145 billing services representative jobs found in Boston, MA

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to evaluate, educate and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL RESPONSIBILITIES Communicate effectively with physician and pharmacy network providers to ensure that the needs of the...

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA’s Core Values are built around safety, service, equity, sustainability, and culture. Each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed. Job Summary The Audit and Closeout Group is a small multi-dimensional group within Contract Services, Capital Programs Support working to assist Project Delivery teams in a variety of administrative capacities, including the timely review and processing of invoices, the review of Standard Operating Procedures, facilitating process improvements within the various administrative workflows, and assisting Project Delivery teams with the closeout of design and construction contracts. The Sr...

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA’s Core Values are built around safety, service, equity, sustainability, and culture. Each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed. Job Summary The Audit and Closeout Group is a small multi-dimensional group within Contract Services, Capital Programs Support working to assist Project Delivery teams in a variety of administrative capacities, including the timely review and processing of invoices, the review of Standard Operating Procedures, facilitating process improvements within the various administrative workflows, and assisting Project Delivery teams with the closeout of design and construction contracts. The Sr Analyst, Audit and...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Ryder. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Summary Job Description : The Financial Analyst will provide financial and analytical support to Senior Financial Management, Group Logistics Managers, and Logistics Managers. Essential Functions Month-End Closing: To include journal entries as necessary to re-class revenue / expenses; explanations of variances vs. forecast / annual plan; general...

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA’s Core Values are built around safety, service, equity, sustainability, and culture. Each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed. Job Summary Inlinewith49 CFR 625, 630, and 673requirements,theEAMS Administrator is responsible for the overall asset management, work planning, asset inventory, and application support for the EAMS software at MBTA. The EAMS Database Administrator supports and performs changes and upgrades to Transit IT environments including after-hours support and implementation of changes and releases of new software and hardware. Document and facilitate the work of IT as it relates to vendors in the support and...

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA’s Core Values are built around safety, service, equity, sustainability, and culture. Each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed. Job Summary The Data Strategy Senior Director plays a pivotal role in shaping an organization's approach to data management and utilization. This leadership position is responsible for developing and executing comprehensive data strategies that drive business decisions, enhance operational efficiency, and foster innovation. By collaborating with cross-functional teams, the Senior Director, Data Strategy ensures that data governance, analytics, and reporting frameworks are aligned with the company's strategic...

Overview: The Public Defender Division of the Committee for Public Counsel Services, the public defender agency of Massachusetts, is seeking two full-time attorneys for its Appeals Unit in Boston. The Public Defender Division provides legal representation and zealous advocacy to the indigent community. We fight for equal justice and human dignity by supporting our clients in achieving their legal and life goals. We zealously advocate for the rights of individuals and promote just public policy to protect the rights of all. Our Values C ourage • A ccountability • R espect • E xcellence DIVERSITY AND INCLUSION MISSION STATEMENT CPCS is committed to protecting the fundamental constitutional and human rights of our assigned clients through zealous advocacy, community-oriented defense, and the fullness of excellent legal representation. We are dedicated to building and maintaining strong professional relationships, while striving to accept,...

Overview: The Committee for Public Counsel Services, the public defender agency for Massachusetts, is seeking candidates for a Private Attorney Outreach Partner to serve as a key ambassador for CPCS in our efforts to recruit private attorneys to contract with CPCS. CPCS is considered one of the leading public defender agencies in the country. The agency provides representation in criminal, delinquency, youthful offender, family regulation, guardianship, mental health, sexually dangerous person, and sex offender registry cases, as well as in appeals and post-conviction and post-judgment proceedings related to those matters. To accomplish its mission of zealously representing clients, CPCS employs staff attorneys and contracts with private attorneys to serve as public defenders. Approximately 80% of cases are handled by private attorneys. The agency is facing a critical shortage of private attorneys. The Administrative Office is located in Boston but the office location...

Job Description Data Platform Sales Representative, Higher Education - Florida Overview: Are you a creative problem solver who thrives on challenges? Do you have a passion for technology innovation and driving customer success? Join Oracle as a Software Data Platform Sales Executive and help transform Higher Education institutions across Florida with industry-leading data platform solutions. Oracle is a global technology leader changing the way the world does business. We're seeking an experienced, self-motivated sales professional with a drive for results and a passion for building trusted customer relationships. If you want to make an impact in the Higher Education sector with transformative cloud and data platform solutions, we encourage you to apply! Role Summary: As a Software Data Platform Sales Representative dedicated to the Higher Education market in Florida, you will identify, qualify, and close new business for Oracle's data platform offerings,...

