Self Insured Certified Claim Adjudicators - Everett

The Claims Analyst under the direction of the Manager of PACE Claims is responsible for overall claims adjudication insurance validation process.This includes auditing adjudicated claims ensuring payments made in accordance with their contracts analyzing claims data for trends re ...

The Claims Analyst under the direction of the Manager of PACE Claims is responsible for overall claims adjudication and insurance validation process. · Maintaining up-to-date knowledge of fee schedules for both Medicare and MassHealth. · Auditing adjudicated claims to ensure paym ...

Responsible for overseeing a team of claims reviewers to ensure accurate and timely healthcare claims processing. · Supervise and manage a team of claims reviewers to ensure accurate and timely healthcare claims processing. · Oversee claims review and analysis to ensure complianc ...

The Department of Transitional Assistance is seeking service-focused individuals for the position of Human Service Assistant (HSA).Our ideal candidate will provide written and/or oral interpretation and translation services to assist clients and complete administrative tasks in a ...

The Claims Operations Manager is responsible for managing commercial claims operations to ensure efficient and accurate processing of claims. Oversees claims workflows, compliance, and team performance to support revenue cycle goals and optimize reimbursement processes. · ...

Responsible for overseeing a team that assesses healthcare claims for accuracy, compliance, and eligibility, · ensuring that claims are processed efficiently and in accordance with industry standards, regulatory requirements, · and organizational policies. This position will guid ...

The Department of Transitional Assistance seeks service-focused individuals for the position of Human Service Assistant (HSA). Candidates will provide written and/or oral interpretation and translation services to assist clients. · ...

+ Patient Financial Services Representative We are seeking a detail-oriented Patient Financial Services Representative to join our team at Beth Israel Lahey Health. As a representative of our organization's financial services department you will ensure timely billing for patients ...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. · ...

+Job summary · A Patient Financial Services Specialist will be responsible for efficient & timely billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable. · +Qualifications · Demonstrates excellent attention to detail and prioritiz ...

The Senior Specialist Patient Financial Services – Hospital Billing will be responsible for the efficient and accurate completion of senior level Accounts Receivable tasks. · ...

We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities. · ...

The Department of Transitional Assistance is seeking service-focused individuals for the position of Human Service Assistant (HSA). Our ideal candidate will provide written and/or oral interpretation and translation services to assist clients and complete administrative tasks in ...

Senior Reinsurance Claims Examiner · The Senior Reinsurance Claims Examiner will be responsible for managing and adjudicating complex legacy Asbestos and Pollution (AP) claims within our assumed reinsurance portfolio. · Review and evaluate assumed reinsurance claims related to as ...

Responsible for overseeing a team of 4-5 employees that assesses Medicare claims for accuracy, · compliance, · and eligibility ensuring that claims are processed efficiently · and in accordance with industry standards regulatory requirements · and organizational policies. · This ...

Responsible for overseeing a team of claims reviewers to ensure accurate and timely healthcare claims processing. · -Supervise and manage a team of claims reviewers to ensure accurate and timely healthcare claims processing. · -Oversee claims review and analysis to ensure compl ...

The Claims Quality Inspector is responsible for the thorough and accurate review of adjudicated claims and Enrollment entry against established corporate guidelines and protocols specific to claim adjudication and Enrollment entry. · Ideal candidates will maintain a broad knowled ...

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. · Review claims to ensure accurate coding, appropriate documentation, and compliance with applicable billing regulations and payer guidelines. · ...

The Claims Quality Inspector is responsible for the thorough and accurate review of adjudicated claims and Enrollment entry against established corporate guidelines and protocols specific to claim adjudication and Enrollment entry. · Conduct accurate and timely quality reviews of ...

The Payment Policy Manager is vital to the team responsible for developing implementing and managing payment policies strategies by analyzing regulatory changes reimbursement models optimize revenue ensure compliance federal state payer specific guidelines. · This role complement ...

A reinsurance boutique seeks an experienced and detail-oriented reinsurance claims professional to manage and adjudicate complex legacy Asbestos and Pollution (AP) claims. · ...