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Serve as the primary liaison for members and providers for all lines of business including MassHealth, and Commercial members regarding general program inquires such as eligibility verifications, authorizations, referrals, claims, material fulfillment, address changes and Primary Care Physician assignments as well as member related policy and procedures.
RemoteExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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E.g., patient claims / EMR data from IQVIA, SHA, CMS, MarketScan, Komodo etc.) Work Experience: 5+ years of work experience in life sciences consulting, with at least 2 years of experience specific to life sciences consulting using quantitative data (claims data, secondary data sources, quantitative primary market research.
$180,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Previous experience with insurance claims or Medicare compliance preferred. Claims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiences.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Demonstrate a solid understanding of billing workflows, coding terminology, and revenue cycle management for high volume claims. Experience with handling multi-state, high-volume of claims in a fast-paced environment.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Experience with EHR, administrative claims, and laboratory data (e.g., IQVIA, Komodo, Symphony claims data). Experience with EHR, administrative claims, and laboratory data (e.g., IQVIA, Komodo, Symphony claims data.
Full-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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We are seeking a Medical Collections Manager to oversee the day-to-day activities of a team of Claims Specialists. At KabaFusion, our collections department is responsible for following up on the non-payment of insurance claims by managing the appeals and denials process.
$80,000 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Deploy vehicle safety and security procedures to direct traffic, barricade positions, park guest cars in applicable spaces, inspect vehicles for damage, and report incidents and claims to location-designated leadership.
$17 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Experience/education – Minimum of three years handling professional/employment liability claims. Issues claims payments and includes all payment documentation in the claim file. Carefully documents all claims information and maintains accurate records complying with Claim Department Standards of Performance.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Overall contracting responsibility for the following functions within the categories of new equipment, existing building services, and building automation: order validation, order entry, order follow up, customer inquiry, engineering, submittals, service operations, building automation operations, project management, technical support, warranties, claims, and resource allocations.
$287,500 a yearFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals and credits. Reviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Familiarity with various coding/datasets (ICD-10, CPT4, HCPCS) and an understanding of the assignment of DRG values for hospital claims reimbursement preferred. Reporting to the Clinical Quality Director, the Healthcare Data Analyst- Quality serves as a subject matter expert in data analysis, demonstrating an in-depth understanding of clinical quality and other business data.
Full-timeExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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As a claims adjuster trainee , you'll learn how to help customers get back on the road after an accident. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
$60,000 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Analyze and synthesize market data (i.e., market research, specialty pharmacy, claims, etc.) Analyze and synthesize market data (i.e., market research, specialty pharmacy, claims, etc.) Lead Integrated Customer Planning (ICP) and strategic budget planning process for MS CD&I, and provide commercial team with comprehensive performance, customer, and market insights to support strategy & resource investment.
Full-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. Roofing and construction related backgrounds and/or insurance claims experience are a plus but not required.
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adjuster claims jobs in Burlington, MA
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