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA’s Core Values are built around safety, service, equity, sustainability, and culture. Each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed. Job Summary Inlinewith49 CFR 625, 630, and 673requirements,theEAMS Administrator is responsible for the overall asset management, work planning, asset inventory, and application support for the EAMS software at MBTA. The EAMS Database Administrator supports and performs changes and upgrades to Transit IT environments including after-hours support and implementation of changes and releases of new software and hardware. Document and facilitate the work of IT as it relates to vendors in the...

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA’s Core Values are built around safety, service, equity, sustainability, and culture. Each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed. Job Summary The Administrative Analyst position will provide the Light Rail Transportation leadership team with both administrative and analytical support. This position will provide administrative and analytical support through helping the Light Rail leadership team organize, schedule, document, and implement all critical meetings, events, and records throughout all Light Rail districts. Duties & Responsibilities Support Light Rail leadership and district meetings including, developing and...

Regulatory Reporting Transaction Testing Senior Analyst Country: United States of America Your Journey Starts Here: Santander is a global leader and innovator in the financial services industry. We believe that our employees are our greatest asset. Our focus is on fostering an enriching journey that empowers you to explore diverse career opportunities while nurturing your personal growth. We are committed to creating an environment where continuous learning and development are prioritized, enabling you to thrive both professionally and personally. Here, you will find ample opportunities to connect and collaborate with talented colleagues from around the world, sharing insights and driving innovation together. Join us at Santander, where you are supported by a culture of engagement and a commitment to your success. An exciting journey awaits, if you are interested in exploring the possibilities We Want to Talk to You! The Difference You Make: The Regulatory...

The Senior Underwriter is responsible for providing pricing and plan design for companies with 1,000 or more lives utilizing prior claim experience and manual rates. Products include Group Dental, Vision, FMLA, STD, LTD, and Life insurance. The underwriter will possess top technical competence, the ability to learn how to underwrite new lines of coverage and the ability to deeply analyze the key drivers of insurance plan performance. The underwriter will be an excellent negotiator who builds collaborative relationships with Sales and other areas of Guardian to solve business issues and win. The underwriter will be both a confident communicator and an independent decision-maker. You will Recommend competitively priced products, funding arrangements, and services to meet customer requirements Leverage all available resources to improve risk management, enhance decision-making, and provide create solutions for internal and external customers Determine pricing...

Overview: SP+, a Metropolis company, is an artificial intelligence company for the real world. We use computer vision to enable checkout-free parking experiences. So there’s no fumbling with tickets, machines, apps, or credit cards. You just “drive in and drive out.” We are the largest parking network in America, with over 23,000 employees powering mobility at over 4,000 locations across North America and Europe. Today, we are reinventing parking. Because it’s important, it's everywhere and impacts everyone. Tomorrow, we will power checkout-free experiences anywhere you go to make the everyday experiences of living, working, and playing remarkable - giving us back our most valuable asset, time. Responsibilities: Pay Rate is $27.00 per hour Schedule is Sunday-Thursday 10:30pm-7:00am Assist in directing and managing routine cleaning, maintenance & repair, including, power washing, slurring, striping, sweeping, commercial painting. Assist in the...

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA’s Core Values are built around safety, service, equity, sustainability, and culture. Each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed. Job Summary The Manager of Operating Rules & Documentation oversees the management and execution of the department’s operating rules and its physical and digital documentation. This role ensures ORC’s digital and physical documentation is accurate, up to date, and accessible, coordinates projects in partnership with the Operating Rules Compliance team, and implements rule-related communications. The manager supports continuous improvement efforts and assists the Director by providing...

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA’s Core Values are built around safety, service, equity, sustainability, and culture. Each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed. Job Summary The Office of the Chief Operating Officer supports the safe and efficient operation of all MBTA modes of transportation by overseeing both daily and long-term cross-department coordination and planning activities, such as managing special projects and initiatives and business processes. TheManager of Operations Projects will be responsible for the detailed management of projects that support the Operations department and/or are championed by the Chief Operating Officer (COO). As...

Overview The Committee for Public Counsel Services (CPCS), the public defender agency for Massachusetts, is seeking attorneys to represent children and parents in family regulation cases. CPCS provides legal representation for those unable to afford an attorney. The Children and Family Law Division (CAFL) provides legal representation to children and indigent parents in family regulation matters, including care and protection (C&P) proceedings, children requiring assistance (CRA) cases, actions to terminate parental rights, guardianship-of-a-minor cases, and any other child custody proceeding where the Department of Children and Families (DCF) is a party or where the court is considering granting custody to DCF. We fight for equal justice and human dignity by supporting our clients in achieving their legal and life goals. We zealously advocate for the rights of individuals and promote just public policy to protect the rights of all. Our Values...

