- Bear Mountain Health Care (MA)
- …Home Medicaid EXPERT? Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of Medicaid ... facilities in Massachusetts. Duties include: . Responsible for working Pending Medicaid applications and re-determinations in order to ensure financial eligibility.… more
- Commonwealth Care Alliance (Boston, MA)
- …that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and ... as necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance process.… more
- Point32Health (Canton, MA)
- …of the Director, Customer Experience, the Member Advisory Committee Specialist is responsible for helping Point32Health understand, and meaningfully improve, ... the experiences our members have with us. The Member Advisory Committee Specialist is directly responsibility for ensuring all Member Advisory Committee obligations… more
- Cognizant (Boston, MA)
- **Enrollment Specialist (remote)** **This is a remote position open to any qualified applicant in the United States.** **Purpose:** Enrollment examiners will review ... School diploma or GED required. **Experience:** . Minium one year of Medicaid and or Commerical enrollment processing experience. . Facets experience preferred… more
- Brockton Hospital (West Bridgewater, MA)
- …Under the general direction of the Coding Compliance Manager the Outpatient Coding Specialist is responsible for coding and abstracting services for the full range ... with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS) Office of the Inspector General… more
- Prime Therapeutics (Boston, MA)
- …our passion and drives every decision we make. **Job Posting Title** MTM Specialist Sr **Job Description** The Senior Medication Therapy Management (MTM) Service ... Specialist will act as a Subject Matter Expert for...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliant + Act as a Subject… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Patient Accounts All Locations: 151 Orleans Street Position Summary: The Billing Specialist II is responsible for organizing work flow to complete the timely ... and accurate submission of medical and dental claims to Medicaid , Medicare, other third party payors and patients. This...and maintain a low backlog of work. The billing specialist III works as part of a team that… more
- Fenway Health (Boston, MA)
- Behavioral Health Substance Use Disorder Specialist Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Behavioral Health Job Type ... of the Manager of Low-Barrier Behavioral Health Services, the Behavioral Health Specialist with specialty in evaluating and treating substance use disorder provides… more
- Robert Half Finance & Accounting (Southborough, MA)
- Description We are in search of a skilled Credentialing Specialist to join our team in Southborough , Massachusetts. The successful candidate will play a critical ... ### Eric Lebow Requirements * Minimum of 5 years experience as a Credentialing Specialist or a similar role in the healthcare industry. * Proficiency in computerized… more
- Commonwealth Care Alliance (Boston, MA)
- …facilities under the provisions of CCA's benefits plan. The Service Authorization Specialist is responsible for providing accurate, prompt, and appropriate entry of ... Providers for services needing prior authorization. The Service Authorizations Specialist reports to the Service Authorization Intake Manager. Supervision Exercised:… more