58 jobs found in Worcester, MA

Position Overview: We are seeking a motivated and detail-oriented PCM Billing Program Assistant to join our team for a temporary, 6-month assignment. In this role, you will provide essential administrative and billing support to ensure the smooth operation of the PCM program. You will be responsible for managing billing spreadsheets, preparing reports, and processing various billing and fraud-related tasks. The successful candidate will have strong organizational skills, an eye for detail, and experience working with office software, including Microsoft Excel. Key Responsibilities: Provide comprehensive administrative support to the PCM program, including maintaining billing spreadsheets, Long Term Care Reports, MassHealth ineligible, and other related reports. Process and submit monthly PCM billing, download reports from HTSgo, investigate ineligible consumers, and follow up with PCM Skills Trainers as needed. Research billing denials and provide feedback to the PCM Manager. Close...

Reliant Medical Group, part of the Optum family of businesses, is seeking a Chief APC of Gastroenterology (PA or NP) to join our team in Auburn, MA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients...

Find more at Milford Regional. As a valued member of the Milford Regional Physician Group team, you will play a key role in providing quality healthcare to our patients throughout the community every day with dignity, compassion and respect. We offer a warm, caring work environment with excellent work-life balance. Position: Medical Assistant/Practice Supervisor Job Description: MRPG's medical assistants support a provider by setting up patient exam rooms with supplies necessary for the patients visit and assisting the provider with various clinical responsibilities including rooming patients, providing point of care testing.The Practice Supervisor supports the daily clinical and operating activities of Milford Regional Physician Group's outpatient offices. The candidate will be responsible for supervising both the clinical and clerical staff and the daily operating needs of the office. Qualifications and Experience: High school diploma or equivalent, strong...

Job Description Job Description Summary: This position will work with all phases of billing for a Mental Health / Substance Abuse Clinic. To be considered you must have at least 2-3 years’ experience in medical billing with a focus on payment posting and accounts receivable. The hours are Monday to Friday 8AM-4:00PM. Why Work for SMOC? Paid Time Off: All full-time employees can accrue up to 3 weeks of vacation, and 2 weeks of sick time and are eligible for 12 paid holidays during their first year of employment. Employer-paid Life Insurance & AD&D and Long-Term Disability for full-time employees. Comprehensive Benefits Package including Medical Plans through Mass General Brigham with an HRA Employer cost-sharing program, Dental Plans with Orthodontic Coverage, and EyeMed Vision Insurance available to full-time employees. 403(B) Retirement Plan with a company match starting on day one for all full-time and part-time employees. Additional voluntary benefits...

Reliant Medical Group, part of the Optum family of businesses, is seeking a Chief APC of Gastroenterology (PA or NP) to join our team in Auburn, MA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across...

Job Description Job Description Seeking a Claims Reconsideration Coder for a temporary to permanent hire position with a prestigious insurance company in RI. This position is immediately available for the successful candidate. Experience is preferred; however, consideration will be given to newly certified applicants who have passed the certification exam and can present their certification number. This is a full-time position working 37 1/2 hours weekly, on site, and offers a comprehensive benefits package when/if hired permanently. Responsibilities include, but are not limited to: Responsible for all aspects of Claim Reconsideration Requests and Contracted Provider Administrative Appeals including reviewing, resolving, adjusting, and development of written communication to providers Independently abstract and interpret of all medical notes required to determine if the services billed are supported for reimbursement using current industry standard coding, CMS guidelines,...

Job Description Job Description We are currently hiring Medical Billers to work in our fast-paced office. A successful candidate will have at least two years of experience in medical billing and will be able to produce detailed bills and reports on a daily basis.  Full-time and part-time positions are available.  This is NOT A REMOTE opportunity, but can become a hybrid role in the future. The ideal candidate will have a background in medical fields such as Chiropractic, Physical Therapy, Internal medicine and Mental Health as well as preferred experience working with insurance companies such as but not limited to Blue Cross, Aetna, Cigna, Tufts, Medicare and Medicaid. Responsibilities: Bill insurance companies for medical procedures. Create reports for medical information. Assist with filing doctor's claims for insurance reimbursement. Manage medical accounts receivable. Prepare paperwork for insurance companies via varied softwares- Tebra (formerly known as Kareo) is a...

