Coder, Orthopedics Department Beth Israel Lahey HealthCoder, Orthopedics DepartmentBoston, Massachusetts$27.03–$43.25 / 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. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Coder, Orthopedics Department Lahey Hospital and Medical CenterCoder, Orthopedics DepartmentBoston, MA$27.03–$43.25 / 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. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Payment Integrity Program Development Manager Devoted Health ServicesPayment Integrity Program Development ManagerMassachusettsRemoteThat’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).
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).
Outpatient Coder Dana-Farber Cancer Institute IncOutpatient CoderBROOKLINE, MARemote$55,600–$63,500 / yearWe 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. Maintains coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, AAPC/AHIMA seminars, and other educational forums.
Field Reimbursement Manager-New England Harrow IncField Reimbursement Manager-New EnglandMAMembers of our Harrow Family often express their pride in being a part of our commitment to (1) innovation, (2) patient access to affordable medicines, and (3) our track record of having never turned down an ophthalmologist doing mission work around the world - providing free medicines in support of mission work aimed at giving or maintaining the gift of sight to those most in need. This individual will provide non-promotional, compliant education on coverage, coding, billing, and claims processes - giving customers the confidence and technical know-how to appropriately access and be reimbursed for Harrow brands.
Medical Billing Specialist Medical Billing Specialists, Inc.Medical Billing SpecialistNorwood, MAFull timeIt is essential to follow the constantly changing policies of various insurance payers in order to proactively anticipate operational and workflow-related changes that the billing operation must adhere to in order to avoid unnecessary denials and loss of provider reimbursement. The company is a reputable third-party medical billing firm providing comprehensive billing and consulting services to clients across a wide range of provider specialties.
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.
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.
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.
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 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.
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.
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 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.