• Medical Revenue & Credit Representative…

    Atrius Health (Chelmsford, MA)
    …Optum family of businesses. We're an innovative healthcare leader, delivering an effective system of connected care for adult and pediatric patients at 28 practice ... combination of education and experience) required. * Electronic payment posting systems and processes required. * Knowledge of cash control procedures, accounts… more
    Atrius Health (09/13/25)
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  • Credentialing Representative

    Highmark Health (Boston, MA)
    …Dental Provider File systems . + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** + Good ... the Dental Provider file database. Supports the implementation of new networks, systems , software, guidelines and other endeavors with a focus on "group practices"… more
    Highmark Health (09/06/25)
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  • Technical Support Representative I

    ZOLL Medical Corporation (Chelmsford, MA)
    …processes and procedures + Accurate entry of customer reported complaint details into claim tracking system + Occasional on-call phone support for evening and ... Occasional travel to customer site, up to 10% + Stays current with system Information, changes and updates + Research required information using available resources… more
    ZOLL Medical Corporation (08/19/25)
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  • Representative , Customer Experience…

    Molina Healthcare (Worcester, MA)
    …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... combination of education and experience **PREFERRED EXPERIENCE** : + 1-3 years + Preferred Systems Training: + Microsoft Office + Genesys + Salesforce + Pega + QNXT… more
    Molina Healthcare (10/01/25)
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  • Pharmacy Coordinator

    Highmark Health (Boston, MA)
    …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... + Enter all authorizations into the Argus IPNS information system to allow claim adjudication. + Complete...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
    Highmark Health (09/09/25)
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  • General Engineer

    Strategic Systems Programs Office (Pittsfield, MA)
    …of the Production, Maintenance and Surveillance Program for the INC8 Inertial Navigation System occurring in Pittsfield, MA and in Heath, OH. You will drive ... sigma and IS09001 and provide timely/ accurate updates to PMOSSP Shipboard Systems Office (SPS) throughout the life-cycle management process. You will investigate,… more
    Strategic Systems Programs Office (10/02/25)
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  • Billing and Certified Coding Specialist

    Beth Israel Lahey Health (Burlington, MA)
    …and maintains open communication with third party payor representatives in order to resolve claims issues. 4. Reviews claim forms for the accuracy of procedures, ... provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and… more
    Beth Israel Lahey Health (09/27/25)
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  • Job Service Rep I - Bilingual

    State of Massachusetts (Boston, MA)
    …to work, available for work and looking for a job. The Job Service Representative is responsible for making determinations on eligibility for benefits in disputed ... claims after gathering necessary information through interviews; issue timely...parties to protect their rights. * Access and verify claim information and update records using computer terminal. *… more
    State of Massachusetts (09/19/25)
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  • Payroll Administrator & HR Support

    Main Street Bank (Marlborough, MA)
    …administrative functions for benefits, recruiting and compliance as it relates to system up-dates and department workflows. Serve as a change leader, proactively ... on site. ESSENTIAL DUTIES and RESPONSIBILITIES: The requirements listed are representative of the knowledge, skill, and/or ability required. In the performance… more
    Main Street Bank (09/30/25)
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  • National Accounts: Dedicated Field Services…

    CVS Health (Boston, MA)
    …+ Clinical background a plus. + Experience with Aetna and CVS products, claim systems , and digital member applications. + Associate degree or equivalent ... clinical support to members as well as navigating them through the health system , providing support on claims issues, and answering coverage-level questions.… more
    CVS Health (09/06/25)
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