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5 results for Insurance Authorization Specialist in Quincy, MA

Claims Administrator/Specialist

Randolph, MA
onsite
Temporary to Hire
30 - 35 USD / Hourly
We are looking for a detail-oriented Claims Administrator to support a general contractor in the greater Boston area . This is a contract-to-permanent position, where you will play a pivotal role in supporting the Director of Risk Management with managing various insurance claims. You will collaborate with adjusters, attorneys, and other stakeholders to ensure claims are investigated thoroughly, processed efficiently, and resolved in a timely manner. Responsibilities:• Assist in managing and overseeing insurance claims, including general liability, workers' compensation, and auto liability.• Collaborate with adjusters, attorneys, and third-party carriers to investigate claims and determine liability.• Prepare comprehensive loss runs and claims reports to identify trends and areas of focus.• Compile and organize documentation required for Discovery requests and litigation processes.• Handle small nuisance claims that may not fall under existing insurance coverage.• Assess tender opportunities and make recommendations on settlements.• Provide support for claims related to construction, environmental liability, and property risks.• Ensure accurate processing of claims and maintain compliance with industry standards.• Utilize industry knowledge to interpret construction documents and evaluate construction litigation cases.• Work closely with stakeholders to address inquiries and provide updates on claim statuses.
2026-04-27T00:00:00Z

Patient Access Specialist

Nashua, NH
onsite
Temporary to Hire
17.25 - 19.25 USD / Hourly
We are looking for a Patient Access Specialist to support front-end patient registration and account setup for a healthcare organization in New Hampshire. This contract-to-permanent opportunity is ideal for someone who combines strong administrative accuracy with a patient-focused approach and can help create a smooth experience from pre-registration through admission. In this role, you will handle essential intake, insurance, and documentation tasks while ensuring compliance with hospital standards and regulatory expectations. Responsibilities: • Manage patient admissions and pre-registration activities by confirming demographic details, entering account information, and preparing records ahead of scheduled visits. • Gather and update insurance information, review coverage responses, and record benefit details accurately to support billing quality and timely claims processing. • Communicate with patients and guarantors by phone and in person to explain financial responsibility, collect point-of-service payments, and discuss outstanding balances or payment arrangements when needed. • Review physician orders and supporting documentation to ensure required information is complete, compliant, and properly processed for care delivery. • Explain treatment-related consent materials and patient notices, obtain required signatures, and provide mandated educational documents in a clear and thorough manner. • Perform medical necessity checks and assist Medicare patients with required acknowledgement forms when services may not meet coverage guidelines. • Assign and maintain accurate patient identifiers and use registration tools carefully to reduce duplicate or incorrect records. • Apply quality review and auditing practices to identify account issues, make corrections, and provide accurate reporting data to Patient Access leadership. • Deliver compassionate, service-oriented support in every interaction while following organizational policies, performance standards, and regulatory requirements.
2026-04-28T00:00:00Z

Patient Access Specialist

Nashua, NH
onsite
Temporary to Hire
17.25 - 20.25 USD / Hourly
3rd Shift (Night Shift) Patient Access Specialist! 11:00pm-7:00am - Multiple Openings! We are offering a contract to permanent employment opportunity for a Patient Access Specialist in Nashua, New Hampshire. In this role, you will be fundamental in providing quality services to patients by managing their admission processes and ensuring regulatory compliance within the healthcare industry. Responsibilities: • Ensure precise assignment of MRNs and carry out medical necessity and compliance checks.• Efficiently handle incoming, outgoing, and inter-office calls via the telephone switchboard.• Adhere to organizational policies while delivering exceptional customer service with compassion.• Conduct pre-registration of patients' accounts prior to their visits, which may involve both inbound and outbound communication to gather demographic, insurance, and other patient information.• Inform patients, guarantors, or legal guardians about general consent for treatment forms, obtain necessary signatures, and distribute patient education documents.• Review responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support Point of Service Collections and billing processes.• Use the Advance Beneficiary Notice (ABN) software to accurately screen medical necessity, inform Medicare patients of potential non-payment of tests, and distribute the ABN as needed.• Utilize auditing and reporting systems for quality assurance to correct accounts, including those from other employees, departments, and facilities.• Conduct account audits to ensure all forms are completed accurately and timely, meeting audit standards, and provide statistical data to Patient Access leadership.
2026-04-24T00:00:00Z

Medical Collections Specialist

Shrewsbury, MA
onsite
Permanent / Full Time
52000 - 61000 USD / Yearly
We are looking for a Medical Collections Specialist to support revenue cycle performance by managing insurance follow-up and resolving outstanding account issues. This position plays an important role in reducing aged receivables, addressing claim obstacles, and helping maintain accurate reimbursement activity. Based in Shrewsbury, Massachusetts, the role is well suited for someone who is detail-oriented, organized, and comfortable working across billing platforms and payer resources. Responsibilities:• Monitor unpaid insurance claims and take timely action to advance accounts toward resolution and payment.• Manage billing and follow-up activities for assigned payer accounts, ensuring all claims are worked accurately and consistently.• Investigate billing variances and payment discrepancies, then complete the necessary corrections to support proper reimbursement.• Identify rejected claims quickly, determine the cause, and complete corrective steps to prevent delays in claim submission or reprocessing.• Use clearinghouse tools to review claim activity and track submission issues, with familiarity in Waystar considered highly beneficial.• Navigate payer web portals to verify claim status, review remittance details, and complete required follow-up actions.• Participate in recurring accounts receivable review meetings and provide updates on account progress, trends, and barriers to payment.• Maintain clear and accurate documentation within billing or medical record systems to support account history and collection efforts. **Immediate needs here! Please reach out ASAP to me directly, Eric Lebow 508-205-2127**
2026-04-20T00:00:00Z

Legal Billing Specialist

Boston, MA
onsite
Permanent / Full Time
100000 - 125000 USD / Yearly
Our client, a successful civil litigation law firm, is seeking an experienced Legal Billing Specialist to join their team in Boston, Massachusetts. In this role, you will play a crucial part in managing all aspects of legal billing and invoice processing, ensuring compliance and accuracy across various client platforms. Location: Boston, MASchedule: Hybrid (3 days in office, 2 days remote)Salary: $100,000 - $125,000 (depending on experience) Responsibilities:<ul><li>Prepare, generate, and manage attorney pre-bills for review and submission</li><li>Maintain and manage attorney time entries and billing data</li><li>Must be conversant in LEDES (Legal Electronic Data Exchange Standard)</li><li>Submit invoices and manage billing through client e-billing platforms, including but not limited to: TimeSlips, Tymetrix, Legal Tracker, Legal X, SimpleLegal, TeamConnect, Acuity, and Brightflag.</li><li>Ensure compliance with client billing guidelines and resolve billing rejections or issues</li><li>Track billing status and follow up on outstanding invoices</li><li>Coordinate vendor payments and ensure expenses are properly invoiced and billed</li><li>Work closely with the firm’s external bookkeeper during monthly visits</li><li>Assist with check requests and internal financial coordination</li><li>Interface with outsourced payroll and HR vendors as needed</li><li>Provide general administrative and billing support to attorneys and managing partners</li></ul>
2026-04-21T00:00:00Z