We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Devens, Massachusetts. In this role, you will play a vital part in ensuring accurate and timely billing processes while addressing appeals and denials. This position offers an opportunity to contribute to a dynamic healthcare environment.<br><br>Responsibilities:<br>• Handle medical billing tasks, including claims processing and submissions.<br>• Manage appeals and denials to ensure proper resolution and reimbursement.<br>• Conduct thorough reviews of medical claims for accuracy and compliance.<br>• Collaborate with insurance providers and patients to address billing inquiries.<br>• Maintain up-to-date knowledge of medical coding standards and billing regulations.<br>• Utilize Epaces and other systems to track and manage claims effectively.<br>• Perform follow-ups on outstanding collections and payments.<br>• Assist with special projects related to billing operations as needed.<br>• Ensure confidentiality and security of patient billing information.
<p>Now Hiring Registered Nurses (RNs) – Ready for a Change from Primary Care?</p><p><em>Opportunities Across Massachusetts</em> | Travel, Contract, & Permanent Roles Available</p><p><em>Full-time | Part-time | Per Diem</em> | Flexible Schedules to Fit Your Life</p><p><br></p><p>Thinking About Leaving Primary Care?</p><p>Robert Half is currently partnering with a Fortune 500 healthcare company that recognizes the value and versatility of experienced Registered Nurses. They’re seeking RNs to step into impactful non-clinical roles — including chart review, clinical auditing, utilization management, quality assurance, and case coordination.</p><p>These roles allow you to leverage your clinical knowledge in a different way — without the physical demands or emotional burnout of primary care.</p><p><br></p><p>Why This Could Be the Right Move for You:</p><ul><li>Use your RN skills in a fresh environment</li><li> Apply your attention to detail, clinical decision-making, and documentation expertise to ensure quality and compliance in healthcare delivery.</li><li>Flexible, predictable work hours</li><li> Say goodbye to long shifts, weekend coverage, and on-call stress. Many roles offer standard business hours with remote or hybrid options.</li><li>Career growth outside traditional clinical paths</li><li> These positions can be a stepping stone into leadership, healthcare administration, or corporate healthcare roles.</li></ul><p><br></p>
<p>Now Hiring Registered Nurses (RNs) – Ready for a Change from Primary Care?</p><p><em>Opportunities Across Massachusetts</em> | Travel, Contract, & Permanent Roles Available</p><p><em>Full-time | Part-time | Per Diem</em> | Flexible Schedules to Fit Your Life</p><p><br></p><p>Thinking About Leaving Primary Care?</p><p>Robert Half is currently partnering with a Fortune 500 healthcare company that recognizes the value and versatility of experienced Registered Nurses. They’re seeking RNs to step into impactful non-clinical roles — including chart review, clinical auditing, utilization management, quality assurance, and case coordination.</p><p>These roles allow you to leverage your clinical knowledge in a different way — without the physical demands or emotional burnout of primary care.</p><p><br></p><p>Why This Could Be the Right Move for You:</p><ul><li>Use your RN skills in a fresh environment</li><li>Apply your attention to detail, clinical decision-making, and documentation expertise to ensure quality and compliance in healthcare delivery.</li><li>Flexible, predictable work hours</li><li>Say goodbye to long shifts, weekend coverage, and on-call stress. Many roles offer standard business hours with remote or hybrid options.</li><li>Career growth outside traditional clinical paths</li><li>These positions can be a stepping stone into leadership, healthcare administration, or corporate healthcare roles.</li></ul><p><br></p>
Data Analyst Manager (2)<br><br>Roles & Responsibilities <br><br>Oversee an offshore team of Healthcare Data Analysts and QA engineers under the direction of the Director of Data Management.<br>Collaborate with various client-facing teams and both inter-departmental and intra-departmental teams to address complex healthcare challenges.<br>Take the lead in communicating with clients to resolve any technical issues they may have.<br>Guide the Data Operations team in understanding customer business needs and converting them into application and operational requirements..<br>Act as a process champion, utilizing in-depth knowledge of organization policies and operations processes.<br>Ensure modules in the product meet the functional requirements, system compliance, and interface specifications through ongoing performance monitoring of team members.