- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to help us transform healthcare? Bring your true colors to blue. Reporting to the Payment Integrity Program Manager, the Payment Integrity Consultant ... and prioritizing development needs and requirements + Participate in facility reimbursement payment integrity activities that include developing new payment … more
- Commonwealth Care Alliance (Boston, MA)
- …and fee schedule issues. + Collaborate closely with Provider Relations, Contracting, Payment Integrity , Appeals & Grievances, and Configuration teams to validate ... (eg, DRG, APC, RBRVS). + Support provider appeal reviews and internal payment integrity investigations by providing reimbursement validation. + Escalate systemic… more
- Commonwealth Care Alliance (Boston, MA)
- …revised coding logic, related Medicare/Medicaid policies for review/approval through the Payment Integrity governance process. **Supervision Exercised:** + No, ... and make recommendations based on new/revised coding edits for presentation to Payment Integrity committee meetings. + Analyze, measure, manage, and report… more
- Beth Israel Lahey Health (Burlington, MA)
- …facilitating process improvements - all in an effort to ensure that document integrity is sound and in line with payer expectations, contributing to favorable ... revenue cycle. The Operational Specialist position will have an impact on provider, patient,...processes, contributing to the provision of accurate and high integrity documentation, and streamlined workflows. **Job Description:** Essential Duties… more
- Robert Half Finance & Accounting (Auburn, MA)
- Description * The Billing, Credit & Collections Specialist generates project invoice transactions and oversees assigned Accounts Receivable (A/R) Collections, ... ensuring the integrity and accuracy of A/R transactions * Manage the...identify and pursue delinquent accounts * Research and resolve payment discrepancies, short pays, and customer disputes in a… more
- Curtiss-Wright Corporation (Tewksbury, MA)
- **Business Development Specialist , Lead** Here in Tewksbury, Massachusetts, we are seeking an experienced and strategic Business Development Specialist , Lead. ... to any Curtiss-Wright employee or affiliate will not qualify for fee payment , and therefore become the property of Curtiss-Wright._ **Compliance Statement** This… more
- EDB (Boston, MA)
- …visit www.enterprisedb.com **Job Description:** We are seeking a Demand Generation Specialist to join our marketing team. This role will actively contribute ... of our culture and are key to our company's integrity . EDB does not seek or accept unsolicited resumes...not pay, any fees, commissions, or any other similar payment related to unsolicited resumes or CVs except as… more
- Lincoln Financial (Boston, MA)
- …this opportunity. **Requisition #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter expert to ... services. With our 120-year track record of expertise and integrity , millions of customers trust our solutions and service...chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer… more
- Berkshire Bank (Pittsfield, MA)
- …policies, procedures and regulatory guidelines thus assuring overall quality and integrity of the Banks commercial loan portfolios. Assists the junior staff ... + Reviews daily reports to ensure accurate customer billing, rate review, payment changes, transfers and performs maintenance necessary for corrections. Assists in… more
- NTT America, Inc. (Boston, MA)
- …to multi-cultural environments - displaying cultural sensitivity + Displays personal integrity and adheres to NTT Group values + Excellent communication (written ... + Adaptability to multi-cultural environments - displays cultural sensitivity, personal integrity , and adherence to NTT values **Attributes** + Ability to coach… more