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Junior software developer Jobs in Springfield, MA

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Junior software developer • springfield ma

Last updated: 2 days ago

Sr Insurance Specialist - Commercial/Blue Cross

Holyoke Medical CenterHolyoke, MA, United States
Full-time

Holyoke Medical Center is looking for a Sr Insurance Specialist.This position manages complex medical claims, acting as a subject matter expert to investigate, adjudicate negotiate settlements, ens... Show more

Junior/Switcher User Acquisition Manager - Duomo

SKELARAgawam, MA, United States
Full-time

It's a venture builder in other words, a company that builds companies.Together with founders, we create consumer businesses that become leaders in global markets across EdTech, Mental Health, Pet... Show more

Information Software & Process Solutions Business Development Manager

Rexel USA, IncHolyoke, MA, US
$110,000.00 yearly
Full-time

We are looking for an Information Software & Process Solutions Business Development Manager to join our Rexel, USA team in Holyoke, MA! This position will cover Maine, New Hampshire, Vermont, W... Show more

Business Analyst - Anju

Aspire SoftwareSpringfield, MA, United States
Full-time

We are looking for a dynamic Business Analyst to join our team.In this role, you will play a crucial part in facilitating the analysis of business needs, liaising between departments to ensure comp... Show more

Data Entry Operator | Junior (Remote)

Only Data EntrySpringfield, MA, United States
Full-time

Data Entry Operator | Junior (Remote).Springfield, Massachusetts, United States Job Openings Data Entry Operator | Junior (Remote).About the Job Data Entry Operator | Junior (Remote).Important: You... Show more

Junior Commercial Driver's License Truck Driver

10-4 Logistics USASpringfield, MA, US
Full-time
Quick Apply

Now it’s time to get the experience that turns it into a real career.Our paid training program is built for new drivers who want to learn from experienced mentors, get comfortable on the road, and ... Show more

Senior Electrical Estimator

GPACSpringfield, MA, United States
Full-time

Gpac is a national executive search firm specializing in recruitment for the electrical construction industry.We have been retained by a local electrical contractor in the area to find a Senior Ele... Show more

Roadside Camera Technician

Polaris SoftwareSpringfield, MA, US
Full-time
Quick Apply

Sitestream, a Polaris Software company based in Beverly, is an industry leader in automated traffic safety.The company’s mission is to elevate road safety for drivers and pedestrians in small to me... Show more

Job Sales Developer

Snap-onSpringfield, MA, United States
$65,000.00 yearly
Full-time

For more than 100 years, Snap-on Tools has made work easier for serious professionals performing critical tasks.We are currently seeking a Sales Developer to join our regional sales team.Our field-... Show more

Senior Electrical Estimator

GpacSpringfield, Massachusetts, United States
Full-time
Quick Apply

Gpac is a national executive search firm specializing in recruitment for the electrical construction industry.Competitive base salary based on experience.Company vehicle or vehicle allowance.Duties... Show more

SAP S/4HANA ABAP Developer

LancesoftSpringfield, MA, US
Full-time
Quick Apply

The Finance/Actuarial/Investment team, part of the company’s Corporate Technology organization seeks an exceptional and experienced SAP S/4HANA ABAP Developer with Integration experience to j... Show more

Microsoft Developer

IKOAgawam (HSS)
$84,000.00 yearly
Full-time

As a member of the IKO ERP Development team, the Microsoft Developer will be responsible for designing and developing solutions using X++ in Dynamics 365 Finance & Operations, as well as extensions... Show more

Senior Business Analyst

Sigma SoftwareAgawam, MA, United States
Full-time

Ready to take your expertise to the next level in the rapidly evolving AdTech industry? Join Sigma Software's Stellar Competence Center a dedicated business unit focused on delivering cutting-edge... Show more

Senior Water Resources Engineer

Trilon GroupSpringfield, Massachusetts, US
Full-time +1
Quick Apply

A desire to effect positive change.That’s what it takes to work at Fuss & O’Neill – because that’s what we do for the communities in which we work: we create, innovate, and design long-lasting impr... Show more

Junior Jackets Cheerleading Coach

Grundy County Board of EducationSpringfield, MA, USA
Full-time
Quick Apply

Cheer Coaches are responsible for training cheerleaders.Their duties include choosing new members, creating choreographies, organizing practice sessions, monitoring each cheerleader, recommending s... Show more

Junior Forex & Crypto Trader - Springfield, MA

Maverick CurrenciesSpringfield, MA, United States
Remote
Full-time

Maverick Currencies is actively seeking forex and crypto traders in Springfield, MA.Trade with firm capital, keep up to 90% of profits, and build a real trading career.Maverick Currencies is seekin... Show more

Junior Groomer

Petco1694 Boston Rd, Springfield, MA 01129 United States
$10.00 hourly
Full-time

Want to help pets live their best lives?.We’re proud to be where the pets go and where the pet people go.If you want to make a real difference, create an exciting career path, feel welcome to be yo... Show more

Junior Security Engineer

MaximusSpringfield, MA, US
$40,000.00 yearly
Full-time

Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS055, T1, Band 4 Job-Specific Essential Duties and Responsibilities: - Provide 24x7x365 support for enter... Show more

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Sr Insurance Specialist - Commercial/Blue Cross

Sr Insurance Specialist - Commercial/Blue Cross

Holyoke Medical CenterHolyoke, MA, United States
19 days ago
Job type
  • Full-time
Job description

Sr Insurance Specialist

Holyoke Medical Center is looking for a Sr Insurance Specialist. This position manages complex medical claims, acting as a subject matter expert to investigate, adjudicate negotiate settlements, ensure compliance and mentor junior staff, focusing on accurate and timely and cost-effective claims resolution while maintaining strong communication with providers, payers and internal teams. Works all claims as assigned/directed.

DUTIES AND RESPONSIBILITIES:

  • Serve as subject matter expert, providing guidance on policy, regulations and complex claims scenarios.
  • Conduct in-depth analysis, research discrepancies, prevent fraud and develop plans for claims resolution.
  • Handles escalated inquiries, build relationships with providers/payers and communicate claims status.
  • Assist in training, coaching and provide senior support to less experienced team members.
  • Review and process complex hospital claims and determine coverage based on policy, medical necessity and contracts.
  • Able to work all aspects of Commercial Managed Care, Medicare Advantage, and Medicaid Advantage Care accounts sliding between Financial Classes as needed for Billing, Follow-up, Denials Management, Credit Balance and Account resolution.

Required Skills:

  • Must show honesty, integrity, strong ethics, data entry skills and time management skills
  • Insurance follow up experience especially Blue Cross and all Commercial Lines
  • Strong understanding of Medetech and finThrive billing programs
  • Strong Verbal and written skills for preparing and presenting appeals, negotiating settlements and presenting reports to Senior Management.
  • Proactive approach to resolving discrepancies between insurance policy terms and provider charges
  • Ability to analyze complex data, identify issues and solve problems
  • Proven background in handling complex institutional or healthcare related claims
  • Proficiency with claims software and MS Office (especially Excel).
  • Strong time management, organization skills and ability to work independently or in a team
  • Good plus knowledge of ICS/HCPCS/CPT Coding and medical terminology
  • Knowledge of commercial, state and federal healthcare regulations
  • Excellent Math Skills and knowledge of general accounting principals
  • Ability to logically and accurately organize data
  • Excellent problem solving skills
  • Strong attention to detail

QUALIFICATIONS/JOB REQUISITES:

Education: High School Diploma or GED is required, an Associate or Bachelors degree in Health Administration or related study preferred

Experience: Eight plus (8+) years in the health insurance, hospital business office or claims processing/management.