• MDS Coordinator

    Athena Health Care Systems (Sandwich, MA)
    …Complies with facility privacy policies and procedures and protects residents' individual health information. + Maintains Medicare meeting minutes per ... per CMS regulations. + Assures appropriate management of residents' Medicare / Insurance benefits. + Maintains adequate systems to...with Employer Match + Vacation and Personal Time + Health , Dental, and Vision Insurance We are… more
    Athena Health Care Systems (06/20/25)
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  • MDS Director

    Athena Health Care Systems (Marlborough, MA)
    …Complies with facility privacy policies and procedures and protects residents' individual health information. + Maintains Medicare meeting minutes per ... per CMS regulations. + Assures appropriate management of residents' Medicare / Insurance benefits. + Maintains adequate systems to...with Employer Match + Vacation and Personal Time + Health , Dental, and Vision Insurance We are… more
    Athena Health Care Systems (06/12/25)
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  • Behavioral Health Substance Use Disorder…

    Fenway Health (Boston, MA)
    Health Job Type Full-time Description Under the general supervision of the Manager of Integrated Behavioral Health Services, the Behavioral Health ... and services: + Develops and maintains resource listings appropriate for Fenway Health patients + Works with Medicaid, Medicare , Welfare, Social Security,… more
    Fenway Health (05/31/25)
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  • Billing & Certified Coding Specialist II

    Beth Israel Lahey Health (Burlington, MA)
    …for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned ... and reports them to the Billing Supervisor. 2. Responds to incoming insurance /office calls with professionalism and helps to resolve callers' issues, retrieving… more
    Beth Israel Lahey Health (08/08/25)
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  • Revenue Cycle Associate, 3rd Party

    BrightSpring Health Services (Taunton, MA)
    …progression! OurRevenue Cycle Associateswork with third party pharmacy payers, including Medicare Part D, Medicaid, Commercial Insurance , Worker's Comp, Auto ... in healthcare We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD… more
    BrightSpring Health Services (08/23/25)
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  • Audit & Reimbursement III (US)

    Elevance Health (Hingham, MA)
    …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... is a proud member of Elevance Health 's family of brands. We administer...a minimum of 5 years of audit/reimbursement or related Medicare experience; or any combination of education and experience,… more
    Elevance Health (08/14/25)
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  • Bilingual Telephonic UM Coordinator

    Humana (Boston, MA)
    … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... in special projects as assigned by your Supervisor or Manager . **Use your skills to make an impact** **Required...help people with Medicare , or both Medicare and Medicaid, achieve their best possible health more
    Humana (08/16/25)
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  • Risk Adjustment Analyst

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …analytic experience in a support role preferred + 2-3 years of business experience in health insurance + Medicare Advantage experience a plus + Overall ... This role requires frequent interaction / cross-collaboration with both Medicare and Commercial Operations, Health & Medical...and in written format. + Work closely with the Manager and broader analytics team to collaborate on analyses… more
    Blue Cross Blue Shield of Massachusetts (08/19/25)
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  • Social Worker II - Framingham/Marlborough- Growing…

    Fallon Health (Worcester, MA)
    …innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that ... the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit...advance licensure. + Great Benefits - including very affordable Health Insurance ! + 23 days of PTO… more
    Fallon Health (07/16/25)
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  • Hospice Admissions Nurse, RN

    Tufts Medicine (Malden, MA)
    …referral sources. + Thoroughly understands the Medicare /Medicaid hospice benefit, the Medicare home health benefit, the Medicare /Medicaid long term ... and procedures. **What We Offer:** + Generous Paid Time Off (Effective Day1) + Health , Dental and vision insurance (Effective Day 1) + Competitive Salaries Tufts… more
    Tufts Medicine (08/21/25)
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