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA’s Core Values are built around safety, service, equity, sustainability, and culture. Each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed. Job Summary The Rules Compliance Examiners are subject-matter experts (SMEs) assigned to operational departments within the Operating Rules Compliance Program (OTIP). They provide proactive field support, conduct program observations, analyze compliance trends, and advise on rule-related guidance and outreach. Examiners anticipate potential compliance issues, facilitate follow-up after triggering events, support coaching initiatives, and drive improvement efforts to enhance operational safety...

Title: Chief of Policy Reports to: President & CEO Location: Hybrid – Massachusetts (Boston Headquarters) Salary range: $120,000-$130,000 Start Date: February 2026 Organizational Summary The Black Economic Council of Massachusetts (BECMA)’s mission is to drive economic equity and prosperity for Massachusetts to achieve inclusive growth through advocacy, programming, and strategic partnerships that enable Black-owned businesses and Black communities to thrive. BECMA’s work is centered around our 4 pillars for closing the racial wealth gap in MA: Entrepreneurship: Nurture startups and support existing entrepreneurs by providing access to affordable and adequate capital to launch and scale their firms. Advocacy: Influence policies to shape economic opportunities while addressing and mitigating systemic barriers, to ensure a more just and prosperous future for Black and other micro small businesses and diverse communities. Commerce:...

Overview The Committee for Public Counsel Services, the public defender agency for Massachusetts, is seeking candidates for a Private Attorney Outreach Partner to serve as a key ambassador for CPCS in our efforts to recruit private attorneys to contract with CPCS. CPCS is considered one of the leading public defender agencies in the country. The agency provides representation in criminal, delinquency, youthful offender, family regulation, guardianship, mental health, sexually dangerous person, and sex offender registry cases, as well as in appeals and post-conviction and post-judgment proceedings related to those matters. To accomplish its mission of zealously representing clients, CPCS employs staff attorneys and contracts with private attorneys to serve as public defenders. Approximately 80% of cases are handled by private attorneys. The agency is facing a critical shortage of private attorneys. The Administrative Office is located in Boston but the office...

Job Title Lead Cleaner Job Description Summary Responsible for coordinating, scheduling and supervising the activities of the building/facility cleaning staff and ensuring that the cleaners keep offices, hallways, stairs, and other areas within the building in clean and orderly condition by performing basic cleaning duties. May also supervise the performance of the clean-up and basic maintenance of the surrounding grounds and premises. Job Description ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Supervise, schedule and assign the cleaning staff in the daily interior cleaning of the building, which includes emptying waste receptacles, debris and trash removal, vacuuming/shampooing floors and carpets, dusting and cleaning furniture, cleaning and restocking restrooms, washing walls, polishing, mopping floors, cleaning up spills, placing down mats/runners in inclement weather, cleaning windows and window coverings, etc., in accordance with established procedures Assign...

Overview The Committee for Public Counsel Services, the public defender agency for Massachusetts, is seeking candidates for a Private Attorney Outreach Partner to serve as a key ambassador for CPCS in our efforts to recruit private attorneys to contract with CPCS. CPCS is considered one of the leading public defender agencies in the country. The agency provides representation in criminal, delinquency, youthful offender, family regulation, guardianship, mental health, sexually dangerous person, and sex offender registry cases, as well as in appeals and post-conviction and post-judgment proceedings related to those matters. To accomplish its mission of zealously representing clients, CPCS employs staff attorneys and contracts with private attorneys to serve as public defenders. Approximately 80% of cases are handled by private attorneys. The agency is facing a critical shortage of private attorneys. The Administrative Office is located in Boston but the office...

Overview The Private Counsel Division and Strategic Litigation Unit of CPCS are seeking applicants for Summer 2026 internship positions across the Commonwealth. We are interested in law students (both with and without SJC Rule 3:03 Certification), graduate students, and undergraduate students for opportunities with these offices. We fight for equal justice and human dignity by supporting our clients in achieving their legal and life goals. We zealously advocate for the rights of individuals and promote just public policy to protect the rights of all. Our Values Courage • Accountability • Respect • Excellence We stand with our Clients and the Community in the fight for Justice. We are dedicated to providing zealous advocacy, community-oriented defense and protection of fundamental constitutional and human rights. Our staff across the Commonwealth embodies a diverse group of people from different backgrounds, experiences, abilities, and...

Senior Principal Relationship and Business Development Manager (Remote-Eligible) We are currently looking for a Senior Principal Relationship and Business Development Manager to join our International Markets team. This strategic role will focus on business development for our international clients, managing a robust pipeline of new sales opportunities, and cultivating complex external relationships. The Senior Manager will act as the lead representative to identify and drive opportunities to expand business targets within the portfolio. This role is key to increasing network transaction volume and revenue generation by selling new programs, projects, and promotions, and requires actively managing and escalating risk and customer-impacting issues. Responsibilities *: * Strategic Growth: Strategically identifying leads, developing proposals and negotiating agreements to maximize network growth Business Development: Identifying and creating business cases for new...