Manager Medicare Appeal jobs in Cambridge, MA

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Manager Clinical Services
Senior Whole Health LLC - 2 reviews - Cambridge, MA 02141
Working knowledge of Medicare and Medicaid programs. Provide on-going support to members related to service coordination, grievance and appeals, claims inquiry,...
Account Manager Home Healthcare
Blissful Homecare, LLC - Danvers, MA
Knowledge of Medicare & Medicaid services, marketing, enrollment policies and guidelines. Assure compliance and adherence with Medicare & Medicaid enrollment...
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Licensed Social Worker - part time
Kindred Healthcare - 1,556 reviews - Westwood, MA 02090
Assist resident/family/significant others in obtaining appropriate forms to gain services, such as Medicaid applications or insurance appeals....

Benefit Policy and Implementation Manager

BMC Health Net - Charlestown, MA
Experience working with commercial multi-product/multi-employer plans and benefit designs Demonstrates strong organization skills and ability to work in a...

Manager Clinical Services

Senior Whole Health LLC - 2 reviews - Cambridge, MA 02141 (East Cambridge area)
Working knowledge of Medicare and Medicaid programs. Provide on-going support to members related to service coordination, grievance and appeals, claims inquiry,...
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Supervisor, Member Services - Senior Products

Tufts Health Plan - 139 reviews - Watertown, MA 02472
Familiarity with Medicare Advantage plans highly desired. Knowledgeable in all state and federal mandates including, but not limited to, HIPAA, CMS guidelines...

Customer Care Manager

Aegerion Pharmaceuticals, Inc. - Cambridge, MA
Manage reimbursement process through facilitation of benefit investigations, prior authorizations support, alternative funding, appeals guidance, and copay...

Field Reimbursement Manager - Boston

AmerisourceBergen - 732 reviews - Boston, MA
Knowledge of private payer Medicare and Medicaid structure systems and reimbursement process. Technical knowledge of health care reimbursement from a patient...

Compliance Program Manager III - Precertification Operations

Tufts Health Plan - 139 reviews - Watertown, MA 02472
Medicare and / or Medicaid compliance experience preferred. 3 - 5 years Medicare / Medicaid product utilization management experience required....

Manager, Clinical Quality

Harvard Pilgrim Health Care - 35 reviews - Wellesley, MA
These include MHQP, HPHC/UBH QI Workgroup, Cost Savings Initiatives Committee, Technology Assessment Committee, Fraud Waste and Abuse Oversight Committee,...

Manager, Revenue

Massachusetts Eye and Ear Infirmary - 49 reviews - Charlestown, MA
For adjustments that the Infirmary disagrees with, determine the feasibility of submitting appeals, and when feasible, prepare and submit appeals on a timely...

Bed Management Coordinator

Good Samaritan Medical Center - 29 reviews - Brockton, MA
Medicare outpatient dental, cosmetic, nutrition). Follow-up on denied accounts by assisting in the appeals process....

Accounts Receivable Specialist

SMG - Boston/Brighton Area - Revenue Mgmt. - Brighton, MA
These denials and appeals are billed in the AthenaNet system electronically. I.e., medical records, EOBs, Remits, Authorizations, referrals, etc., through our...
Claims Processing Specialist
KBW Financial - Nashua, NH
$15 an hour
Assisting with appeals, denials and resubmissions. Processing claims for Medicare, Medicaid and third party insurances....

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