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Health care administrator • lynn ma
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Crowell & Moring LLP is an international law firm with offices in the United States, Europe, MENA, and Asia that represents clients in litigation and arbitration, regulatory and policy, intelle...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Crowell & Moring LLP is an international law firm with offices in the United States, Europe, MENA, and Asia that represents clients in litigation and arbitration, regulatory and policy, intellectua...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We change the world everyday and want to meet you.Right at Home, In-Home Care & Assistance, is seeking to hire CNA's and Home Health Aides to join a dynamic care team providing clinical expertise i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At Better Life Partners, we provide what it takes to heal from addiction.We work alongside community-based organizations to meet our members where they are, no matter what recovery looks like to th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Top AmLaw 100 law firm seeks an associate to join the Health Care & Life Sciences practice in their.Candidates should have a minimum of 3 years of relevant experience and possess expertise in t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Integrated Primary Care - Behavioral Health Therapist.NOW HIRING FOR Psychologist / LICSW / LCSW / Mental Health Counselor.
Would you love to be a part of a diverse team that provides accessible and qua...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Established in 1985, The ALS Association is the only national nonprofit organization fighting ALS on every front.By leading the way in global research, providing assistance for people with ALS thro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Ropes & Gray is a preeminent global law firm.The firm has been ranked in the top three on The American Lawyer's prestigious A-List for eight consecutive years and #1 on Law.UK A-List twice in the p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
LPN Career Opportunity PRN Night Position available ($31.Embark on Your Compassionate LPN Journey at Encompass Health Are you in search of a fulfilling healthcare career close to your heart and hom...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Director, Behavioral Health Care Delivery.The Director, Behavioral Health Care Delivery is responsible for the strategy and leadership of CCA's overall Behavioral Health Care Delivery Program, incl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Job Description Summary : The Healthcare Solutions Counsel provides legal and strategic guidance to the organization's business operations team on matters related to the healthcare industry.This ro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Senior Consultant, Health Care Business Transformation.FTI Consulting is the world’s leading expert-driven consulting firm.
Over the last 40 years, FTI Consulting experts have served as the trusted ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Healthcare Solutions Counsel provides legal and strategic guidance to the organization's business operations team on matters related to the healthcare industry.
This role focuses on supporting i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Per-Diem Home Health Care Registered Nurse.Join our compassionate and dedicated team providing professional care to patients in the comfort of their homes.
We are looking for a skilled Home Health C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We provide everything from companionship to end-of-life hospice care, and we’re committed to supporting our caregivers with the training, resources, and professional growth they need to succe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Director, Behavioral Health Care Delivery.The Director, Behavioral Health Care Delivery is responsible for the strategy and leadership of CCA's overall Behavioral Health Care Delivery Program, incl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Primary responsibilities to include : .Engages patients in the management of their behavioral health conditions through goal-setting, coordination with community services and providers, and referral ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Position Summary : The Registered Nurse (RN) will utilize the nursing process of assessment, planning, implementation, and evaluation to ensure quality-nursing care and to maximize the quality o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Join one of the largest Employee Owned companies in the nation! Davey has a unique culture that focuses on the open exchanging of ideas, community partnership, a commitment to safety, and deliverin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Health Care Claims Specialist
Crowell & MoringBoston, MA, USserp_jobs.job_card.full_time
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Health Care Claims Specialist
Crowell & MoringBoston, MA, USjob_description.job_card.30_days_ago
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job_description.job_card.job_descriptionFamiliarity with health care insurance claims and strong working knowledge of payer-provider contracts, Medicare / Medicaid rules and regulations, and claims reimbursement frameworks Experience reviewing and interpreting large volumes of healthcare claims data, EOBs, and denial codes Strong written communication skills and ability to produce clear, concise and structured claim summaries. Excellent attention to detail, critical thinking and organizational skills Proficiency with MS Suite and data driven analysis tools including document management systems, claims platforms, or litigation databases preferred. Ability to work collaboratively with attorneys and clients to provide support to litigation teams The position requires a bachelor’s degree or equivalent combination of education and experience. The position requires a minimum of five (5) years of experience in health care claims analysis, insurance claims, payor-provider disputes, or litigation support with focus on managed care or regulatory compliance, or related field. Prior experience at a law firm or insurance company handling health care litigation or audits. Familiarity with CMS manuals, coverage determinations, and medical necessity standards Understanding of sampling and extrapolation methodologies
Job Description
Job Description
Job Description
Crowell & Moring LLP is an international law firm with offices in the United States, Europe, MENA, and Asia that represents clients in litigation and arbitration, regulatory and policy, intellectual property, and transactional and corporate matters. The firm is internationally recognized for its representation of Fortune 500 companies in high-stakes litigation and government-facing matters, as well as its ongoing commitment to pro bono service and diversity, equity, and inclusion.
Job Summary
The Health Care Claims Analyst role will support attorneys by reviewing claim files, compiling factual summaries, identifying key documents and facilitating legal analysis regarding liability, potential defenses, exposure valuations, and settlement strategies.
This role can be based in any of Crowell's office locations.
Job Responsibilities
- Review and analyze health care claim files involved in payor / provider disputes, identifying patterns and administrative issues such as coding errors, denial reasons, and medical necessity claims.
- Evaluate merits and potential liability of claim batches to assess applicability to claims in dispute
- Review claim analysis and data from clients to validate findings, identify legal and factual issues, and support or challenge conclusions
- Maintain case summaries, claim trackers and databases ensuring accurate and timely communication with legal teams and clients.
- Synthesize information into actionable summaries to support legal analysis and trial strategy.
Qualifications
Requirements :
Knowledge, Skills and Abilities
Education
Experience
Additional Information
Crowell & Moring LLP offers a competitive compensation and comprehensive benefits package. Our benefits include healthcare, vision, dental, retirement, and all-purpose leave and progressive options such as back up childcare, wellness programs, cultural events and social activities. We take great pride in our positive, friendly culture that rewards hard work and success, at the same time recognizing the importance of family and community service.
Our Firm is committed to fair and equitable compensation practice in accordance with applicable laws. The salary range for this position is $83,000-$108,000. Additional compensation may include a discretionary bonus. The salary for this position may vary based on location, market data, an applicant’s skills and prior experience, certain degrees and certifications, and other factors.
EOE m / f / d / v
Crowell & Moring LLP participates in the E-Verify program.