<p><strong>Position Summary</strong></p><p>We 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.</p><p><br></p><p><strong>Key Responsibilities</strong></p><p><strong>Coordination of Benefits (COB) Processing</strong></p><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><p><strong>Orthodontic Claims Processing</strong></p><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><p><strong>Suspended / Pended Claims Handling</strong></p><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><p><br></p>
<p>Financial Analyst position open.</p><p>For immediate interview call Victor Muller at 508 205 2136</p><p>Summary: Division Analyst is a business partner to their assigned Divisions and is responsible for all financial activity directly related to the assigned division. This will include, but not be limited to: budget preparation, financial reporting, forecasting, Grant & Contract invoicing, analyzing financial and operational data, reconciling balance sheet accounts and reporting.</p><p>Why Work for SMOC?</p><p>• Paid Time Off: All full-time employees can accrue up to 3 weeks of vacation, and 2 weeks of sick time and are eligible for 12 paid holidays during their first year of employment.</p><p>• Employer-paid Life Insurance & AD&D and Long-Term Disability for full-time employees.</p><p>• Comprehensive Benefits Package including Medical Plans through Mass General Brigham with an HRA Employer cost-sharing program, Dental Plans with Orthodontic Coverage, and EyeMed Vision Insurance available to full-time employees.</p><p>• 403(B) Retirement Plan with a company match starting on day one for all full-time and part-time employees.</p><p>• Additional voluntary benefits including; Term and Whole Life Insurance, Accident Insurance, Critical Illness, Hospital indemnity, and Short-Term Disability.</p><p>• Flexible Spending Accounts, Dependent Care Accounts, Employee Assistance Program, Tuition Reimbursement and more.</p><p>Primary Responsibilities:</p><p>• Act as a business partner to the Division Directors and Program Managers by assisting them in all financial aspects of the division and related programs.</p><p>• Responsible for all revenue and expenses booked to assigned Divisions including ensuring appropriate accounting.</p><p>• Create monthly financial reports and develop budget to actual variance analysis in conjunction with division/program managers.</p><p>• In coordination with Division Directors, develop annual budget for each assigned program and divisions for submission to upper management.</p><p>• Forecast financial revenue and expenses on an as needed basis.</p><p>• Process and approve payments to vendors ensuring that invoices are charged to the proper GL codes.</p><p>• Develop and submit monthly/quarterly/annual billing reports for local, state and federal funding sources to include salary schedules, payment vouchers and statistics and progress reports.</p><p>• Reconcile all assigned G/L accounts on a monthly basis including deferred revenue and accounts receivable. Monitor and keep up to date on status of aged receivables.</p><p>• Periodic meetings with Division and Program Managers to review status of contract expenses and revenue.</p><p>• Work with Program staff to ensure all contracts documents are signed and submitted on timely basis.</p><p>• Participate in agency and funding authority audits and contract monitoring. Prepare schedules as needed (contract, donations, accounts receivable).</p><p>• Maintain confidentiality of client, employee and agency information in accordance with federal and state laws and funder requirements.</p><p>• Ensure compliance with program/department, agency and/or funder requirements, as well as, SMOC policies & procedures.</p><p>• Other duties as assigned.</p><p><br></p>
<p>We are looking for an experienced Financial Analyst to join our team in Westborough, Massachusetts. In this role, you will play a key part in driving financial insights and supporting strategic initiatives for our global operations network. You will collaborate with cross-functional teams to optimize processes, enhance operational efficiency, and contribute to long-term value creation.</p><p><br></p><p>For Immediate Interview please call Victor Muller at 508 205 2136</p><p><br></p><p>Responsibilities:</p><p>• Provide detailed financial analysis and insights to support strategic initiatives, mergers and acquisitions (M&A) integration, and operational performance.</p><p>• Develop financial models and conduct scenario planning to evaluate transformation projects and footprint optimization efforts.</p><p>• Assist in standardizing financial processes across the global operations network.</p><p>• Prepare monthly synergy tracking reports, identifying trends, risks, and opportunities.</p><p>• Collaborate with strategy and operations teams to align financial objectives with broader business goals.</p><p>• Create executive-level presentations and reporting materials for senior leadership.</p><p>• Maintain the integrity of financial data while ensuring compliance with corporate policies and internal contr</p>
We are looking for an experienced Accounts Receivable Clerk to join our team in Lawrence, Massachusetts. In this role, you will play a pivotal part in managing customer accounts and ensuring accurate financial transactions. This position offers an excellent opportunity to contribute to key financial operations and collaborate closely with a dedicated team.<br><br>Responsibilities:<br>• Monitor and manage customer accounts, ensuring timely follow-up on overdue payments in line with company policies.<br>• Process daily bank deposits and accurately apply customer payments to corresponding accounts.<br>• Review, validate, and process customer deductions efficiently.<br>• Generate and distribute invoices to customers with precision and timeliness.<br>• Reconcile accounts receivable ledgers to confirm all payments are accurately recorded.<br>• Address and resolve billing discrepancies, customer inquiries, and any account-related issues with attention to detail.<br>• Prepare and analyze accounts receivable reports, highlighting outstanding balances and potential concerns for management review.<br>• Assist with month-end and year-end closing activities, ensuring proper documentation and entries.<br>• Collaborate with the finance team to support audits, reporting needs, and initiatives for process improvement.<br>• Maintain up-to-date and accurate customer records and related documentation.
<p>Our company is seeking a talented Senior Financial Analyst for a 6-month contract assignment. If you have hands-on experience with Adaptive Insights for financial planning and analysis and enjoy working in dynamic environments, we want to hear from you.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Lead and participate in budgeting, forecasting, and financial planning processes using Adaptive Insights.</li><li>Analyze complex financial data and deliver actionable insights to management.</li><li>Construct financial models to support business strategy and decision-making.</li><li>Prepare monthly and quarterly reports, variance analyses, and presentations for leadership.</li><li>Collaborate with cross-functional teams to drive process improvements and efficiencies.</li><li>Ensure accuracy and confidentiality of all financial information.</li></ul>