15 insurance jobs found in Somerville

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The team is growing and hiring Remote Customer Service Representatives! The teammates in Patient Billing Solutions (PBS) review and resolve guarantor account balances. Contact with guarantors can be either inbound contacts or outbound contacts that are generated by phone, written correspondence, email or secure Epic in-basket requests. Primary focus includes timely responses to guarantor inquiries generally matching the method that was...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary General Summary/ Overview: The Provider Enrollment Coordinator will be responsible for the insurance carrier enrollment and re-enrollment of clinical staff and ancillary providers, the maintenance of these providers in the Medical Staff Office system and in CAQH, and the dissemination of the provider information to both internal and external customers. The Provider Enrollment Coordinator must possess a comprehensive knowledge of the MGB...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary This role supports the accurate and effective implementation of benefits across all products. It's primarily responsible for benefit configuration and ensuring the configuration aligns with business requirements. Acting as a subject matter expert, the incumbent will work on projects, committees, and workgroups to contribute to business discussions and developments. Essential Functions -Evaluate benefit configuration...

Site: Massachusetts General Physicians Organization, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   Full Time Onsite Monday - Friday   Job Summary The Lead Patient Services Coordinator functions within the ambulatory practice coordinating administrative, research, and academic functions for a high-volume MRI facility with significant administrative and MRI implant research responsibilities. Assists MR Operations Manager with the effective management of the daily administrative operations, patient scheduling, patient insurance issues,...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   The Opportunity Reporting to Manager for Utilization Management, the Utilization Management Resource Specialist (UMRS) works collaboratively with the Utilization Management Case Managers (UMCM), Clinical Operations, Revenue Cycle Operations, and the Physicians Advisors providing direct administrative support to the utilization review processes and to the department. The UMRS must have strong communication skills and the ability to converse comfortably with...

Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day. Being a Great Place to Work is core to how we drive Responsible Growth. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates’ physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve. Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations. At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us!   Job...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The Collection Representative is responsible for communicating with patients, insurance companies, and other parties to collect outstanding balances, resolve billing disputes, and ensure proper reimbursement for the hospital. Essential Functions: -Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances. -Communicate with insurance companies, patients, and other relevant parties to...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The Senior Financial Analyst provides value-added analytic support to Provider Network Management (PNM) in meeting Mass General Brigham Health Plan’s strategic objectives. S/he must have extensive experience working with Medicare and/or Dual Eligible Special Needs Plans claims data. S/he possesses in-depth knowledge of contracting and risk-sharing models and regulatory issues governing payments to providers in a...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The Claims Operations Manager is responsible for managing commercial claims operations to ensure efficient and accurate processing of claims. Oversees claims workflows, compliance, and team performance to support revenue cycle goals and optimize reimbursement processes. The ideal candidate will possess excellent communication and organizational ability. They will have a strong aptitude for technology and its impact on...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   The Payment Policy Manager role is Full Time, within our Reimbursement Strategy department, Mass General Brigham Health Plan This is a remote role that can be done from most US states. The ideal candidate is a Certified Professional Coder (CPC) with strong claims editing skills, and writing skills since this role is writing provider-facing policies and experience with claims editing software (like ClaimsXten). Must have understanding of...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The Opportunity The team is growing and hiring Remote Customer Service Representatives! The teammates in Patient Billing Solutions (PBS) review and resolve guarantor account balances. Contact with guarantors can be either inbound contacts or outbound contacts that are generated by phone, written correspondence, email or secure Epic in-basket requests. Primary focus includes timely responses to guarantor inquiries generally matching the...

Site: Mass General Brigham Community Physicians, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   The Opportunity The Care Coordinator will work as part of an interdisciplinary care team providing care management for DSNP members with medical, behavioral, and social needs, including Severe and Persistent Mental Illness (SPMI). The Care Coordinator serves as the Interdisciplinary Care Team Lead for members with low to moderate complexities and acts as a key partner in navigating Mass General Brigham Health Plan, MassHealth, and Medicare...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary Summary Responsible for the overall direction and functioning of assigned applications to ensure alignment with organizational strategic goals. Also responsible for supervision of the applications development program and/or analyst staff to ensure the highest quality services to end-users. Essential Functions -Oversees and approves staff hiring, work allocation, training, performance management, including required documentation, as well as...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary Summary Responsible for designing, developing, and maintaining the data architecture and infrastructure within an organization. This position plays a crucial role in managing large-scale data systems and ensuring the efficient flow, storage, and accessibility of data for various stakeholders, such as data analysts, data scientists, and business users. Essential Functions -Design, develop, and implement data pipelines and ETL/ELT code to...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   The MGB Digital OCMO Clinical Analytics team is hiring a Full Time, Analytics Engineer - Extensive Benefits day 1 - Hybrid Working Model with your team onsite weekly - Enterprise Team Supporting MGB system   Job Summary The Opportunity The Analytics Engineer is vital to the OCMO Digital team! The Analytics Engineer will collaborate with a multidisciplinary team to define and achieve strategic objectives by prototyping advanced data models using dbt and...