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This position is responsible to review and investigate denials from the Medicaid/MassHealth administrator(s), i.e. Dentaquest, resubmit claims, processing adjustments to accounts within system, including write-offs and billing to the patients, as appropriate.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Prior experience in or the ability to quickly gain a deep understanding of the healthcare payer ecosystem, claims processing and provider networks landscape, and payment integrity to support expansion of existing products and launch and commercialization of new productsis critical to the role.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Take lead in processing responses for unemployment claims through the Equifax dashboard, to include gathering the necessary information, clarifying responses with the employee relations generalist and responding by the due dates required.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Key Responsibilities:Creating a fast, accurate, and seamless experience for the beneficiaryCommunicating to our beneficiaries and advisors in a professional manner, both verbal and written to bring claims into good orderDetermining good order of requirements and processing the claimApply procedures and interpret contractual provisions.
Full-timeRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Senior Project Manager has a thorough knowledge of the construction industry, including project supervision, construction regulations, document review, cost estimating, contract compliance monitoring, commissioning, and claims processing.
$104,383 - $130,479 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Interacts with other End Client staff to resolve customer inquiries, complaints and problems, particularly in Claims Services, Provider Services, ILR/COB, Payment Processing, the Provider Processing Center, Provider Relations, Provider Contracting, Medical Management, Benefits Administration, Pharmacy Services and the Behavioral Health and High-End Imaging vendors.
TemporaryExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Payment Processing, Reconciliation, and Reporting. Medicare A & B Billing, Claims Corrections and Follow-up. Managed Care , Claims Corrections and Follow-up. Medicare Bad Debt Processing.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Claims processing is also handled by a support specialist. Day to day processing of Workers’ Compensation and Commercial Auto policies, endorsements, and invoices, as well as Certificates of Insurance, will be handled primarily by Commercial Department support specialists.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Reports to client regarding reimbursements and in turn forwards to accounting department for reimbursementMaintains quality client service by responding timely and accurately to client inquiries maintaining client expected turn-around timePrepares standard and ad hoc reportsMaintains confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)Requirements: College degree or a minimum of five (5) years medical stop loss claims processing.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Research status of outstanding claims and expedite the processing of priority claims per client's request. Monitor turnaround to ensure timely processing of claims.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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ADARs are expected to have deep expertise in communicating requirements and addressing barriers associated with local payer policy coverage, multi-channel acquisition pathways, billing and coding (as needed), claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows.
$174,400 - $261,600 a yearFull-timeRemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Assists in processing paperwork associated with clinical care including: insurance claims, disability forms, and medical equipment forms. The New Patient Coordinator (NPC) position is responsible for all aspects of new patient scheduling in accordance with department scheduling guidelines.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Experience delivering on Data Science projects using predictive technologies, forecasting, natural language processing, artificial intelligence, or machine learning. Demonstrated experience in one of the following domains: real-world data (EHR, insurance claims, registry data), building patient cohorts, enrollment modeling, clinical trial analytics.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Medical Billing Specialist is responsible for accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt and collections.
$30 - $35 an hourExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Knowledge of and experience with QNXT claims processing system. Lead coding and coverage discussions on operational work and selected projects; working with colleagues from key areas including: Product Management, Compliance, Provider Reimbursement, Provider Payment Integrity, IT Configuration, Clinical, Pharmacy, Customer Service and Claims.
ExpandApply NowActive JobUpdated 11 days ago
claims processing jobs in Cambridge, MA
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