• Program Director

    Sevita (Dedham, MA)
    …and direct appropriate response; ensure timely incident reporting + Stakeholder Relations + Maintain and foster communication and relationships with individuals, ... other stakeholders; identify opportunities by following industry trends and responding to payer need + Direct program strategy to manage census, maintain occupancy,… more
    Sevita (08/14/25)
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  • Patient Access Representative 40 Hrs, Scheduling

    Beth Israel Lahey Health (Burlington, MA)
    …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... creates, and assigns the guarantor for each patient, including personal/family relations , workers compensation insurance, third parties, behavioral health, or others… more
    Beth Israel Lahey Health (07/31/25)
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  • Patient Access Representative, ED Registration 16…

    Beth Israel Lahey Health (Burlington, MA)
    …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... creates and assigns the guarantor for each patient, including personal/family relations , workers compensation insurance, third parties, behavioral health or others… more
    Beth Israel Lahey Health (07/30/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Boston, MA)
    …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to… more
    Highmark Health (07/30/25)
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  • Patient Access Representative, Evenings

    Beth Israel Lahey Health (Milton, MA)
    …patients with Kiosk check-in as needed.** **3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results.** ... and assigns the guarantor for each patient, including personal/family relations , workers compensation insurance,** **third parties, behavioral health, or others… more
    Beth Israel Lahey Health (07/12/25)
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  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …interpretation, and fee schedule issues. + Collaborate closely with Provider Relations , Contracting, Payment Integrity, Appeals & Grievances, and Configuration teams ... and recommend resolution pathways. + Interpret and apply MassHealth fee schedules, All- Payer Rate Setting regulations, and CMS payment methodologies (eg, DRG, APC,… more
    Commonwealth Care Alliance (05/31/25)
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