Mass General Brigham
The Claims Review Specialist evaluates medical claims submitted by healthcare providers, insurance companies, and patients to ensure proper coding, documentation, and adherence to billing regulations. This role involves analyzing diagnosis and procedure codes, verifying claim payment amounts against contracted rates, and conducting comprehensive audits to identify discrepancies or potential fraud. The position supports the organization's mission to provide seamless and affordable care by maintaining compliance with industry standards and payer policies.
Headquarters
Somerville, Massachusetts, United States
Company Size
10001+ employees
Mass General Brigham is an integrated healthcare system, uniting great minds to solve the hardest problems in medicine for our communities and the world.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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and employee contacts for Mass General Brigham.