Medicare Jobs in Sterling, MA

Job title: Patient Biller Job Location: 12401 Washington Boulevard, Whittier, CA 90602 Job Duration: 3 Months assignment (Possibility of extension) Pay Rate- $26/hr. on W2 Shift- 7:30am-4:00pm/8:00am-4:30pm/8:30am-5:00pm Job Description More...

Job Title: Risk Adjustment Data Analyst Job Location: Newark, NJ(Hybrid) Job Type: Full Time Job Summary: The Data Analyst leads the technology process for the end-to-end Risk Adjustment Processing System (RAPS) and Encounter Data Processing System (EDPS) data flow and works within k More...

Title: Data Analyst/Programmer V Location: Remote prefers EST Duration: 3 Months+ (likely extension or possible contract to hire, depending on merit and business need) ** Must be US Persons to be considered *** Position is remote and candidates can sit anywhere in the US. Prefers More...

Role: Peoplesoft Functional / Integration Tester Duration: Long Term Location:New York Mandatory Qualifications: Extensive PeopleSoft 8.x/9.x (v. 9.2 is plus) Functional testing experience in PeopleSoft HR ,NA Payroll(Garnishments) and Global Payroll/ Absence Management More...

Project Description: The Financial Information Services Agency and Office of Payroll Administration (FISA-OPA) has a vacancy for a Peoplesoft Functional/ Integration Tester to support ongoing production maintenance and system enhancements of the HR, Benefits and Payroll function More...

Technical Skills: - Generate pre-check register and authorization form for clients. - Verify approvals have been received. - Modify pre-check based on approvals received, ensuring the batch ties to the client approval. - Generate export file from claims system for check printing. - Ob More...

Job Summary The project manager is accountable for program managing the QNXT insourcing project. The project includes insourcing of QNXT and CCA application from a hosted data center to local data center. The project manager is accountable for execution and managing the program. The More...

Training: 2-3 weeks in the office Post training schedule: Hybrid 3 days in an office located in Phoenix, AZ and 2 days work from home Job Description - Generate pre-check register and authorization form for clients Verify approvals have been received Modify pre-check based on appr More...

Role: Claims Examiner Location: Phoenix, AZ (Hybrid) Type: Full time Summary: Under the direction of the Accounting Manager, the Claims Payment Specialist is primarily responsible for ensuring that claims are selected for payment according to client regulations and client process More...

Title : IT Specialist - Expert Location : Menands, NY, 12204 Duration : 24 MONTHS Client : New York State Department of Health Requirements : 84 months experience in the area of:public health information Systems such as Medicaid or the Childs Health Insurance Program 84 month More...

Job Description: Claims Payment Specialist Summary: Under the direction of the Accounting Manager, the Claims Payment Specialist is primarily responsible for ensuring that claims are selected for payment according to client regulations and client processing rules. The position is resp More...

Title: Medical Claim Review Nurse Location: Remote Duration: 6 Months+ Job Description: Position is fully remote and candidates can be located anywhere in the US. Hours are flexible - Training will be approximately 3 weeks and candidates should plan on working 9AM-5PM MST for tra More...

Project Manager Location: Philadelphia ( Remote within a commutable distance) Contract with Possible CTH Our Client, an established Insurance provider on the east coast is looking for someone who brings a drive for excellence, team orientation and customer commitment; help them rei More...

This position serves as an internal and outward-facing, dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expect and developing and managing initiatives to achieve 5 stars. The position has More...

Job Description: This position is responsible for ensuring that Medicare Advantage membership enrollment is in sync by reconciling CMS enrollment records and Horizon enrollment records via review of Daily Transaction Reply Reports (DTRR) and the Monthly Membership Reports (MMR) while More...

Hi, JD: OBJECTIVES OF ENGAGEMENT This contract position reports to the Metrics and Analytics Section Chief. The Functional Architect provides analytical support for the Office of Long Term Living's programs. This position will assist in the collection, preparation, validatio More...

Skills: Previous billing experience (1 year) with: Medicare, Medicaid, 3rd party, Blue Cross, Blue Shield, payment posting, commercial insurance. Good communication and writing skills. Minimum Degree Required: Completed High School (Diploma or GED) Shift Timings: 09:00 AM EST More...

Our client, a not-for-profit, multi-facility organization specializing in health care, housing, and rehabilitative services for older adults. As a team member, you are free to work in an innovative environment with a number of bright minds that let your core strengths shine. Our clien More...

Job Title: Claims Adjuster - Workers Compensation (Hourly) Location (On-site, Remote, or Hybrid?): Rancho Cucamonga, CA (Remote) Contract Duration: 2 months Work Hours: 8am - 4:30pm Description: PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation More...

Job Title: Claims Adjuster - Workers Compensation (Hourly) Location (On-site, Remote, or Hybrid?): Richmond, VA (Remote) Contract Duration: 2 months Work Hours: 8am - 5pm Description PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits More...