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Junior software developer Jobs in Springfield, MA

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Junior software developer • springfield ma

Last updated: 5 hours 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

Operations & Systems Engineer

CrewBloomSpringfield, MA, US
Full-time
Quick Apply

The Commonwealth of Massachusetts’ Executive Office of Health and Human Services (EOHHS) is seeking a highly skilled.Operations & Systems Engineer.Health Insurance Exchange (HIX).This essential... Show more

Appian Developer

MaximusSpringfield, MA, US
$120,000.00 yearly
Full-time

Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS195, T3, Band 6 Job-Specific Essential Duties and Responsibilities: - Develop and configure complex ente... Show more

 • New!

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

Remote Frontend Software Engineer

Micro1Chicopee, Massachusetts, US
$40.00 hourly
Remote
Full-time

Pixel-Perfect UI Implementation.AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcar... Show more

 • Promoted

.NET Developer

FIT StaffingWestfield, Massachusetts
Permanent

Our client is looking to add a.NET Developer to their team in Westfield, Massachusetts.They are committed to attracting and maintaining a diverse, dynamic workforce that encourages personal and pro... Show more

Junior Assistant Manager

Rainbow ShopsWest Springfield, MA, United States
Full-time

Rainbow USA is recognized as one of the fastest growing junior, kids, plus, and petite, specialty apparel retail chains and has grown to over 1,000 retail stores! We have multiple retail lines that... Show more

Energy Project Developer

Trane TechnologiesSpringfield, MA, United States
$112,986.66 yearly
Full-time

Senior Project Developer, Energy Services, North America CHVAC.Be a part of our mission! As a world leader in creating comfortable, sustainable, and efficient climate solutions for buildings, homes... Show more

Middle School-ESL teaching job => Relocate to China

Beijing Aidi SchoolSpringfield, Massachusetts, US
$28,000.00 yearly
Full-time

ESL teaching, currently is Junior High School.Design appropriate teaching and learning strategy.Coordinate other team members to ensure the grade learning outcome are met.Good quality degree , or e... Show more

IT Helpdesk Technician

Manufacturing IncAgawam, Massachusetts, United States
$20.00 hourly
Full-time
Quick Apply

We are seeking a motivated and customer-focused IT Helpdesk Level I professional for a temporary assignment in our Agawam, MA location.This is an entry-level position.Answering phone calls and emai... Show more

Information Software & Process Solutions Business Development Manager

REXELHolyoke, MA, United States
$110,000.00 yearly
Full-time

Information Software & Process Solutions Business Development Manager.We are looking for an Information Software & Process Solutions Business Development Manager to join our Rexel, USA team in Holy... 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

Shift Manager

Wendy'sWestfield, MA, United States
Full-time

You're an experienced restaurant manager looking for an organization that will invest in your development and give you opportunities for advancement.You enjoy a challenge and are always pushing for... Show more

Junior Software Developer - AI-focused

FIT StaffingWestfield, Massachusetts
Permanent

Junior Software Developer – AI-focused.Our client is building out an AI-focused technology team and is looking to add a junior software developer to their group in Westfield, MA.This is a strong op... 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

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

Project Manager - Construction

Polaris SoftwareSpringfield, MA, US
$70.00 hourly
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

Senior Water Resources / Senior Dam Engineer

Trilon GroupSpringfield, MA, 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

Tax Analyst

Hire HangarAgawam, MA, United States
Full-time

Join Hire Hangar and work with fast-growing global companies while building a long-term career.Role Overview: We are seeking an experienced Tax Analyst to lead US tax compliance, planning, and advi... Show more

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Sr Insurance Specialist - Commercial/Blue Cross

Sr Insurance Specialist - Commercial/Blue Cross

Holyoke Medical CenterHolyoke, MA, United States
7 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.