Top 493 claims processing Jobs in massachusetts

Controller of Financial Operations and Reimbursement
Comfort Home Care —Methuen, MA
- $125,000 - $165,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- CPA
- Finance
- Health insurance
- Dental insurance
Quick Apply
10d
Office Administrator
North Winds Mechanical —Nantucket, MA
- $25 - $35 an hour
- Full-time
- Bilingual
- Google Workspace
- Research
- Paid holidays
- Health insurance
Quick Apply
Dental Insurance/Financial Coordinator
Squire Road Family Dental —Revere, MA
- $26 - $32 an hour
- Full-time
- Private practice
- Dental office
- Medical office experience
- Dental insurance
- 401(k)
Quick Apply
MEDICAL BILLING AND COLLECTIONS SPECIALIST
PATRIOT ALL PRO PHYSICAL THERAPY CENTERS —Brockton, MA
- $20 - $24 an hour
- Part-time
- Medical office experience
- Mid-level
- Organizational skills
Quick Apply
Human Resources Manager
Mark Richey Woodworking —Newburyport, MA
- $100,000 - $120,000 a year
- Full-time
- Management
- Office
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Senior Director of Utilization Management
TaraVista —Auburn, MA
- $150,000 - $170,000 a year
- Full-time
- Senior level
- Under 1 year
- AD&D insurance
- Disability insurance
Quick Apply
4d
AVP, Benefits Analyst II
Eastern Bank —Wakefield, MA
- $72,214 - $118,636 a year
- Full-time
- Hybrid work
- Oracle
- 5 years
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Trainer, Medical Billing
The CCS Companies —Norwood, MA
- $57,500 - $67,500 a year
- Full-time
- 5 years
- Basic math
- HIPAA
- Health savings account
- Health insurance
Quick Apply
Senior Manager of Revenue Cycle
TaraVista —Devens, MA
- $105,000 - $115,000 a year
- Full-time
- 5 years
- Senior level
- Leadership
- AD&D insurance
- Disability insurance
Quick Apply
8d
Senior Deposit Operations Associate/ACH Specialist (FT)
Westfield Bank —Westfield, MA
- $22.79 - $34.18 an hour
- Full-time
- Microsoft Excel
- Research
- Mid-level
Benefits Program Specialist (Hybrid)
Quincy Mutual Group, Inc. —Quincy, MA
- $80,000 - $87,000 a year
- Full-time
- Hybrid work
- 5 years
- Writing skills
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Human Resources Generalist
Protectowire —Pembroke, MA
- $75,745 - $113,052 a year
- Full-time
- Spanish
- 5 years
- Mid-level
- Health savings account
- Health insurance
Quick Apply
1d
Medical Billing
THE HEART CENTER —Hyannis, MA
- Full-time
- Medical office experience
- Mid-level
- Data entry
- Health insurance
- Dental insurance
Quick Apply
2d
Claims Examiner II
Massachusetts Property Insurance Underwriting Association —Boston, MA
- $80,700 - $121,000 a year
- Full-time
- Hybrid work
- Computer literacy
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Account Manager (JD Preferred)
Resolute Management, Inc. —Boston, MA
- $110,000 - $130,000 a year
- Full-time
- Bachelor of Science
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
Payroll/Benefits Specialist
Ashworth Bros., Inc. —Fall River, MA
- Full-time
- 5 years
- HIPAA
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Compliance Director
The Confidential Search Company —Dorchester, MA
- Up to $180,000 a year
- Full-time
- Hybrid work
- 5 years
- Master's degree
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Benefits Manager
Willmott & Associates, Inc. —Newton, MA
- $120,000 - $135,000 a year
- Full-time
- 5 years
- Writing skills
- HIPAA
Quick Apply
Human Resources Coordinator
JS International, Inc. —Fall River, MA
- $20 - $24 an hour
- Overtime
- Mid-level
- Office
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Assistant Manager
Rocky's Ace Hardware —Middleton, MA
- $19 - $23 an hour
- Full-time
- Merchandising
- Mid-level
- Retail management
8d

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Controller of Financial Operations and Reimbursement

Comfort Home Care -
Methuen, MA

Quick Apply

Job Details

Full-time
$125,000 - $165,000 a year
10 days ago

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance

Qualifications

Financial forecasting
Cost accounting analysis
Internal controls
Microsoft Excel
Financial model construction
Medicare
Managing healthcare operations budgets
Operational management
Accounting experience within healthcare industry
Bachelor's degree
Health insurance knowledge
Medicare regulations
GAAP
Centers for Medicare and Medicaid Services (CMS)
Managing accounting teams
Financial projection model development
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Budget management in healthcare
Financial forecasting analysis

Full Job Description

About Comfort Home Care

Comfort Home Care is a rapidly growing, communitybased home health and behavioral health organization serving families across the Merrimack Valley and beyond. We provide skilled nursing, home health aide services, behavioral health support and physical therapy, that allow clients to remain safely and independently in their homes.