Job Posting Description To be considered a qualified candidate, you must be a seasoned and strong surgical coder with understanding of CCI edits and guidelines along with all the surgical modifiers, teaching attestations, and global periods and with experience writing appeals and NOC letters. Surgical coder candidates should have the skillset to work independently on their assigned surgical specialties. Additionally as requested to work collaboratively with team members to cross train and assist in other surgical-specialties. The Physician Specialty Coder will be responsible for: Performing ICD-10 review and complex CPT Coding Validation or ASA coding for assigned surgical specialty departments. Establishing and maintaining working relationships with Physicians to communicate and resolve specific case issues, as well as general questions and or coding principles. Developing and maintaining professional skills. Participating in professional organizations and staying abreast...

Company Overview: Dyne Therapeutics is discovering and advancing innovative life-transforming therapeutics for people living with genetically driven neuromuscular diseases. Leveraging the modularity of its FORCE platform, Dyne is developing targeted therapeutics that deliver to muscle and the central nervous system (CNS). Dyne has a broad pipeline for neuromuscular diseases, including clinical programs for myotonic dystrophy type 1 (DM1) and Duchenne muscular dystrophy (DMD) and preclinical programs for facioscapulohumeral muscular dystrophy (FSHD) and Pompe disease. Role Summary: The Associate Director, Medical Science Liaison (MSL) is an experienced field medical expert who plays a strategic role on the field medical team with depth and breadth of business acumen, therapeutic knowledge and serves as an informal leader on the team. The person in this role will be a customer facing, field-based extension of our Medical Affairs team. The MSL’s key objective is to create impact...

Our commitment to people with neuromuscular diseases is our greatest strength. Dyne Therapeutics is discovering and advancing innovative life-transforming therapeutics for people living with genetically driven neuromuscular diseases. Leveraging the modularity of its FORCE platform, Dyne is developing targeted therapeutics that deliver to muscle and the central nervous system (CNS). Dyne has a broad pipeline for neuromuscular diseases, including clinical programs for myotonic dystrophy type 1 (DM1) and Duchenne muscular dystrophy (DMD) and preclinical programs for facioscapulohumeral muscular dystrophy (FSHD) and Pompe disease. For more information, please visit Dyne Therapeutics . Role Summary: The Associate Director, Medical Science Liaison (MSL) is an experienced field medical expert who plays a strategic role on the field medical team with depth and breadth of business acumen, therapeutic knowledge and serves as an informal leader on the team. The person in this role will be...

Senior Manager/ Associate Director, Medical Operations Zenas BioPharma is a global biopharmaceutical company committed to becoming a leader in the development and commercialization of immune-based therapies for patients around the world. With clinical development and operations globally, Zenas is advancing a deep and balanced global portfolio of potential first- and best-in-class autoimmune therapeutics in areas of high unmet medical need while meeting the value requirements of the dynamic global healthcare environment. The company’s pipeline continues to grow through our successful business development strategy. Our experienced leadership team and network of business partners drive operational excellence to deliver potentially transformative therapies to improve the lives of those living with autoimmune and rare diseases. We are seeking top talent who share our commitment to patients and have a track record of success in acquiring, developing and commercializing products across...

Responsibilities: Primary coding resource for assigned products and studies. ccurately codes assigned data fields including, but not limit ed to, adverse events using MedDRA and concomitant medications using WHO Drug in accordance with company coding conventions and ATC. Effectively performs coding related functions for assigned studies. Prepare and manage coding assignments for new studies and collaborate with clinical team representatives on approach to coding strategy for assigned products and oversight of assigned studies including sign off document as it impacts medical coding review, product approval, analysis of coded data for safety review and signal detection and patient safety. Identifies when terms or drug names are inadequate, ambiguous or unclear for coding purposes and direct query generation in such aspects. lso, identify and resolve coding discrepancies, and review coding listings for accuracy and consistency. Participate in...

