Jobs in Massachusetts

10,547 job openings within 25 miles

Save This Search

Refine Your Search

Show more Show less
Displaying results 1 - 15 of 10,547

Referral Specialist I

Celtic Insurance Company - Brighton, MA

Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer ...

Application Deadline: None

Senior Customer Service Representative

Celtic Insurance Company - Waltham, MA

Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Qualifications Education/Experience: High school diploma or equivalent. 3+ years of call center customer service experience preferably in a healthcare or insurance environment. 1+ years of managed care experience preferred. Associate's degree and...

Application Deadline: None

Customer Service Representative I

Celtic Insurance Company - Waltham, MA

Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources Provide assistance to members and/or providers regarding website regi...

Application Deadline: None

Manager, Customer Service

Celtic Insurance Company - Waltham, MA

Position Purpose: Plan and manage assigned customer service function at the health plan to meet overall business goals and objectives. Manage the workflow of the customer service function and communicate standards Analyze department performance; develop, implement and maintain production/performance standards in line with Company goals and objectives Ensure ...

Application Deadline: None

Senior Customer Service Representative

Celtic Insurance Company - Waltham, MA

Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Qualifications Education/Experience: High school diploma or equivalent. 3+ years of call center customer service experience preferably in a healthcare or insurance environment. 1+ years of managed care experience preferred. Associate's degree and...

Application Deadline: None

Senior Customer Service Representative

Celtic Insurance Company - Waltham, MA

Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Qualifications Education/Experience: High school diploma or equivalent. 3+ years of call center customer service experience preferably in a healthcare or insurance environment. 1+ years of managed care experience preferred. Associate's degree and...

Application Deadline: None

Customer Service Representative II , Outbound

Celtic Insurance Company - Waltham, MA

Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner Qualifications Education/Experience: High school diploma or equivalent. Associates degree and claims processing, billing and/or coding experience preferred. 1+years of experience in Medicare, Medicaid managed care or insurance environment. 3+ yea...

Application Deadline: None

Senior Customer Service Representative

Celtic Insurance Company - Waltham, MA

Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Qualifications Education/Experience: High school diploma or equivalent. 3+ years of call center customer service experience preferably in a healthcare or insurance environment. 1+ years of managed care experience preferred. Associate's degree and...

Application Deadline: None

Executive Assistant

Celtic Insurance Company - Brighton, MA

Position Purpose: Relieves the executive of administrative type functions in order to increase the time the executive has available for senior level responsibilities. Communicates and interprets administrative and operating policies and procedures. Assists in the preparation and coordination of records, statistics, and reports regarding operations, etc. Gath...

Application Deadline: None

Referral Specialist I

Celtic Insurance Company - Waltham, MA

Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer ...

Application Deadline: None

Referral Specialist I/Letter Writer

Celtic Insurance Company - Waltham, MA

Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer ...

Application Deadline: None

Senior Healthcare Financial Analyst IV (Beford, NH)

Celtic Insurance Company - Waltham, MA

Position Purpose: This position will analyze, monitor and report health care data to measure financial and clinical outcomes.Strong, collaborative leader necessary for success. Leadership role in identifying, monitoring and reporting financial outcome of programs designed to create medical cost efficiencies and savings Calculating and analyzing medical cost utilization ...

Application Deadline: None

Concurrent Review Nurse

Celtic Insurance Company - Waltham, MA

Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care Review and audit patient charts through on-site hospital visits Act as clinical resources to referral staff and make appropriate referrals ...

Application Deadline: None

Customer Service Representative I

Celtic Insurance Company - Waltham, MA

Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources Provide assistance to members and/or providers regarding website regi...

Application Deadline: None

Referral Specialist I

Celtic Insurance Company - Waltham, MA

Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. Verify eligibility and benefits Answer ...

Application Deadline: None