- Review, organize, and file IDR emails and complete responses
- Monitor and track fee requests from arbitrators, and compile and send supporting documentation to arbitrator
- Work automation reports
- Sort and file Good Faith negotiations and respond to carrier and/or arbitrator inquires
- Submit claims through state arbitration portals
- Ability to communicate effectively verbally and in writing
- Ability to create routine reports
- Proficiency with MS 365 including Teams, Word, Excel, and Outlook
- Healthcare industry/terminology knowledge
- One to two years related experience
- A well-rounded knowledge of insurance payers
- Medical billing experience
-
Claims Specialist, EDI
4 days ago
LogixHealth Bedford, United StatesJob Description · Job DescriptionLocation: On-Site inBedford, MA · This Role: · As a Claims Specialist in EDI at LogixHealth, you will perform general tasks in the EDI Department on the Billing Team. You'll contribute to our fast-paced, collaborative environment and will bring y ...
-
Healthcare Claims Specialist
1 week ago
LogixHealth Bedford, United StatesLocation: On-Site in Bedford, MA · This Role: · The Claims Specialist is an entry-level position that provides a great opportunity of an in-office learning experience, and you will work with internal teams to provide cutting-edge solutions that will directly improve the healthc ...
-
Claims Specialist, Audit
13 hours ago
LogixHealth Bedford, United StatesJob Description · Job DescriptionLocation: On-Site in Bedford, MA · This Role: · As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative envi ...
-
Medical Claims Data Specialist
4 days ago
LogixHealth Bedford, United StatesJob Description · Job DescriptionLocation: Bedford, MA; Hybrid in Bedford, MA · This Role: · As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with internal teams to provide cutting-edge solutions that will directly improve business operatio ...
-
Claims Specialist
4 days ago
CorVel Corporation Acton, United States Full timeThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of ...
-
Claims Specialist
5 days ago
TEKsystems Deerfield, IL, United StatesDescription: · Claims Specialist's work one on one, via phone, with travelers who travel with and rely on mobility equipment. The travelers mobility equipment has been damaged by the airline, therefore, the CS functions as a case manager, handling each damage claim with the trave ...
-
Claims Specialist
3 days ago
TEKsystems Deerfield, IL, United StatesDescription: · Claims Specialist's work one on one, via phone, with travelers who travel with and rely on mobility equipment. The travelers mobility equipment has been damaged by the airline, therefore, the CS functions as a case manager, handling each damage claim with the trave ...
-
Claims Specialist
3 days ago
TEKsystems Deerfield, United StatesJob Description · Job DescriptionDescription: · Claims Specialist's work one on one, via phone, with travelers who travel with and rely on mobility equipment. The travelers mobility equipment has been damaged by the airline, therefore, the CS functions as a case manager, handling ...
-
Claims Specialist
5 days ago
TEKsystems Deerfield, United StatesJob Description · Job DescriptionDescription: · Claims Specialist's work one on one, via phone, with travelers who travel with and rely on mobility equipment. The travelers mobility equipment has been damaged by the airline, therefore, the CS functions as a case manager, handling ...
-
LogixHealth Bedford, United StatesJob Description · Job DescriptionLocation: On-Site in Bedford, MA · This Role: · As an Electronic Claim/Remit Specialist at LogixHealth, you will work with internal teams to provide services that will directly improve business operations. You'll contribute to our fast-paced, col ...
-
Medical Claims Specialist
1 week ago
Cataldo Ambulance Somerville, United StatesJob Description · Job Description · Job Overview: · We are seeking a highly organized and detail-oriented individual to join our team as a Medical Claims Follow-up Specialist. The successful candidate will be responsible for reviewing denied or rejected claims, conducting thoro ...
-
Claims Service Specialist
1 week ago
Arbella Insurance Group Quincy, United States Full timeJoin a Best Place to Work Company · Claim your future with Arbella If you're looking for a dynamic opportunity to help customers through their toughest challenges, you're in the right place. · What will you do? · Claim Service Specialists are advocates for our customers. They ...
-
Claim Service Specialist
1 week ago
Arbella Insurance Group Quincy, United States Full timeVoted Boston's #1 Best Place To Work by the Boston Business Journal in 2023 · Claim your future with Arbella If you're looking for a dynamic opportunity to help customers through their toughest challenges, you're in the right place. What will you do? · Claim Service Specialist ...
-
Fraud Claims Sr Specialist
2 weeks ago
Citizens Financial Group, Inc. Medford, United StatesAs a Fraud Claims Sr. Specialist, youll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, Claims, Fraud, Specialist, Cust ...
-
Fraud Claims Sr Specialist
1 week ago
Citizens Bank Medford, United StatesAs a Fraud Claims Sr. Specialist , you'll play a pivotal role in ourFraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, and ensuring the integrity of ...
-
Fraud Claims Sr Specialist
4 days ago
Citizens Medford, United StatesAs a Fraud Claims Sr. Specialist, youll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, and ensuring the integrity of f ...
-
Fraud Claims Sr Specialist
2 weeks ago
Citizens Medford, United StatesAs a Fraud Claims Sr. Specialist, you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, and ensuring the integrity of ...
-
Claims Service Specialist I
1 week ago
Arbella Insurance Quincy, United StatesWhy Arbella? · At Arbella, we're focused on people. We work hard to attract and retain the best. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive salaries and benefits packages. We invest in our em ...
-
Construction Defect Claims Specialist
1 week ago
Capstone Search Group Boston, United States Full timeAbout the Role · Highly successful property and casualty with assets totaling over $2 billion and rating of "A" Excellent that writes premium coverage for businesses in 20+ states offers opportunity to join growing Construction Defect Claim team as a Construction Defect Claims Sp ...
-
Stellar Enterprises Walden, United StatesAbout the Company · We are a family-owned company specializing in analysis, concept development, and solution design in the industrial and commercial sector. Our client base primarily consists of small and medium-sized businesses and craftsmen. Since 1999, we have been a neutral ...
Healthcare Claims Specialist - Bedford, United States - LogixHealth
Description
Location: On-Site in Bedford, MA
This Role:
The Claims Specialist is an entry-level position that provides a great opportunity of an in-office learning experience, and you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and will bring your expertise to review and carry out processes on all out of network claims.
The ideal candidate will have strong technological skills, excellent interpersonal communication, and a well-rounded knowledge of insurance payers.
Key Responsibilities:
Qualifications:
To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties.
Required:
Preferred:
Benefits at LogixHealth:
We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events.
About LogixHealth:
At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation's leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.
Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care.
At LogixHealth, we're committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service.
To learn more about us, visit our website
