Medical Claims Intake & QA Specialist
The Planet Group
The Planet Group is seeking candidates for a role involving claims intake and data entry, located in Wellesley, Massachusetts. The position requires preferred experience in claims and medical coding, along with proficiency in basic office tools like Word and Excel. This role demands an ability to accurately enter data and identify discrepancies, with overtime expected during peak periods. Candidates should also be able to learn internal claims systems quickly and manage tasks efficiently. #J-18808-Ljbffr The Planet Group
- ...will be minimal. Role and Responsibilities Intake claims (approximately 20 per day) and... ...data to minimize errors; role includes QA audits and escalation of data issues to... ...Qualifications Preferred experience in claims and medical coding. Proficiency in basic office...MedicalClaimsWork at office10 hours per week
$68.2k - $102.3k
Senior Manager, Claims Services Sun Life embraces a hybrid work model that balances in‑office... ...improvement. Oversee execution of data intake, data management, claims processing,... ...working knowledge of stop loss insurance, medical and pharmacy claims data, detailed expense...MedicalClaimsWork at officeLocal areaFlexible hours- ...Outpatient Pharmacy is responsible for providing pharmacy services including performing prescription intake tasks, resolving insurance claims issues, preparing medications for dispensing, managing inventory, providing excellent customer service to patients, families, and...MedicalClaimsLocal areaFlexible hoursAfternoon shift
- ...litigation team by managing warranty litigation claims and arbitration matters and assisting... ...related arbitration matters, including intake, file setup, status updates, and... ...your very first day, you’ll have access to medical, dental, vision, and prescription drug coverage...MedicalClaimsFull timeImmediate start
$73 - $90 per hour
...handle credentialing, billing, and insurance claims so providers can enjoy the freedom of... ...market your practice to potential clients. Intake & scheduling team dedicated to your... ...Provider Industries: Mental Health Care, Medical Practices, and Hospitals and Health Care...MedicalClaimsContract workPrivate practiceRemote work- ...healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will... ...What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance...MedicalClaims
$50 per hour
...ensuring the quality and accuracy of their outputs. Required qualifications include fluency in English and a current or in-progress medical or healthcare-related degree. The position is flexible, allowing for remote work and project selection, offering hourly pay...MedicalHourly payFor contractorsRemote workFlexible hours$20 - $33 per hour
..., and a proven ability to manage complex medical records and legal documentation. Key Responsibilities... ...-litigation personal injury cases from intake through settlement. Coordinate and track... ...through treatment plans, property damage claims, and documentation needs. Document...MedicalClaimsHourly payFull timeWork at officeRemote workMonday to FridayDay shift$124.34k - $225k
...team will perform accurate and reliable medical review audits, analyze medical billing and... .... In addition, this position will review claims, look for patterns of potential fraud, waste... ...oversight and review of the SIU referral intake and investigation process while giving...MedicalClaimsWork at officeLocal areaFlexible hours$85 per hour
...(RDs) and Certified Nutrition Specialists (CNSs) licensed in any state to help us bring medical nutrition therapy (MNT) to all.... ...insurance clients in as few as 30 days Intake & scheduling support:... ...worry about denials or unpaid claims Access to EHR for efficient client...MedicalClaimsHourly payPermanent employmentFull timePart timeFor contractorsPrivate practiceRemote workFlexible hours$60k
...Insurance team, with a focus on Total Loss Claims and Lienholder-Initiated Damage Claims.... ...health and welfare benefits (medical, dental, vision, LTD/STD, Identity theft... ...Opportunity) (Work From Home)- Hospitality Specialist Boston, MA $75,000.00-$93,750.00 19 hours...MedicalClaimsFull timeWork experience placementImmediate startRemote workWork from homeFlexible hours- ...of Patient Care clinics owned by Embla Medical, which also owns Össur, a leading global... ...Limitations. About The Role The Patient Care Specialist facilitates excellent patient experience... ...record prior to product delivery and claim submission. Verifies patient insurance...MedicalClaimsWork at officeLocal area
$85k
...advocacy and support to injured clients from intake through settlement. Responsibilities Manage... ...strategy and provide legal guidance throughout the claims process. Negotiate settlements with insurance carriers. Review medical records, liability issues, and damages....MedicalClaimsWork at officeRemote work- ...clinical judgement, the position will complete intake assessments, notating SDOH needs, while... ...guidelines. This role identifies unmet medical, behavioral, and social needs and... ...promptly. Use electronic health record and claims systems to document and track member interactions...MedicalClaimsFull timeRelocation package
