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.
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.
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.
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.
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.
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.
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.
NewRevenue Charge Capture Analyst Dana-Farber Cancer Institute IncRevenue Charge Capture AnalystBROOKLINE, MARemote$49,000–$57,800 / 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. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: Demonstrate analytical, proactive problem-solving skills; techniques to identify and resolve issues in a timely manner, gathers and analyzes information skillfully.
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.
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.
Sr Field Reimbursement Manager-East ReplimuneSr Field Reimbursement Manager-EastWoburn, MassachusettsThe RPx platform is designed to have a unique dual local and systemic activity consisting of direct selective virus-mediated killing of the tumor resulting in the release of tumor derived antigens and altering of the tumor microenvironment to ignite a strong and durable systemic response. For this role, the anticipated base pay range is $181,000-$234,500 The exact base pay offered for this role will depend on various factors, including but not limited to the selected candidate’s unique set of qualifications, skills, and experience.
Sr Field Reimbursement Manager- West ReplimuneSr Field Reimbursement Manager- WestWoburn, Massachusetts$181,000–$234,500 / yearThe RPx platform is designed to have a unique dual local and systemic activity consisting of direct selective virus-mediated killing of the tumor resulting in the release of tumor derived antigens and altering of the tumor microenvironment to ignite a strong and durable systemic response. Replimune’s mission is to revolutionize cancer treatment with therapies designed to activate a powerful and durable full-body anti-tumor response, boldly transforming cancer care because patient’s lives depend on it.
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.
Sr. Clinic Practice Assistant Mass General BrighamSr. Clinic Practice AssistantBoston, MassachusettsPerforms 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 Services Coord. III Mass General BrighamPatient Services Coord. IIIBoston, MassachusettsPerforms 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 Field Reimbursement Manager-East Replimune Group, Inc.Sr Field Reimbursement Manager-EastWoburn, MA$181,000–$234,500 / yearThe RPx platform is designed to have a unique dual local and systemic activity consisting of direct selective virus-mediated killing of the tumor resulting in the release of tumor derived antigens and altering of the tumor microenvironment to ignite a strong and durable systemic response. For this role, the anticipated base pay range is $181,000-$234,500 The exact base pay offered for this role will depend on various factors, including but not limited to the selected candidate's unique set of qualifications, skills, and experience.