- Beth Israel Lahey Health (Charlestown, MA)
- …will operate in a fully remote capacity** Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will ... **Communicates all claims/data problems that cannot be handled to the Supervisor/ Manager within one (1) day of identifying the problem.** **Identifies and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …making a difference in people's lives.** Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will ... all claims/data problems that cannot be handled to the Supervisor/ Manager within one (1) day of identifying the problem....demonstrates proper handling and escalation as needed. * Handles payer 277 rejections on accounts with higher level of… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... portals, revenue cycle policies and procedures, productivity protocols, and payer policies and regulations. Develops course outline, objectives, proficiency testing… more
- East Boston Neighborhood Health Center (Revere, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... strategy; oversee financial modeling, contracting, and compliance with HRSA, state, and payer requirements. + Review and negotiate key financial contracts for PACE,… more
- East Boston Neighborhood Health Center (Revere, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... of the Medical Staff Office under the direction of the Credentialing Manager . This position will lead the coordination of the provider enrollment onboarding… more
- Oracle (Boston, MA)
- …delivery through powerful, AI-driven workflow innovation. Our Autonomous Reimbursement, Payer , and Interoperability teams are developing advanced solutions to ... the Role:** We are seeking an accomplished Senior Principal Technical Program Manager (TPM) to lead and drive critical project reviews, security operation… more
- Point32Health (Canton, MA)
- …our Point32Health market. This role requires a deep understanding of healthcare payer systems, digital product management, and user experience design, with the ... **Skill Requirements** + Strong experience within the health insurance or healthcare payer space. + Deep knowledge of health plan operations, member and provider… more
- CenterWell (Boston, MA)
- …identify educational opportunities. + Conduct research as needed. + Participate in Payer calls/chart reviews. + May participate in provider education programs on ... guidelines, healthcare regulations (including HIPAA, state and federal compliance), and payer requirements + Proficiency in Microsoft Office Suite (Word, Excel,… more
- Beth Israel Lahey Health (Burlington, MA)
- …Improvement and CQI issues as well as to unsafe working conditions. Notifies manager of concerns. Participates in unit based QI activities and is familiar with ... by the provider. Completes referrals and pre-authorizations per healthcare payer and practice protocols. Organizational Responsibilities + Maintains strict adherence… more
- Beth Israel Lahey Health (Woburn, MA)
- …homes and communities in accordance with home care regulations, hospital regulations and payer guidelines. The registered nurse is also trained in caring for Acute ... as required. 2. Attends regular case conferences and team meetings per Clinical Manager and as needed. 3. Communicates with team LPN when delegating appropriate… more