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.
Medical 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, Otolaryngology With Expertise In Facial Plastic Surgery - Remote UnitedHealth Group Inc.Medical 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.
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.
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.
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 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.
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.
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.
Nurse Practitioner, Internal Medicine - Atrius Health UnitedHealth Group IncNurse Practitioner, Internal Medicine - Atrius HealthConcord, MA$107,723.20–$193,315.20 / yearRequired Qualifications ·Graduate of an Accredited Nurse Practitioner Program Masterslevel preferred ·Licensed by the Commonwealth of Massachusetts board of registration in Nursing ·National Board Certification ·Graduate of an accredited Physician Assistant degree program ·Currently or eligible for board certification by the National Commission on Certification of Physician Assistants NCCPA ·Active and unrestricted APC license in the State of Massachusetts ·Current active Mass DPH Controlled Substances Registration or ability to obtain post-hire per state regulations ·Current active DEA licensureprescriptive authority or ability to obtain post-hire per state regulations ·Maintains BLS certification professional certification as appropriate. The fraudulent LinkedIn messages and emails which do not originate from any Executives LinkedIn account or of UnitedHealth Groups 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.
Senior Medical Director, Pharmacovigilance Deciphera Pharmaceuticals IncSenior Medical Director, PharmacovigilanceWaltham, MA$292,000–$402,600 / yearAttend Kick-Off meetings, weekly case medical review, study team meetings, and vendor meetings, and other meetings as needed or requested. Provide medical support to cross functional team for protocol-related issues including protocol clarifications for safety topics, inclusion/exclusion criteria, and issues of patient safety and/or eligibility, IRB responses for safety related queries.
NewDSNP Claims Resolution Coordinator Mass General BrighamDSNP Claims Resolution CoordinatorSomerville, MassachusettsRemote$19.81–$28.30 / hourThe 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. This 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.
Medical Biller / Charge Entry Specialist (PT/FT) Eye Care SpecialistsMedical Biller / Charge Entry Specialist (PT/FT)Norwood, MAFull timePosition Summary (Onsite only)Eye Care Specialists is a busy multi-specialty ophthalmology practice with 7 physicians and 3 locations in Norwood and Norfolk.
Patient Services Coord. III Brigham and Women's HospitalPatient Services Coord. IIIBoston, MA$19.37–$27.71 / hourPerforms a wide range of administrative tasks utilizing well established skills and experience to support a medical office, including surgical scheduling, prior authorizations, medical office coding and billing as well as coordinating patient services such as appointments, testing, and referrals; Performs administrative coordination of a physician's office to include secretarial support, data management and billing/financial support. 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.
Sr. Clinic Practice Assistant Brigham and Women's HospitalSr. Clinic Practice AssistantBoston, MA$19.37–$27.71 / hourPerforms a wide range of administrative tasks utilizing well established skills and experience to support a medical office, including surgical scheduling, prior authorizations, medical office coding and billing as well as coordinating patient services such as appointments, testing, and referrals. 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.
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.
Urgent Care Center Coordinator Emerson HospitalUrgent Care Center CoordinatorMaynard, MA$20–$26 / houruseConfig":"job","isInHeader":false,"showAllResultsButton":true,"defaultValue":"","layoutConfig":{"post_types":["job"],"usePostTypeLabel":false,"orderby":{"date":"desc"},"strings":{"label":"Search jobs by keyword","placeholder":"Search jobs by keyword","submit":"Search","dropdownTitle":"Suggestions","allResults":"All results","noResults":"No results found","closeDialog":"No results found"},"elasticpress_meta_keys":[]},"allResultsUrl":"https:\/\/emersonhealth.org\/careers\/careers-search\/"}. You'll be the first point of contact, greeting and registering patients while supporting physicians, medical assistants, and the care team to ensure efficient and safe patient flow.
SIU Investigator Centene Corporation GroupSIU InvestigatorMA$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.