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Third Party Reviewer jobs - Boston, MA

Viewing 1 - 10 of 170 jobs

  • SENIOR THIRD PARTY REVIEWER

    Partners Healthcare - Charlestown, MA

    * Contact patients and/or other third party representatives to secure additional information pertaining to reimbursement ... and strong team player. Knowledge of third party payer contracting language, terms and medical terminology. *...

    9 days ago from Partners HealthCare

  • Senior Regulatory Affairs Specialist

    T2 Biosystems - Lexington, MA

    Assisting with the administration of internal auditing and third-party inspections Review, evaluate and compile files and reports in preparation for U.S. and international regulatory submissions Provide regulatory- focused feedback and...

    2 days ago from T2 Biosystems

  • BWPO APPEALS SPECIALIST / 40 HOURS / DAYS - BWH RADIATION ONCOLOGY

    Brigham and Women's Hospital - Boston, MA

    DUTIES AND RESPONSIBILITIES: • Processes all third party insurance claims for payment • Handles patient and ... documentation for appeal to third party • Reviews denied claims for possible appeal • Communicates with third...

    9 days ago from Brigham and Women's Hospital

  • Medical Case Manager

    AP Healthcare - Boston, MA

    Evaluate patient satisfaction and quality of care Review third party payors Document patient reviews and records ... of Medicare benefits Background in hospital based and third party payor case management Minimum 2 years of...

    8 days ago from ZipRecruiter

  • Vendor Risk Manager

    Santander Bank - Boston, MA

    measures present at high and critical-rated Third Party Providers contracted by the bank. The incumbent will ... information on roles and responsibilities. Review Third Party Provider contract revisions for compliance...

    12 days ago from EasternMass

  • Lead (UI) Software Engineer

    McGraw-Hill - Boston, MA

    hands on software development, create frameworks, use third party frameworks, code reviews * •Identify gaps and proactively improve system service level agreements * •Collaborates with Product Managers and Business and do some market...

    12 days ago from McGraw-Hill Education

  • Internal Audit Manager

    Kforce Inc. - Newton, MA

    controls throughout the company * Manage and assist third party testers/consultants at multiple worldwide locations with management's control effectiveness testing * Conduct reviews to ensure compliance with policies and procedures *...

    8 days ago from Kforce Finance & Accounting

  • Business Intelligence Reporting Analyst - SQL Server

    Softworld - Boston, MA

    Excel skills will not be considered for this position. THIRD PARTY AGENCIES, SUBCONTRACTORS, AND RECRUITERS NEED NOT APPLY. Applicants received from firms will not be considered. Subcontracting is not available for this position. SQL...

    6 days ago from Softworld Inc

  • Collections Coordinator

    Insulet - Billerica, MA

    ensure timely and accurate filing of government and third party medical claims, ensures maximum reimbursement ... and to assist in preparing responses to requests of third party payors. * Prepares memos/forms/correspondence. *...

    8 days ago from Insulet Corporation

  • Claims Counsel

    First American - Boston, MA

    • Negotiate with claimant / opposing counsel / third parties for resolution. • Attend mediations and other required court appearances / processes. • Review and approve invoices for costs and attorneys’ fees. • Perform / assist initial...

    9 days ago from First American

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