16 Payer Jobs in Gardner, MA
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Patient Access Authorization Specialist, 40 Hours, Days, Rotating Weekends Heywood Hospital - Gardner, Massachusetts , in support of patient safety. Responsible for verifying and securing authorizations required by third party payer policies for inpatient and outpatient services in a timely manner and documenting 14 days ago
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MA - Gardner, MA - Registered Nurse Care Coordinator, Case Management Department Tekfortune Inc. - Gardner, Massachusetts Providing clinical information to payers, monitoring length of stay, seeking necessary care authorizations and utilizing the InterQual Program; appealing denials as indicated within a timely fashion. Reviews 16 days ago
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Physical Therapist CAPS Collaborative - Hubbardston, MA 01452, USA environment. Coordinate and participate in equipment and orthotic clinics and provide necessary documentation to third-party payers. Synthesizes evaluation results into a comprehensive written report which $47938.00 - $93037.00 per year 21 days ago
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RN or LPN Case Manager The Highlands - Fitchburg, Massachusetts that coordinates, monitors, and evaluates services according to the needs of patients. Works together with the patient and family, care team, payers, and external entities to promote a safe transition 2 days ago
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Senior Manager of TPL Claims Programs- Hybrid University of Massachusetts Medical School - Shrewsbury, Massachusetts . Strong oral and written communication skills Proven medical claims and billing experience. Expertise in Health Insurance and Coordination of Benefits for Medicaid, Medicare and Commercial Payers 5 days ago
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Program Manager, Patient Support Services - Medical Billing Certification Req'd - Remote IQVIA - Northborough, MA 01532 expenses Monitor and verify call center staff phone calls with patients, providers, and third-party payers Review accuracy on insurance and provider communication for faxing Address staff and customer 4 days ago
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Speech-Language Pathologist (SLP-CCC) / Long Term Care Healthpro Heritage, LLC - Keene, New Hampshire . Understand reimbursement by various payers and allocate therapy resources efficiently in accordance with resident goals and outcomes related to discharge destination. Demonstrate a knowledge of OBRA 5 days ago
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Hybrid Utilization Review (UR) Coordinator Hospital for Behavioral Medicine - Worcester, Massachusetts with external reviewers and referral sources. Conduct external reviews and maintain documentation of interactions. Ensure that third-party payers are notified of, or participate in, decisions about transitions 6 days ago
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Quality Analyst, Call Center IQVIA - Northborough, MA 01532 them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians and patients. A significant part of our business is acting 11 days ago
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RT Vent - Field AdaptHealth LLC - Marlborough , Massachusetts 01752 , United States to patient care issues. Maintains working knowledge of Medicare/Medicaid and other third-party payer guidelines related to ventilation. Electronically documents patient care activity, intervention provided 12 days ago
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