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System Admins Remote

Salem,MA

1455 System Admins Remote jobs in Salem,MA

New, Posted 1 day ago
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Administrative Lab Director

Labcorp

Boston, MA 02215

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Sr Product Designer, Amazon Robotics, Amazon Robotics

Amazon.com Services LLC

North Reading, MA 01864

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Information Systems Technician

U.S. Navy

Revere, MA 02151

Patient Access Representative II - PACE Elder Service Plan - Full-Time

Cambridge Health Alliance

Boston, MA 02222

Bilingual Preferred
New, Posted 6 hours ago
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Principal Systems Engineer

Raytheon

Tewksbury, MA 01876

Flexible Schedule
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Remote Financial Protection Rep

Zuzick Organization

Salem, MA

Remote

  • 100% Virtual
  • 40 Hours per Week
  • Remote Work: Enjoy the flexibility of a full-time remote role.
SmartExplore AI is experimental.
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New, Posted 1 day ago
ZipRecruiter
Sales Consultant (Professional Services)

TriNet

Boston, MA 02203

New, Posted 4 hours ago
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Behavior Interventionist, School Services

Intercare Therapy

Boston, MA 02114

$24/hr
$500 bonus
~ 30 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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New, Posted 15 hours ago
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Patient Financial Services Representative/Hospital Billing

South Shore Health

Braintree, MA 02184

~ 43 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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Lead Solutions & AI Enablement Architect

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Boston, MA 02133

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