Job Description

Must Have:

• Previous Provider Relations Experience in Massachusetts
• Experience with Medicare and Medicaid reimbursement methodologies
• Must have valid driver’s license and access to a car- travel 50% of time in assigned territory
• Previous health insurance industry experience
• Live in the Massachusetts area

Education:
Bachelor’s degree in business administration or a related field or an equivalent combination of education, training and experience is required.

Experience:
Two or more years of progressively responsible experience in a managed care or healthcare environment is preferred.
Experience with Medicare and Medicaid reimbursement methodologies.
Understanding of provider coding and billing practices.
Certification or Conditions of Employment:
Must have valid driver’s license and access to a car.

Competencies, Skills and Attributes:
Experience with ICD-10, CPT/HCPCS codes and billing claim forms
Ability to work in a team environment, prioritize and manage multiple tasks, be flexible, and work independently
Excellent organizational skills
Proven expertise utilizing Microsoft Office products
Effective communication skills (verbal and written)
Strong follow-up skills

Job Type: Full-time

Pay: $60,205.00 - $75,657.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 10 hour shift
• 8 hour shift
• Day shift
• Monday to Friday

Supplemental pay types:

• Signing bonus

Ability to commute/relocate:

• Boston, MA: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medicare: 1 year (Required)
• Medicaid: 1 year (Required)

Work Location: In person

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