Are you looking for an opportunity where you feel valued as a team member and empowered to make decisions? Bring your steller billing/office experience to this fast growing healthcare industry company in Waltham and make an impact immediately. If interested please apply below or call me directly at 781-897-5222. salary: $22 - $25 per hour shift: First work hours: 8 AM - 4 PM education: No Degree Required Responsibilities Process billing to payers. Investigate denials, resolve, and reconcile all claims for payment. Work with outside and internal departments to resolve consumer issues related to billing. Follow billing procedures for all tasks assigned. Answering phone calls. File, Input, monitor, and update data as necessary. Provide administrative support. Assist in keeping the office neat and clean. perform other office duties as required. Skills Written Communication Organizational Skills Verbal Communication Handling Confidential Information...

Job Description Job Description Location: Hybrid in Bedford, MA This Role: Manage and monitor projects and operations to support interdepartmental goals. Key Responsibilities: Assist in the development and implementation of ED pro /facility coder production, other specialties and consistently meet LogixHealth coding industry standards Monitor and track use of operational production tools to determine root cause and provide a meaningful analysis Help direct the offshore production operational team Assist with management of new and established client production opportunities for the coding staff Assign work to staff and ensure completion May delegate day to day oversight to supervisors or team leads Ensure staff is trained and aware of job and company expectations and determine remedial action when needed Ensure cooperative team environment by Effectively communicating with staff about department and company initiatives Adjusting procedures as necessary to create...

Job Description Job Description $5,000 Signing Bonus Location: On-Site in Bedford, MA This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge solutions that will directly improve the healthcare industry. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to deliver exceptional third-party billing services.  The ideal candidate will have strong technological skills, excellent interpersonal communication, and experience in third-party billing. Key Responsibilities: Review/work denials on an explanation of benefits (EOB) statement Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims Send out appeals on claims that require an appeal Submit required documentation to insurance companies as requested Research claims for information in order to process bills in a timely manner Communicate with...

Job Description Job Description Benefits: Bonus based on performance Health insurance Paid time off This full-time opening is available for immediate hire. Company is a reputable, third-party medical billing company providing billing and consulting services to clients of various provider specialties. Please submit your resume ONLY if you believe you match the job requirements outlined below. Resumes that do not match will not be retained. Insurance A/R Coordinator Qualified applicants should possess a minimum of 2 years of experience in the medical billing field with a focus on physician services. Experience with multiple provider specialties is very much preferred. Knowledge of the Epic and CareTracker billing system are a PLUS, but very detailed hands-on industry experience is most important. Significant exposure to the following aspects of billing / revenue management is required: Patient Registration Insurance Eligibility Verification Service Coding Charge...

Process billing to pay[ " . Process billing to payers. . Investigate denials, resolve, and reconcile all claims for payment. . Work with outside and internal departments to resolve consumer issues related to billing. . Follow billing proc Medical Biller, Biller, Medical, Healthcare, Staffing, Billing

Manages both Medical Record and Coding Position Function: Manages both Medical Record and Coding II. Job Relationships: Interacts with all Management members at St. Elizabeth's Medical Center and BMC Interacts with Medical and Nursing staff at both clinics and SEMC. Interacts with line staff as necessary. Interacts with Management of other hospitals and clinics as needed. Interacts with appropriate staff of regulatory and accrediting organizations as needed to ensure compliance with legal standard. Interact with IS department to resolve existing systems issues and implement new systems. III. Authority: Has direct authority over all employees of both Medical Records and Coding. Has authority to create, revise, or terminate departmental policies and procedures. Has authority to revise job descriptions as needed to ensure effective operation of department. Provides counseling for job improvement; is responsible for any...

