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Case Worker

Quincy,MA

993 Case Worker jobs in Quincy,MA

Recommended
Patient Access Representative, 9AM-5:30PM

Beth Israel Lahey Health

Brookline, MA 02446

Recommended
Easy Apply
Social Worker

Thom Child and Family Services

Norwood, MA 02062

~ 27 min OnsiteFlexible ScheduleBilingual PreferredEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • Master's Degree in Social Work from an accredited school of social work AND Certified or Licensed Social Worker (LCSW, LICSW, LHMC) required
  • Knowledge of family systems and early childhood development.
  • Ability to engage in meaningful, therapeutic relationships with children, parents/caregivers, and community partners.
  • Commitment to delivering individualized and culturally humble services.
  • Excellent written and verbal communication and organizational skills.
  • Abide by all confidentiality and professional boundaries standards.
  • Good computer skills as well as strong documentation skills.
  • Current driver's license and reliable transportation.
SmartExplore AI is experimental.
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New, Posted 13 hours ago
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Patient Financial Services Representative/Hospital Billing

South Shore Health

Whitman, MA 02382

~ 33 min Onsite

  • Candidates must reside in MA, RI, CT or NH to be considered
  • Position is based in Weymouth, MA
  • Knowledge of healthcare billing, insurance plans, codes, and reimbursement methodologies
  • Proficiency in data entry and basic computer skills, including Microsoft Office Suite
  • Excellent organizational and multitasking skills
  • Strong interpersonal and communication skills
  • Strong analytical and independent decision-making skills
  • Minimum Education High school graduate or above
  • Minimum Work Experience 2 years of hospital and/or physicians billing preferred
  • Hybrid or remote work options may be available
  • Notifies manager of any changes that would affect claim submission
  • Maintain compliance with federal, state, payer, and organizational billing regulations
  • Monitor payer policy updates and communicate changes that may impact billing, collections, denials, or reimbursement processes
  • Evaluates daily claim file using Claim Edit and Charge Review Work queues for submission of UB-04 and 1500 claim forms
  • Initiate claim corrections as defined payer regulation and hospital policy
  • Works external claim edits from Clearinghouse and resubmits claims through EPIC
  • Initiate collection of aged accounts receivable through Epic work queues while prioritizing accounts based on organizational goals and aging criteria
  • Unresolved and incomplete accounts require insurance company contact by phone, e-mail or designated web site to resolve outstanding balances
  • Collaborate with denial management staff for accounts that require clinical intervention for an appeal process
  • Collaborate with clinical departments, patient access and other departments as needed to resolve account issues
  • Generate technical appeals as needed for account resolution
  • Provide to manager a detail account history for any account that is considered uncollectable
  • Document all actions taken within the EPIC account notes section and/or follow up/denial activities note section
  • Documentation is required at least every 30 days for all accounts requiring follow-up
  • Escalates payer related issues to Provider Representative for resolution and participate in monthly meetings
  • Must maintain defined quality and productivity measures
  • Evaluate current processes, identify denial or payment trends and escalate to Management
  • Handle payer 277 rejections and resubmit through EPIC system
  • Reconcile account balances and ensure appropriate adjustments are applied according to established policies
  • Review credits work queues for resolution of overpayments and undistributed payments
  • Review credit balances in assigned work queues and request refunds or payer retraction as needed
  • Communicate with patients as needed for additional insurance or other information needed in order to process a claim
  • Generate phone calls or letters as needed to obtain necessary insurance or other related information, prior to an account being placed in self-pay
  • Obtain proper verification of predefined patient demographic information and maintain documentation in order to verify identity
  • Embraces technological solutions to work processes and practices
  • Uses the Mytime payroll system to enter time worked, sick days, vacations and holidays
  • Uses Epic functionality
  • Uses MS Outlook as a communication tool
  • Access provider web sites for verification of accounts
  • Access SharePoint and OneDrive for stored files
  • Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment
  • Successfully answers safety questions in the annual mandatory education packet
  • Maintains a neat, organized work environment
  • Adheres to respiratory etiquette guidelines
  • Assist with identifying workflow improvements to enhance operational efficiency
  • Assist leadership with special projects, audits, and process improvement initiatives
  • Other duties as assigned by Management in accordance with department needs
  • Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization
  • Embraces technological advances that allow us to communicate information effectively and efficiently based on role
  • Complete necessary training sessions required for the Billing System and assigned accounts within Follow Up and Denial work queues
SmartExplore AI is experimental.
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New, Posted 1 day ago
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Call Center Rep Work From Home

Serur Organization

Quincy, MA

Remote

  • Customer Service Rep Work From Home
  • Benefits Representative
  • Remote work
SmartExplore AI is experimental.
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New, Posted 1 day ago
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Behavioral Health Spec - Inpatient Psychiatry Step-Down

Boston Children's Hospital

Waltham, MA 02453

Flexible Schedule
Recommended
Culinary Agents
Prepared Foods Cook / Food Production - Part Time

Whole Foods

South Weymouth, MA 02190

$16.50-$30.20/hr
Flexible Schedule
Recommended
ZipRecruiter
Patient Benefits Coordinator II - Various Sites

Boston Health Care for the Homeless Program

Boston, MA 02118

$23-$35.60/hr
Bilingual Preferred
New, Posted 1 day ago
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Community Support Navigator

Volunteers of America

Quincy, MA 02169

$55,000/yr
Flexible Schedule
New, Posted 1 hour ago
Easy Apply
Behavior Interventionist, School Services

Intercare Therapy

Boston, MA 02114

$24/hr
$500 bonus
~ 15 min OnsiteBilingual Preferred

  • Completed High School diploma
  • You must be willing to drive a commute of 20 to 40 miles to the school you are assigned.
  • Basic technology proficiency, including the ability to navigate electronic systems and submit clinical notes and documentation.
SmartExplore AI is experimental.
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Clinical Practice Assistant

Cambridge Health Alliance

Chestnut Hill, MA 02467

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