Overpayment Specialist The Overpayment Specialist (OVPS I) is assigned a group of credit balances and is responsible for accurately and efficiently resolving the open claims. Additionally, this individual will review EOB's, contracts and/or other supporting documentation to determine if payments need to be refunded or if balances can be adjusted in accordance with policie

Benefits Start Day 1 for Full Time Colleagues No Waiting Period! For more information about our benefits, see below! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control and other services across more than 90 countries. We pride ourselves on being a trusted partner to many of the world's leading brands and serve consumer and b

1. Advises HRBPs, Managers and Executives system wide concerning employee relations issues such as reductions in force, workplace assessments, workplace conflict, etc. Partners with or refers cases to MGB ER for complex investigations related to workplace violence, discrimination, and substance abuse. 2. Conducts sensitive, confidential, objective and thorough investigati

Process provider applications and revalidation applications through verifications, credentialing, and site visits Accurately input enrollment data into database system Conduct quality assurance functions to reduce errors and improve processes and performance Demonstrate great depth of knowledge / skills in own function and act as a technical resource to others Educate and

MKS Instruments enables technologies that transform our world. We deliver foundational technology solutions to leading edge semiconductor manufacturing, electronics and packaging, and specialty industrial applications. We apply our broad science and engineering capabilities to create instruments, subsystems, systems, process control solutions and specialty chemicals techn

SC HR Comp Benefit New Bedford , MA Managerial/Prof Pay Grade SC021 Full time , Day shift , 40 Req # 78582 Work for One of the World's Best Hospitals! For Five Consecutive Years, Newsweek named Southcoast Health among the World's Best Hospitals (Charlton Memorial, St. Luke's, and Tobey). In addition, Southcoast Health was voted by readers as South Coast Media Group's Best

You contribute to Veolia's success by overseeing implementation, compliance, legislative changes, analysis, plan management, administration support, vendor management, RFP & integration, relevant projects and communication of all retirement & financial benefit plans including, but not limited to, 401(k), pension, nonqualified programs, life insurance and retiree medical.

About Us At Mass General Brigham Digital, we pride ourselves on our ability to create maximum strategic, clinical, and operational value from established and emergent technologies for our patients, care teams, researchers, and employees. Digital health will not only enhance the equity and efficiency of healthcare delivery, but it will also help make medicine more personal

Schedule full time, days Under the supervision of the Director of Procedural Services, Ambulatory Infusion and Dialysis Services and as a member of the department based Patient Care Team, the Ambulatory Resource Specialist facilitates patient flow and resource utilization as designated within the Outpatient Infusion Clinic. Performs a wide range of secretarial duties and

Reporting to the Care Coordination Manager, the Case Management Resource Specialist (CMRS) works collaboratively with the Discharge Planning RN Case Manager; providing direct administrative support to the discharge planning processes and to the department. The person in this position will spend time on the Mass Eye and Ear's inpatient clinical units and have direct intera

This is a remote role that can be done from most US states. Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on the

Work collaboratively with clinicians in the Acute Psychiatry Service and Consult Liaison services to assist with patients' discharge from the emergency or hospital setting to other psychiatric or medical settings. Receive prior authorizations from payors to assure a seamless and timely transition of these patients out of the hospital and into an appropriate next level of

Reporting to the CMRS Manager, the Case Management Resource Specialist (CMRS) works collaboratively with the Discharge Planning RN Case Managers; providing direct administrative support to the discharge planning processes and to the department. The person in this position will spend time on the clinical units and have direct interaction with patients and their families, c

The Care Transition Specialist completes administrative responsibilities related to care progression and care transitions along the continuum of care. They work collaboratively with nurse care coordinators, social workers, physicians, and other care team members. The Care Transition Specialist is responsible for acting as an advocate for patients and patient families and

What does a Prior Authorization Specialist do? The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities, including BWH OR procedures, BWFH OR procedures, FXB OR procedures and BWH/BWFH Endoscopy