Benefits and Coding Administrator - Somerville, MA

Only for registered members Somerville, MA , United States

1 month ago

Default job background
+

Job summary

This role supports the accurate and effective implementation of benefits across all products. It's primarily responsible for benefit configuration and ensuring the configuration aligns with business requirements.

+

Responsibilities

  • Evaluate benefit configuration in collaboration with IT Configuration and Claims staff, ensuring that benefit configuration aligns with the approved business requirements and plan materials.
  • Contribute to business discussions regarding benefit coverage and configuration, drawing on claims experience, knowledge of regulatory requirements, industry standards regarding coding and billing, and payer benchmarking for ad hoc and system-wide decisions.

Lorem ipsum dolor sit amet
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.

Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.

Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
Get full access

Access all high-level positions and get the job of your dreams.



Similar jobs

  • Only for registered members Somerville Full time $99,465 - $141,804 (USD)

    The Outpatient professional and facility Coding Quality Manager is accountable to ensure our coding operations maintains first-time coding quality and continuous improvement across outpatient coding services. · Essential functions Lead and manage 7 FTE that perform outpatient pro ...

  • Only for registered members Somerville $99,465 - $141,804 (USD)

    The Outpatient professional and facility Coding Quality Manager is accountable to ensure our coding operations maintains first-time coding quality and continuous improvement across outpatient coding services. · ...

  • Only for registered members Somerville $62,400 - $90,750 (USD)

    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 ...

  • Only for registered members Somerville Full time

    Develop and execute comprehensive strategies for RIS data migration. · ...

  • Only for registered members Somerville $67,700 - $91,900 (USD)

    The Executive Assistant for the DTC Division is a collaborative force that keeps our high‑performing retail team moving in sync, · supporting leaders and teammates with positivity and proactive problem‑solving. · This role helps streamline communication and bring teams together t ...

  • CDI Educator

    4 days ago

    Only for registered members Somerville Full time $99,465 - $141,804 (USD)

    The Educator will support the long-term success of the MGB CDI program by leading and delivering provider education and training in clinical documentation integrity across MGB. · Associate's Degree Nursing required, Master's Degree Nursing preferred. · ...

  • Only for registered members Somerville

    We are seeking a highly motivated and self-directed Architect with 4 to 8 years of professional experience to join our team full-time. · ...

  • Only for registered members Somerville

    We are seeking a highly motivated and self-directed Architect with 5 to 8 years of professional experience to join our team full-time. · ResponsibilitiesWork with firm leadership to develop innovative architectural designs.Create and maintain detailed Revit models.Apply solid und ...

  • Only for registered members Somerville

    The ACCS Lead Peer Specialist promotes the engagement, · hope and the full integration and functioning of Persons Served (PS) needed to live successfully in · the community.Welcome PS into service and collaborates with LPHA to determine needed services. · ...

  • Only for registered members Somerville Full time

    We're looking for a Hardware and Test Engineer to support the design, manufacturing, and deployment of Optigon's measurement tools. This role is ideal for someone who enjoys hands-on work. · ...

  • Only for registered members Somerville $20 - $23 (USD)

    We are seeking a receptionist/front desk professional to perform various administrative tasks. This includes greeting patients, answering phones, scheduling appointments, · scheduling procedures and collecting patient information. · ...

  • Only for registered members Somerville

    The ACCS Lead Peer Specialist promotes engagement hope integration functioning Persons Served needed live successfully in community Welcomes orient engages PS into service collaborates LPHA determine needed services Helps PS explore options gain confidence skills resources succee ...

  • Only for registered members Somerville $80,000 - $110,000 (USD)

    We are looking for a Hardware and Test Engineer to support the design, manufacturing, and deployment of our measurement tools. This role involves designing mechanical components, fixtures, and assemblies; developing custom hardware features; building automated test fixtures; supp ...

  • Only for registered members Somerville Part time $70,345 - $136,333 (USD)

    The Access RN will lead critical system-wide coordination efforts by adopting a system mindset and leveraging their clinical expertise, · situational awareness, and knowledge of MGB hospital capabilities to match patients with the right site of care efficiently and effectively. · ...

  • Only for registered members Somerville $70,345 - $136,333 (USD)

    The Access RN will lead critical system-wide coordination efforts by adopting a system mindset and leveraging their clinical expertise, situational awareness, · and knowledge of MGB hospital capabilities to match patients with the right site of care efficiently and effectively.Th ...

  • Peer Specialist

    1 month ago

    Only for registered members Somerville

    The ACCS Peer Specialist promotes the engagement, hope and the full integration and functioning of Persons Served (PS) needed to live successfully in the community. Provides Peer Support Services; helps PS explore their options and gain the confidence, skills, and resources neede ...

  • Only for registered members Somerville Full time $78,000 - $113,453 (USD)

    The role is responsible for ensuring the highest quality of work via daily management of EPIC WQs and reporting, writing appeals, monitoring, analysis, and collaboration with department subject matter experts. This position works within the hospital system's revenue cycle operati ...

  • Only for registered members Somerville $78,000 - $113,453 (USD)

    The role is responsible for ensuring the highest quality of work via daily management of EPIC WQs and reporting. · Daily management of EPIC WQs · Reporting writing appeals monitoring analysis collaboration with department subject matter experts. · ...

  • Only for registered members Somerville

    Develop and execute comprehensive strategies for RIS data migration. · ...

  • Only for registered members Somerville Full time $78,000 - $113,453 (USD)

    The role is responsible for ensuring the highest quality of work via daily management of EPIC WQs and reporting, writing appeals, · monitoring analysis · and collaboration with department subject matter experts. · This position works within the hospital system's revenue cycle ope ...