prioritizes direction to ensure pharmacy success by executing strategy motivating and inspiring team maximizing contributions executing daily tasks supporting the team and building rapport with clinicians colleagues clinical departments and patients to improve Capture. Responsible to ensure pharmacists verify authenticity of prescriptions resolve prescription discrepancies and clarifications validate prescription order entry proper labeling and filling of medication container and ensuring processes in place for accurate shipping and delivery.
Radiologic Technologist - Same Day Service UnitedHealth Group IncRadiologic Technologist - Same Day ServiceMAClinical › 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. › Ireland & UK › India › Philippines › Culture of Belonging › Employee Benefits › Blog. Routinely provides diagnostic radiology services by operating imaging equipment and other equipment/devices as necessary.
Licensed Practical Nurse Internal Medicine Atrius Health Dedham UnitedHealth Group IncLicensed Practical Nurse Internal Medicine Atrius Health DedhamDedham, MAMaintains patient confidentiality Under established protocols or under specific clinician direction communicates with patients or family regarding specific test results or follow-up plans Proficient in medication administration via IM sc ID and nebulizer routes Maintains proficiencies in role specific procedures as defined in organizational LPN competencies Participates in organizational and departmental process improvement activities Participate in emergency procedures Provides exceptional service to patients families and other staff members Performs other duties as assigned. Informs RN or clinician of IVs that need mixing Documents all patient care activities observations actions and patient outcomes in electronic patient medical records within the established organizational timeframe Explains procedures to patients to facilitate understanding Performs the necessary set-up for examinations and procedures available to support the clinician and patient Communicates any pertinent information to the relevant members of the health care team verbally andor through medical record.