Working under the supervision of the Central Billing Department Supervisors will share the responsibilities of being accessible to physicians, staff and patients regarding billing questions; assures that all billing functions are completed in a timely fashion and develops billing goals. Responsible for accurately coding provider's outpatient and inpatient visits based on the documentation provided and abstracting accurate and complete patient care data to ensure optimum and timely reimbursement. Applies knowledge of specialized information specific to coding and medical terminology according to all coding guidelines. Required Qualifications and Skills: Minimum of 1-2 years of medical billing experience in either charge, payment or follow-up work Minimum of 1-2 year of coding experience for primary care, medical and surgical specialties or secured CPC, CCS-P coding certifications. Excellent written and oral communication skills with attention to detail Excellent...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Medical Assistant Supervisor, Neurology Department Burlington and Peabody locations Lahey Hospital and Medical Center is now offering up to a $1,500. in signing bonuses for our Medical Assistant positions. Important Details: •Signing Bonuses are paid out in three payments. You will receive your first payment (one third of the total amount) upon completion of the first 30 days of employment. You will receive the second payment upon completion of six (6) months and the third payment (final of the total amount) owe upon completion of one year following your start date. The bonus payments will be paid on the next regular pay day following the date on which you become eligible for the bonus. All payments are subject to applicable taxes. •Full time status at LHMC is considered for the schedules greater than or equal to 30 hours per week; part-time is 20-29 hours per...

Job Description Job Description Company Description Bicycle Therapeutics is a clinical-stage pharmaceutical company developing a novel class of medicines, referred to as Bicycle® molecules, for diseases that are underserved by existing therapeutics. Bicycle molecules are fully synthetic short peptides constrained with small molecule scaffolds to form two loops that stabilize their structural geometry. This constraint facilitates target binding with high affinity and selectivity, making Bicycle molecules attractive candidates for drug development. The company is evaluating zelenectide pevedotin (formerly BT8009), a Bicycle® Toxin Conjugate (BTC®) targeting Nectin-4, a well-validated tumor antigen; BT5528, a BTC molecule targeting EphA2, a historically undruggable target; and BT7480, a Bicycle Tumor-Targeted Immune Cell Agonist® (Bicycle TICA®) targeting Nectin-4 and agonizing CD137, in company-sponsored clinical trials. Additionally, the company is developing Bicycle® Radio...

Job Description Job Description Job Description About This Role The Associate Medical Director, Global Medical Affairs, Friedreich Ataxia (FA) will be a strategic partner providing expert medical leadership to guide development, launch planning, and support for our FA program to improve meaningful patient outcomes. As a key member of the FA Global Medical Affairs team, the Associate Medical Director will support development and implementation of the Global Medical Strategy for Biogen’s FA therapeutic area and will help maintain Biogen’s leadership in the global FA medical community.  What You’ll Do Support development and implementation of cross-functionally aligned medical strategies for available therapies and launch planning activities. Lead high-impact medical activities such as advisory boards Supports FA evidence generation program by interrogating, analyzing, interpret and publish research alongside Biostatistician, epidemiology, clinical, health outcomes...

Why Sarepta? Why Now? The promise of genetic medicine has arrived, and Sarepta is at the forefront. We hold leadership positions in Duchenne muscular dystrophy (DMD) and limb-girdle muscular dystrophies (LGMDs), and we currently have more than 40 programs in various stages of development in gene therapy, RNA and gene editing. In 2023, we launched our fourth therapy and the first ever gene therapy to treat Duchenne. We're looking for people who see unlimited potential in themselves and who are motivated by an unwavering commitment to patients. What Sarepta Offers At Sarepta, we care deeply about all the people in our community and believe in the importance of supporting them in all aspects of their lives. We aspire to maintain a culture that acknowledges people bring their whole selves to work, and we will strive to help everyone in our community integrate their work and personal lives while maintaining productivity. We are committed to offering a range of benefits and...

About This Role As the Associate Director, Medical Operational Excellence and Strategic Initiatives, you will lead enterprise level operational initiatives and major cross-functional events across the North American Medical Team at Biogen. This role Medical, Director, Strategic, Associate, Leadership, Operations, Technology, Business Services