3 results for Medical Coding Manager in Quincy, MA

Medical Claims Analyst

North Providence, RI
onsite
Temporary
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

Medical Records Clerk PRN

Worcester, MA
onsite
Temporary
19.5 - 20 USD / Hourly
We are looking for a detail-oriented PRN Medical Records Clerk to join our team in Worcester, MA. In this long-term contract position, you will play a pivotal role in maintaining and managing patient records, ensuring accuracy, confidentiality, and compliance with healthcare regulations. This opportunity is ideal for professionals who excel in document management and are experienced with electronic medical record systems. Compensated: $20 per hour plus $.725 mileage. PRN role, seeking an individual that is looking for part time or permanent work. Must be able to travel up to 60 miles and have a valid driver's license. Responsibilities: • Accurately organize and maintain patient medical records, both physical and electronic, in compliance with healthcare regulations. • Ensure the confidentiality and security of medical records, adhering to HIPAA guidelines. • Retrieve, review, and update patient information using electronic medical record systems such as Allscripts and Cerner. • Collaborate with healthcare staff to provide timely access to accurate patient records. • Monitor and resolve discrepancies in medical documentation to ensure data integrity. • Assist in the transition and integration of medical records into electronic systems, as needed. • Respond promptly to requests for patient information from authorized personnel. • Conduct routine audits of records to maintain accuracy and compliance. • Stay updated on changes in medical record-keeping practices and technologies. • Provide support in training staff on the use of electronic medical record systems
2026-04-10T00:00:00Z

Medical Receptionist

Brockton, MA
onsite
Temporary
18.05 - 20.9 USD / Hourly
We are looking for a dedicated Medical Receptionist to join our healthcare team in Brockton, Massachusetts. In this long-term contract position, you will play a crucial role in ensuring smooth daily operations and delivering exceptional service to patients. This opportunity is fully onsite, offering consistent weekday hours. Responsibilities: • Manage patient scheduling by coordinating appointments and maintaining an organized calendar. • Professionally answer and direct incoming calls to provide prompt assistance. • Handle patient check-in and check-out processes with efficiency and attention to detail. • Accurately input patient demographics and other essential information into eClinicalWorks software. • Deliver excellent customer service to ensure a welcoming environment for patients. • Collaborate with medical staff to support administrative tasks and improve workflow.
2026-04-10T00:00:00Z