Reviewer: Average Salary in Boston, MA in 2024
Find out what the average Reviewer salary is in Boston, MA
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Patient Billing and Claims Reviewer
NECO has an exciting opportunity in our Commonwealth Clinic for a Patient Billing and Claims Reviewer. The Patient Billing and Claims Reviewer (On-Site) will be located at 930 Commonwealth Avenue in our Commonwealth clinic. Patient Billing and Claims Reviewer (On-Site) Responsibilities:. Patient Bi...
Inpatient DRG Reviewer
The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. ...
Clinical Nurse Reviewer - NIPR (Hybrid - North Quincy, MA)
Clinical Nurse Reviewer - NIPR (Hybrid - North Quincy, MA). Under the general direction of the NIPR Manager or designee, Clinical Reviewer Auditor is tasked with the responsibility to perform and oversee retrospective, post-payment case reviews of community-based providers who participate in MassHea...
Clinical Nurse Reviewer - NIPR (Hybrid - North Quincy, MA)
Under the general direction of the NIPR Manager or designee, Clinical Reviewer Auditor is tasked with the responsibility to perform and oversee retrospective, post-payment case reviews of community-based providers who participate in MassHealth. The Clinical Reviewer Auditor works within specific gui...
Clinical Reviewer - Registered Nurse
Utilization Review or Utilization Management Nursing background is highly preferred.Coordinates the review process for services requiring prior authorization by company.This includes matching the coverage request to the Medical Necessity Guidelines/Interqual Criteria or Plan Benefit Documents, docum...
Patient Billing and Claims Reviewer
NECO has an exciting opportunity in our Commonwealth Clinic for a Patient Billing and Claims Reviewer. The Patient Billing and Claims Reviewer (On-Site) will be located at 930 Commonwealth Avenue in our Commonwealth clinic. Patient Billing and Claims Reviewer (On-Site) Responsibilities:. Patient Bi...
Site Reviewer, RN (Remote with 60% travel-must live within Inland Empire area)
Possession of an active, unrestricted, and unencumbered Certified Site Reviewer Certificate issued from DHCS or participating Medi-Cal Managed Health Plan Provider. ...
Patient Billing and Claims Reviewer
NECO has an exciting opportunity in our Commonwealth Clinic for a Patient Billing and Claims Reviewer. The Patient Billing and Claims Reviewer (On-Site) will be located at 930 Commonwealth Avenue in our Commonwealth clinic. Patient Billing and Claims Reviewer (On-Site) Responsibilities:. Patient Bil...
Individual/Independent Consultant - Bias, Sensitivity, and Fairness Reviewers
OverviewSeeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment. AIR will contract directly with the Reviewer under a consulting purchase order agreement. To support this process, AIR works with a cadre of writers and reviewers who are typically faculty at college...
QUALITY ASSURANCE REVIEWER ASSOCIATE I (REMOTE)
Why This Role is Important to Us:.Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP).Additionally, this role will ...
PHYSICIAN CLINICAL REVIEWER, MRX - ONCOLOGY - REMOTE
Physician Clinical Reviewer, MRx - Oncology - REMOTE. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required. Reviews all cases in which clinical determinatio...
Quality Assurance Reviewer Associate I (Remote)
Why This Role is Important to Us.Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP).Additionally, this role will r...
Subject Expert Reviewer needed
Subject Expert Reviewer needed. ...
Nurse Reviewer, Endoscopy -Braintree
Nurse Reviewer, Endoscopy -Braintree-(3288945). Under the direction of the Nurse Director of the BWPO’s South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support the quality, efficiency and satisfaction of care ta...
Spanish Medical Reviewer
As a trusted global transformation partner, Welocalize accelerates the global business journey by enabling brands and companies to reach, engage, and grow international audiences.Welocalize delivers multilingual content transformation services in translation, localization, and adaptation for over 25...
Document Reviewer
We have an ongoing need for document reviewers. Remote/work from home opportunity, reviewers must reside in one of the following states: Illinois, Massachusetts, Maryland, or Virginia . ...
Accounting and Tax Reviewer
Within the Finance Department, the Financial Review is a dedicated and independent function in charge of permanent controls on accounting and financial information.The Financial Review is a key component of the Enterprise Risk Management framework.As part of the second line of defense, it consists o...
Patient Billing and Claims Reviewer
NECO has an exciting opportunity in our Commonwealth Clinic for a Patient Billing and Claims Reviewer. The Patient Billing and Claims Reviewer (On-Site) will be located at 930 Commonwealth Avenue in our Commonwealth clinic. Patient Billing and Claims Reviewer (On-Site) Responsibilities:. Patient Bi...
Third Party Reviewer
Third Party Reviewer-(3293531). The Reviewer functions under the general supervision of the Unit Manager. ...
Patient Billing and Claims Reviewer
NECO has an exciting opportunity in our Commonwealth Clinic for a Patient Billing and Claims Reviewer. The Patient Billing and Claims Reviewer (On-Site) will be located at 930 Commonwealth Avenue in our Commonwealth clinic. Patient Billing and Claims Reviewer (On-Site) Responsibilities:. Patient Bil...
Nurse Reviewer, Endoscopy -Braintree
Nurse Reviewer, Endoscopy -Braintree-(3288945). Under the direction of the Nurse Director of the BWPO’s South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support the quality, efficiency and satisfaction of care ta...
Third Party Reviewer
The Reviewer functions under the general supervision of the Unit Manager. ...
Patient Billing and Claims Reviewer
NECO has an exciting opportunity in our Commonwealth Clinic for a Patient Billing and Claims Reviewer. The Patient Billing and Claims Reviewer (On-Site) will be located at 930 Commonwealth Avenue in our Commonwealth clinic. Patient Billing and Claims Reviewer (On-Site) Responsibilities:. Patient Bi...
Clinical Reviewer - RN
Remote position but will be required to go on site as needed.Coordinates the review process for services requiring prior authorization by .This includes matching the coverage request to the Medical Necessity Guidelines/Interqual Criteria or Plan Benefit Documents, documentation of the coverage deter...
Inpatient DRG Reviewer
The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. ...