- US Tech Solutions (Canton, MA)
- …**2026** **Overview** + Under the general direction of the Quality Program Manager(s), the Medical Claims Research Specialist (s) will review medical ... using claims reports + Document and track claims research steps and outcomes using MS... terminology and provider specialties + Experience working in medical claims systems + Healthcare experience (including… more
- Amentum (Boston, MA)
- …approximately 80 countries across all 7 continents. **Defense Base Act (DBA) Claims Specialist :** Responsible for reporting Foreign (DBA), and Maritime ... activities/projects as assigned including the preparation and distribution of computer reports. ** Claims Specialist Requirements:** + 3-5 years of experience as… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... role will also be responsible for timely review and research , as necessary on all new and revised coding...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for… more
- USAA (Boston, MA)
- …special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate, ... negotiate, and settle complex property insurance claims . You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …NH, VT, MA, RI, CT) The primary function of the Patient Accounting Billing Specialist I is the daily management of an assigned portion of the accounts receivable, ... allocated based on alphabetical splits. Responsibilities of the Patient Accounting Billing Specialist I include regular and consistent billing for all payers and… more
- Travelers Insurance Company (Boston, MA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Harvard University (Cambridge, MA)
- …Postdoctoral Specialist - Health Policy Analytics School Harvard Medical School Department/Area Department of Health Care Policy Position Description Overview: ... The Department of Health Care Policy at Harvard Medical School seeks an experienced postdoctoral fellow with a...Position Description: This role will involve intensive analysis of claims data and related large administrative datasets to support… more
- WATTS (Andover, MA)
- …and we have a dynamic future ahead. The Strategic Accounts Receivable Specialist is responsible for the efficient, effective, productive, and accurate resolution of ... + Analytical review of an assigned collections territory to prioritize research efforts and determine the appropriate methodology for each account (letter,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Integrity Program Manager, the Payment Integrity Consultant uses industry knowledge, research skills, payment policy and business operations knowledge to become a ... drug fee schedules, including assessing and pricing new codes + Analyze claims data in conjunction with provider reimbursement methodologies and external benchmarks… more
- Philips (Cambridge, MA)
- …and physicists of large academic hospitals (most notably University of Texas Southwestern Medical Center) with a focus on research , development, and evaluation ... imaging., **Your role:** + Will guide, conduct, and support research and advanced clinical applications for the Magnetic Resonance...in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area,… more