• Appeals and Grievance Analyst

    Point32Health (MA)
    …(https://www.point32health.org/) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
    Point32Health (08/16/25)
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  • Billing & Certified Coding Specialist II

    Beth Israel Lahey Health (Burlington, MA)
    …provider documentation in order to determine appropriate coding and initiate corrected claims and appeals . Duties include hands on coding, documentation review ... Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as… more
    Beth Israel Lahey Health (08/08/25)
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  • Supervisor Dental Government Business Operations

    Highmark Health (Boston, MA)
    …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... priority Congressional / Department of Defense), and appeals . Ensures that all processes are compliant with requirements and performance standards are consistently… more
    Highmark Health (08/22/25)
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