234 billing services representative jobs found

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...

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status Non-Exempt Hiring Range $22.29 - $36.69 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details Monday through Friday Scheduled Hours 8-5 Shift 1 - Day Shift, 8 Hours (United States of America) Hours 40 Cost Center 10010 - 4152 Womens Services OBGYN Union SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you...

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Friday, Monday, Thursday, Tuesday, Wednesday Scheduled Hours: 8-4:30 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 10020 - 3962 Cardiac Ultrasound Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central...

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for "Find Jobs for Students". All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through "My Draft Applications" located on your Candidate Home page. Closing Date 10/13/2025 Type of Position Clinical Staff - Nursing Job Type Regular Work Shift Sponsorship Available No Institution Name University of Arkansas for Medical Sciences The University of Arkansas for Medical Sciences (UAMS) has a...

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday through Friday, Saturday, Weekends - Every Third Weekend Scheduled Hours: 7:45am-4:15pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 10020 - 4126 Oncology Infusion Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier...

Description: Work Schedule – On-Call / Per Diem This Per Diem Dentist role is on an as-needed basis . While hours are not guaranteed, clinical needs may occasionally fall within: Regular hours: Monday–Friday, 8:00 AM–4:30 PM Expanded hours: Up to one evening per month (Monday–Thursday, 4:30–7:00 PM) and up to one Saturday per month Primary Purpose of Position: We are passionate about our mission here at North Shore Community Health! Our mission is to build healthy communities by providing exceptional care to all. If you are someone that shares our mission and believes that first impressions are lasting impressions, you are a great candidate for us. We are currently seeking a Per-Diem Dentist on an on-call, as-needed basis to be an integral part of our team. Under the direction of the Dental Director, the General Dentist provides quality oral health care to the patients of North Shore Community Health. The General Dentist must follow the standards 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 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...

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Friday, Monday, Thursday, Tuesday Scheduled Hours: 7am to 3:30pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 32 Cost Center: 10020 - 3968 ACC Cardiac Vascular Surgery Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central...

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...

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday through Friday Scheduled Hours: start between 8am and 9am in order to meet needs of the clinic Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 10010 - 2733 Urology Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health...

VIVO Infusion, LLC Regional Infusion Services Director Connecticut, Massachusetts, Virginia Region Vivo Infusion is searching for an experienced and dynamic sales leader with a background in Healthcare and/or Pharma to help drive our presence in Connecticut, Massachusetts, and Virginia! This is an incredible opportunity to make an impact in your community by helping us bring Vivo Infusion's exceptional level of patient care to the surrounding areas. As a Regional Sales Director, you will be at the forefront of this mission, building and leading a high-performing sales team to expand our reach and grow our business strategically. The Regional Infusion Services Director is responsible for leading and managing a team of Regional Infusion Sales Specialists within a defined geographic territory. This role is critical in driving regional growth, fostering strategic partnerships with healthcare providers, and ensuring alignment with corporate objectives. The Director...

The Department of Developmental Services (DDS) is seeking a full-time Intake and Eligibility Psychologist to join our Metro Regional Office. This role will provide clinical assessment and evaluation at the request of the Regional Director or designee, including participation in eligibility determinations, competency evaluations, emergency case reviews and other specialized clinical assessments and evaluations. The Intake and Eligibility Psychologist will also maintain a current working knowledge of professional developments in the field, trends, policies and procedures, diagnosis of Intellectual and Developmental Disability, and related subjects. The position is located at the Department's Metro Regional Office in Waltham. As a representative of the Department, the Intake and Eligibility Psychologist may be asked to participate in inter-agency collaborative efforts and perform other related work as required. Duties and Responsibilities (this is a general summary and not...

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...

Job Description About Auris Auris is the payroll and HR partner built for small and medium-sized business who can’t afford to get it wrong. Trusted by over 50,000 business nationwide, Auris pairs easy-to-use technology with real human services to give leaders the confidence that every detail is done right - so they can focus on growing their team and their business. Acquired by Acrisure in 2025, Auris formerly Heartland Payroll is accelerating its vision to deliver seamless human-centered technology to help small businesses thrive. Job Summary Responsible for prospecting and running Auris Payroll presentations both in person and over the phone to small and mid-sized merchants and businesses to ultimately close deals within a fast sales cycle. As a Field Sales Representative you will report to a Payroll Division Manager and receive coaching from a Territory Manager. Activities include explaining our value proposition to clients via Atlas CRM, upselling current...

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...

Statement of Duties Duties include permit process administration; advising the permitting Boards and Commissions; serving as a principal planner and coordinator to one of the Boards or Commissions staffed by the Division; providing professional and technical planning services, including research, analysis, and communication concerning land use, historic preservation, and community planning; and participation in long-range planning and zoning ordinance projects. Employee is required to perform all similar or related duties. Essential Functions: The essential responsibilities listed below are intended only as illustrations of the various type of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. (Note: not all responsibilities are performed by all incumbents in each division). Maintains records of each permit application, including...

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...

We anticipate the application window for this opening will close on - 19 Dec 2025 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. In-person exchanges are invaluable to our work. We're working a minimum of 4 days a week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the extraordinary. Medtronic is seeking a motivated and detail-oriented Software Tools Engineer II to join our Cardiac Ablation Solutions Software team. In this role, you will play a critical part in enhancing and streamlining our software development, testing, and quality assurance...

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,...

Overview: The Immigration Impact Unit of the Committee for Public Counsel Services (CPCS), the public defender agency of Massachusetts, is seeking paralegals to work as part of the Massachusetts Access to Counsel Initiative (MACI). Under the direction of the Supervising Attorneys, the paralegals will support MACI Staff Attorneys and Supervising Attorneys in their direct representation of individuals in removal proceedings. 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...

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...

Description/Job Summary Join a team focused on the success of our customers, the success of our communities, and the success of each other. Farm Credit East (FCE) is the leading provider of loans and farm advisory services to farm, forest product, fishing, and other agricultural business owners across the northeast with $11.7 billion in total loan volume and $29 million in annual financial services revenue from 18,000 customers across our 8-state territory. We are One Team Working Together with a focus on our five pillars: Outstanding Customer and Employee Experience, Quality Growth, Operational Excellence, Commitment to our Communities, and Protecting Customer Information. As a Credit Representative , your job is to make loans to existing and new farm customers who meet Farm Credit East’s underwriting requirements. Loan products include but are not limited to annual lines of credit, equipment debt and real estate financing. This role includes understanding clients' financials...