Medical Claims Resolution Expert

Claims Finance Director (Worcester, MA or REMOTE)Thursday, March 6, 2025For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, ESG initiatives and IDE journey.Our Claims Finance, Analytics and Insights team is...

About UsHahhh is a leading healthcare provider dedicated to delivering exceptional patient care and advancing medical research.Our division excels in groundbreaking research, comprehensive clinical care, and outstanding education. We offer cutting-edge clinical trials, a multidisciplinary care approach, and robust fellowship training programs.We have a...

Key Skills and QualificationsTo be successful in this role, the Denial Resolution Specialist should possess a minimum of a High School diploma and four or more years of experience in healthcare billing functions.Previous healthcare billing experience and a proven track record of successful performance and goal achievement are also required.The ideal...

Main ResponsibilitiesThe Denial Resolution Specialist will resolve accounts with high dollar balances (>$100,000) recognizing the potential complexity and need for rapid resolution.This role also involves analyzing and researching denial reasons for each assigned denial code.The specialist will participate in payer and internal audits, maintaining...

Role OverviewThe successful candidate will be an experienced Medical Doctor with a strong background in patient care and a Board certification or eligibility in Rheumatology.You will join our team of talented clinicians and researchers who are passionate about delivering exceptional care and pushing the boundaries of medical knowledge.Protected time for...

At UMass Memorial Health, we're dedicated to fostering a culture of academic excellence and leading-edge research in the field of pediatric orthopedics.Job OverviewWe're seeking a highly skilled BE/BC Pediatric Orthopedic Surgeon to join our Division of Pediatric Orthopedics at UMass Memorial Children's Medical Center.This is an exceptional opportunity for a...

Academic Pediatric Orthopedic Surgeon, UMass Worcester MAApply remote type On-site (100% Onsite)locations Worcester, MA University Campustime type Full timeposted on Posted 30+ Days Agojob requisition id R24104127Are you a current UMass Memorial Health caregiver? CLICK HERE to apply through your Workday account.Everyone Is a CaregiverAt UMass Memorial...

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together...

The Patient Administrator will improve operational efficiency, optimise financial performance, and enhance patient experiences. The administrator will be responsible for all aspects of patient administration–admission, medical aid communication, authorisation, billing and general administrative tasks.The team member will have an obligation to clearly...

Do you possess expertise in advocacy, social work experience and collaborating with community partners? Pinellas County has the ideal career move for youThis is a management level position requiring highly professional, administrative and technical work managing the operations of the Disability Advocacy Program and Pinellas County Health Care Program, a...

**Internal Sales Assistant R 27 500 ** **Worcester** Established Company with offices located in Worcester is looking for a Full time Internal Sales Assistant in Worcester to fulfill the following task to give a few examples **Duties** **DUTIES INCLUDE (but not limited to)**: - Sales - the Internal Salesman will be required to assist customer...

Applications are invited for the above-mentioned position to be based in our **West Hub, Worcester district office,** with the requirement to travel between branches in the region (Worcester and Stellenbosch). This position will report to the **Head of Human Capital.** **Purpose of the role**: The Regional HR Business Partner, reporting to the Head of...