- Vitra Health (Braintree, MA)
- …key to our success. That is why we are looking for a Revenue Cycle Manager to join our team. If you're a passionate, caring, motivated professional who is looking ... resources, and caring teams of nurses and case managers. The Revenue Cycle Manager manages all activities, processes, and functions of Revenue Cycle Operations for… more
- Beth Israel Lahey Health (Beverly, MA)
- …and retrospective review to assure appropriate utilization, assessment, prevention of denials and coordination of discharge options. They are required to follow ... specific criteria sets to assure regulatory compliance. They coordinate safe discharge plans between the health care delivery team, patients, families, insurers and continuing care agencies. **Education/Experience:** 1. Graduate of an accredited school of… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …The Clinical Authorization Specialist is also responsible for managing denials related to front-end prior authorization, biosimilar drugs, pharmacy-benefit exclusion ... with attending physicians on treatment alternatives when medical necessity coverage denials cannot be overturned. + Appropriately escalates complex cases to Drug… more
- Beth Israel Lahey Health (Burlington, MA)
- …making a difference in people's lives.** Under the managerial oversight of the Manager of Customer Service and Director of Executive - International Health the ... account initiation and coordination, claims submission, fee schedule maintenance, denials and customer service for hospital and professional billing. Essential… more
- Beth Israel Lahey Health (Burlington, MA)
- …making a difference in people's lives.** Reporting to the Coding and Billing Manager , the Coding and Billing Analyst serves as the preeminent analytical coding ... Locate patterns and trends by focusing on high volume denials that have a common denominator. Analyze root cause...audits and compliance issues to management. 3. Assists the manager in monitoring coding related accounts receivable across all… more
- Boston University (Boston, MA)
- …Type** Full-Time/Regular The Finance Assistant will primarily assist the Clinic Finance Manager with all insurance operations such as submission of claims, posting ... submission and posting of payments of PPA/PDA, research and resolve claim denials from both in-network and out-of-network insurance companies, help to oversee that… more
- Beth Israel Lahey Health (Burlington, MA)
- …for each colleague. Ensures appropriate coverage and escalates issues to the manager . . Assists Utilization Managers with all aspects of utilization review/discharge ... . Escalates unresolved or concerning issues regarding documentation, quality, billing, denials , or anything else related to departmental operations to the… more
- Baystate Health (Springfield, MA)
- **SUMMARY DESCRIPTION** Under the direction of the Program Manager or Director of the Service Line, the Scheduler-2 is responsible for detailed and complex schedules ... Surgical Services, Risk Management, Patient Financial Services, Information Technology, Denials , and Capacity Management teams to ensure coordination of services… more
- South Middlesex Opportunity Council (Framingham, MA)
- …+ Post insurance checks and EOBs and reconcile posted totals. + Review denials and partially paid claims and resolve discrepancies + Reconcile cash payments in ... priorities and meet deadlines Organizational Relationship: Directly reports to Billing Manager . Direct reports to this position are none. Physical Requirement:… more
- Humana (Boston, MA)
- …requests. + Process and email member letters (Letter of Agreements, Approvals, Denials etc.) + Assist the team with various clerical/administrative tasks as ... necessary. + Participate in special projects as assigned by your Supervisor or Manager **Use your skills to make an impact** **Required Qualifications** + Bilingual… more