<br><br><br>Bachelor’s Degree or equivalent industry experience<br>7+ years of experience performing analysis on healthcare data<br>Clinical Knowledge of various Healthcare Data listed above<br>Advanced skillset with SQL for data analysis and reporting <br>Strong verbal and written communication skills<br>Currently eligible to work in the U.S. without assistance in getting an employment visa or work authorization.<br>Required Knowledge Areas<br>Data Analytics & Statistics Experience<br>SQL & Databases – Experience writing queries to extract and manipulate data from SQL Server, PostgreSQL, MySQL, or Oracle databases.<br>Excel & Spreadsheets – Advanced Excel skills (pivot tables, VLOOKUP, tables and charts )<br>Healthcare Industry Knowledge<br>Healthcare Data Standards – Understanding of ICD-10, CPT, HCPCS, LOINC, and SNOMED coding systems.<br>Electronic Health Records (EHRs) – Experience with Epic, Cerner, Meditech, or other EHR platforms.<br>HIPAA & Data Privacy – Familiarity with healthcare data compliance, including HIPAA, GDPR, and HITECH Act.<br>Claims & Billing Data – Experience analyzing claims from Medicare, Medicaid, and private insurers.<br>HEDIS Quality Measures <br>CMS Data <br>Data Management & ETL Experience<br>ETL (Extract, Transform, Load) Processes – Experience working with data warehouses, SQL ETL pipelines<br>Big Data & Cloud Platforms – Familiarity with AWS (Redshift), Google Cloud, and/or Azure a plus.<br>Project Management – Familiarity with Agile, Scrum, or Lean methodologies in data projects.<br>Stakeholder Communication – Ability to translate complex data findings into actionable insights for non-technical teams (clinicians, executives, analysts).<br> <br><br>Preferences – Not Required <br><br>10+ years of experience performing analysis on healthcare data<br>Experience with Snowflake <br>Prior Experience Working with Offshore Teams a Plus<br>Team leadership experience
<p><strong>Job Title:</strong> Medical Claims Auditor - RN Auditor</p><p><strong>Location:</strong> Massachusetts – 90% Remote</p><p><strong>Job Type:</strong> 1 Year Contract - Potential for Perm Hire</p><p><strong>Hours:</strong> 40 hours per week</p><p><strong>Start Date:</strong> December 1, 2025</p><p><strong>Job Description</strong></p><p>We are seeking a qualified <strong>Auditor</strong> with healthcare experience to support Program Integrity activities for a state healthcare program. This role focuses on conducting both desk and onsite audits of healthcare providers to ensure compliance with contractual standards and regulatory requirements.</p><p> </p><p><strong>Responsibilities</strong></p><ul><li>Conduct audits (onsite and desk-based) of healthcare providers in alignment with state program guidelines</li><li>Travel locally as required to perform onsite audits (1-4 times per month)</li><li>Evaluate claims and provider documentation for compliance and accuracy</li><li>Collaborate with internal audit teams and leadership to maintain audit quality standards</li><li>Document findings and present audit outcomes clearly and effectively</li><li>Use Microsoft Office tools to manage reports, track audits, and communicate outcomes</li><li>Adhere to defined Service Level Agreements (SLAs) for audit completion and reporting</li></ul>
<p>We are looking for an experienced Accounts Payable Specialist to join our team in Boston, Massachusetts. This is a Contract to permanent position within the healthcare industry, offering a hybrid work schedule with both remote and onsite days. The role involves ensuring timely and accurate processing of vendor invoices while adhering to company policies and procedures. (Since this is a government owned entity, you must live in Boston proper to apply.)</p><p><br></p><p>Responsibilities:</p><p>• Review and verify invoices and requisitions for accuracy, completeness, and compliance with company policies.</p><p>• Reconcile the Accounts Payable bank account and prepare reports detailing outstanding checks.</p><p>• Process vendor payments, resolve returned payments, and address any inconsistencies or errors in payment reports.</p><p>• Manage vendor transactions, maintain vendor files, and ensure proper documentation for previous payments.</p><p>• Monitor compliance with Procure-to-Pay policies and suggest improvements to streamline processes.</p><p>• Assist with the preparation and maintenance of accurate data for reporting purposes.</p><p>• Establish and maintain strong relationships with vendors, addressing inquiries and resolving discrepancies.</p><p>• Track problem invoices, delegate issues to appropriate departments, and ensure timely resolution.</p><p>• Produce and analyze monthly Accounts Payable aging and historical reports.</p><p>• Support annual reporting requirements, including 1099 and 1096 filings, and monitor outstanding checks for unclaimed property.</p>
