• Claims Specialist Sr…

    Sedgwick (Boston, MA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims… more
    Sedgwick (07/10/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, ... reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject... Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA or… more
    Commonwealth Care Alliance (05/31/25)
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  • Medicare/Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …considered at this time._** **Position Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical ... Sr . Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and...certified within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) +… more
    Commonwealth Care Alliance (05/28/25)
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  • MassHealth Regulatory Compliance & Audits…

    Commonwealth Care Alliance (Boston, MA)
    … Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr . Specialist II is responsible for ensuring CCA's operational compliance with ... 011250 CCA- Claims **_This position is available to remote employees...Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment,… more
    Commonwealth Care Alliance (06/02/25)
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  • Hospital Billing Specialist

    Tufts Medicine (Tyngsboro, MA)
    …and spreadsheets. 7. Must be able to develop and maintain professional , service-oriented working relationships with senior leadership, patients, physicians, ... the delivery of support services or activities, typically under supervision. A specialist level role that requires very advanced knowledge of operational procedures… more
    Tufts Medicine (08/04/25)
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