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5 results for Benefits Verification Specialist in Boston, MA

Payroll and Benefits Specialist

Fall River, MA
onsite
Permanent / Full Time
75000 - 80000 USD / Yearly
We are looking for a skilled Payroll and Benefits Specialist to join our client in New Bedford, Massachusetts. This role is essential in ensuring accurate payroll processing and seamless benefits administration for employees across multiple locations. The ideal candidate will bring a detail-oriented approach and a commitment to compliance with all federal, state, and local regulations. Responsibilities:• Process payroll cycles, including weekly, biweekly, and semi-monthly schedules, for both hourly and salaried employees.• Manage employee data updates such as new hires, terminations, pay rate changes, transfers, garnishments, and other HR-related modifications.• Maintain and audit payroll records, ensuring accuracy in general ledger entries, benefit deductions, tax withholdings, and reconciliations.
2026-04-01T00:00:00Z

Medical Cash Applications Specialist

Shrewsbury, MA
onsite
Permanent / Full Time
55000 - 63000 USD / Yearly
We are looking for a detail-oriented Medical Cash Applications Specialist to support payment posting and account reconciliation activities in Shrewsbury, Massachusetts. This position plays an important role in maintaining accurate financial records, resolving payment variances, and partnering with billing teams to keep revenue cycle operations running smoothly. The ideal candidate brings healthcare accounts receivable experience, strong analytical skills, and a solid understanding of payer documentation and reimbursement practices. Responsibilities:• Record insurance, patient, and third-party payments, denials, and adjustments in the billing platform with a high level of accuracy.• Compare posted transactions against remittance documents, EOBs, ERAs, and related records to confirm that payment activity is complete and correct.• Review reimbursement differences, trace the source of posting issues, and take action to correct errors or escalate unresolved items when needed.• Enter contractual allowances and approved write-offs according to payer agreements and established reimbursement schedules.• Investigate unidentified receipts, rejected transactions, missing payments, and other cash application exceptions by coordinating with payers, internal teams, and leadership.• Support compliance by following healthcare billing standards, payer rules, and applicable regulatory requirements tied to payment posting activities.• Perform routine audits of cash application work to protect data integrity and ensure account balances reflect accurate financial activity.• Prepare summary reporting on posting accuracy, reconciliation results, and cash activity for management review.• Work closely with billing staff to address claim or account issues that affect payment application and overall accounts receivable performance.• Recommend workflow enhancements that improve efficiency, strengthen accuracy, and support timely completion of daily posting responsibilities. For immediate consideration please reach out ASAP Eric Lebow 508-205-2127
2026-04-20T00:00:00Z

Medical Claims Analyst

North Providence, RI
onsite
Temporary / Contract
17.1 - 19.8 USD / Hourly
Position SummaryWe are seeking a detail-oriented Claims Analyst for a long-term contract on site in Providence, RI. Strong experience in Coordination of Benefits (COB), orthodontic or medical claims processing, and suspended/pended claims resolution. This role requires a thorough understanding of industry guidelines, plan provisions, and claim adjudication processes to ensure accurate and timely claim outcomes. Key ResponsibilitiesCoordination of Benefits (COB) Processing<ul><li>Review and adjudicate claims to determine primary and secondary coverage in accordance with COB rules</li><li>Verify subscriber and dependent eligibility across multiple insurance plans</li><li>Apply industry-standard guidelines to ensure accurate benefit determination</li><li>Calculate correct payment amounts following primary insurer adjudication</li><li>Adjust claims based on Explanations of Benefits (EOBs) received from other carriers</li></ul>Orthodontic Claims Processing<ul><li>Evaluate orthodontic treatment plans for coverage eligibility and plan compliance</li><li>Verify lifetime maximums, age limits, and plan-specific orthodontic provisions</li><li>Process initial banding/bonding claims and ongoing periodic payments</li><li>Calculate prorated payments over the course of treatment</li><li>Monitor continuation of treatment and confirm ongoing patient eligibility</li></ul>Suspended / Pended Claims Handling<ul><li>Analyze suspended or pended claims to identify errors, missing documentation, or review flags</li><li>Determine root causes such as eligibility discrepancies, coding issues, or COB conflicts</li><li>Prioritize suspended claims based on aging, urgency, and service-level agreements (SLAs)</li><li>Escalate complex or high-risk issues to senior analysts or supervisors as appropriate</li><li>Ensure timely and compliant resolution in accordance with turnaround time standards</li></ul>
2026-04-07T00:00:00Z

Payroll Specialist

Charlestown, MA
onsite
Temporary to Hire
29 - 34 USD / Hourly
We are looking for a detail-oriented Payroll Specialist to join our team in Charlestown, Massachusetts. This position offers an excellent opportunity to contribute to payroll operations in a fast-paced and dynamic environment within the real estate and property industry. The role involves managing complex payroll processes, ensuring compliance, and supporting key payroll functions onsite. Responsibilities:• Process both union and non-union payrolls with accuracy and efficiency.• Manage accounting coding for benefits such as Blue Cross Blue Shield.• Handle unemployment claims and family leave processing.• Administer payroll functions to support the team, including resolving exceptions as needed.• Utilize ADP Workforce Now for payroll management and reporting.• Ensure compliance with multi-state payroll regulations and company policies.• Collaborate with internal teams to provide payroll-related insights and solutions.• Maintain accurate records and documentation for over 500 employees.• Address payroll discrepancies and resolve issues proactively.• Support benefit administration and related payroll activities.
2026-04-20T00:00:00Z

Payroll Specialist

Charlestown, MA
onsite
Temporary / Contract
28 - 34 USD / Hourly
We are seeking an experienced Payroll Specialist to manage end‑to‑end payroll processing for union and non union employees using ADP Workforce Now. This role requires a strong understanding of union contracts, collective bargaining agreements, payroll compliance, and multi-state payroll regulations. The ideal candidate will be detail-oriented, organized, and comfortable working in a deadline-driven environment. Responsibilities<ul><li>Process weekly/biweekly payroll for union employees in ADP Workforce Now</li><li>Maintain accurate records of hours, rates, deductions, and benefits according to union requirements</li><li>Audit timecards, resolve discrepancies, and ensure compliance with federal, state, and union regulations</li><li>Calculate and process union dues, fringe benefits, and other required withholdings</li><li>Prepare and submit reports to union representatives as required</li><li>Reconcile payroll accounts and support month-end and year-end payroll activities</li><li>Respond to employee payroll inquiries in a timely and professional manner</li><li>Collaborate with HR, Finance, and Operations to ensure payroll accuracy and continuity</li></ul>
2026-03-30T00:00:00Z