$132.3k - $178.9k
...Manager, Claims The Manager, Claims is responsible for all claims and litigation management activities for the claims professional staff... ...-year college or university 8 years' experience in handling medical malpractice claims or heavy bodily injury claims Experience working...MedicalClaims- Dormont Manufacturing Co is hiring a Quality Assurance Specialist to oversee operational performance across the Mass General Brigham Radiology... ...across teams, with a focus on quality assurance in a dynamic medical environment. The role emphasizes strong communication and...Medical
- ...of Patient Care clinics owned by Embla Medical , which also owns Össur , a leading global... ....About the RoleThe Patient Care Specialist facilitates excellent patient experience... ...medical record prior to product delivery and claim submission.Verifies patient insurance benefits...MedicalClaimsWork at officeLocal area
- Boston Children’s Hospital is looking for a Billing Specialist responsible for submitting and resolving insurance claims with accuracy. You will collaborate with... ...organizational skills, at least 2 years of experience in medical billing, and a High School diploma or GED. This...MedicalClaims
$55k - $80k
...lines clients (endorsements, renewals, certificates, billing, claims support as needed) with timely, accurate follow‑through. Drive... ...Information Alera Group offers comprehensive benefits, including medical, dental, life and disability insurance, 401(k), and generous...MedicalClaimsBase plus commissionWork at officeLocal area$48.01 per hour
...bonus What's in it for you? Commuting: 50% discount on MBTA passes Medical, Dental & Vision insurance: Starts day 1 PTO: up to 30 days... ...RT (R)(M) ARRT registered. Bachelor's degree preferred. Prior QC/QA program management or regulatory preparation skills highly preferred...MedicalHourly payImmediate startRemote workRelocation packageShift work- ...manage patient adverse events, malpractice claims, safety reports (RLs), and other... ...liability claims. Directs the initial intake processes of adverse hospital and patient... ...including interviewing staff and reviewing medical records for evaluation of clinical data,...MedicalClaimsFull timeWork at officeImmediate start
$78k - $113k
...and liabilities within Boston Medical Center (BMC) and serves as a role... ...reduce professional liability claims. Position: Risk Manager... .../Duties 1. Event Intake & Triage Receives and reviews... ...processes and safety gaps Supports QA/RM databases for committee...MedicalClaimsFixed term contractWork experience placementWork at officeFlexible hours- ...responsible for the timely and accurate submission of all charges and claims as assigned and required to bring issue/problem identification... .... Knowledge of insurance authorizations in relation to medical billing. Ability to identify problems and issues of varying complexities...MedicalClaims
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Waltham, MA | Full-Time |... ...purpose: Help patients access life-saving medications. Supportive culture: We value teamwork... ..., addressing and rectifying rejected claims and conducting necessary third party...MedicalClaimsFull timeTemporary workLocal areaRemote workRelocation package- ...Services (HUHS) is the on-site multi-specialty medical practice and health administration for... ...-face clinical time (60 minutes for new intakes, 20 and 40 minutes for follow-up visits),... ...condition of employment at HUHS. You may claim exemption from the vaccine requirements...MedicalClaimsFull timePart timeWork at officeFlexible hours
$20 - $24.5 per hour
Carrington is seeking a Default Claims Quality Assurance Analyst for remote work. The role involves reviewing and reconciling default claims... ...a high school diploma and experience in mortgage servicing or QA. The position offers competitive pay ranging from $20.00 to $24.5...ClaimsRemote job- ...Rep II (260004AM) The Department of Family Medical Leave’s (DFML) mission is to implement... ...program integrity of the DFML by ensuring claims filed with the Department of Family and Medical... ...system testing / reporting as required. Intake reports of potential fraud through the...MedicalClaimsFull timePart timeWork at officeShift work1 day per week
- ...those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and... ...developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care...MedicalClaimsHourly payApprenticeshipWork experience placementWork at officeLocal areaImmediate startFlexible hoursShift workAfternoon shift
- ...ambulance billing revenue cycle, from patient intake and charge capture through final payment... ...and patient care report (PCR) review to claim submission, accounts receivable (A/R)... ...preferred Experience ~5+ Years of Medical Billing and Revenue Cycle Management...MedicalClaimsContract workWork at officeLocal area
- ...Role will be mostly reviewing, fixing/editing and resubmitting claims. Will be working with at least four insurance companies, might... ...Three Keys: AR Plus Software experience (massive +) Healthcare/medical billing background Strong communication, comfortable speaking on...MedicalClaimsWork at office
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