We are seeking a Controller of Financial OperationsReimbursement to lead our financial operations, reimbursement performance, and revenue cycle strategy. This senior leader will strengthen financial stability, improve operational accountability, and ensure compliance across a complex payer landscape.

About the Job

The Controller of Financial OperationsReimbursement is the organization's senior accounting and reimbursement leader. This role blends traditional controller responsibilities with operational oversight of revenue cycle management, reimbursement workflows, billing readiness, accounts payable, cost reporting, and financial planning.

The Controller partners closely with executive leadership-including the President, COO, clinical leadership, quality assurance, utilization, billing, and operations-to ensure accurate financial reporting, strong internal controls, efficient reimbursement processes, and data-driven operational decision-making.

Day to Day Responsibilities

Financial LeadershipAccounting Operations

General Ledger Oversight - Manage the chart of accounts, journal entries, reconciliations, and monthend/yearend close.
Financial Reporting - Prepare monthly, quarterly, and annual financial statements, KPI dashboards, forecasting, and operational reports.
Internal Controls - Maintain strong internal controls, accounting policies, and auditready documentation.
Cash Management - Oversee cash flow, treasury functions, and financial integrity.
AuditRegulatory Support - Lead audit preparation, tax filings, and regulatory financial reporting.
PayrollAP/AR Oversight - Ensure accurate payroll processing, vendor payments, and receivables management.

Revenue CycleReimbursement Operations

Provide leadership oversight of billing, accounts receivable, collections, payment posting, claims management, denial management, and unbilled claims monitoring.
Monitor reimbursement performance across Medicare, Medicaid/MassHealth, managed care, and commercial payers.
Develop and track key revenue cycle metrics, including:
- Days Sales Outstanding (DSO)
- Collection rates
- Denial trends
- Cash collections
- Outstanding unsigned orders
- Unbilled visits
Identify operational and financial barriers impacting reimbursement and cash flow.
Collaborate with operations, clinical, quality, utilization, and intake teams to improve reimbursement workflows and accountability.

Documentation ComplianceBilling Readiness

Oversee financial and operational processes that ensure billing readiness and reimbursement compliance.
Partner with clinical leadership, quality assurance, and intake to ensure:
- Timely physician orders
- Completed certifications/recertifications
- Documentation required for billing is completed promptly
- Operational workflows support efficient reimbursement
Monitor aging of unsigned orders, incomplete documentation, and other reimbursement barriers.
Develop reporting and accountability structures to improve billing timeliness and collections.
Serve as a financial and operational resource for reimbursementrelated workflow improvements.

Budgeting, ForecastingFinancial Analysis

Annual Budget Leadership - Lead the annual budgeting process.
Develop financial and operational models related to census growth, staffing utilization, reimbursement trends, productivity, and margin improvement.
Conduct variance analysis and provide actionable recommendations to leadership.
Support strategic financial planning and operational decisionmaking.
Perform profitability analysis by region, discipline, payer, or program.

MedicareMedicaid Cost Reporting

Prepare or oversee preparation of Medicare and Medicaid/MassHealth cost reports.
Coordinate supporting schedules and documentation for audits and regulatory submissions.
Monitor reimbursement regulation changes and advise leadership on financial impacts.
Identify opportunities for reimbursement optimization while maintaining compliance.

LeadershipCrossFunctional Collaboration

Supervise and mentor finance, billing, and reimbursement staff.
Foster a culture of accountability, collaboration, and continuous improvement.
Work closely with executive leadership, operations, clinical management, payroll, and quality assurance.
Participate in organizational planning and operational improvement initiatives.
Support the development of operational reporting structures and performance accountability systems.

Qualifications

Required

Bachelor's degree in Accounting, Finance, or related field
5–10 years of progressive healthcare finance or accounting leadership experience
Strong understanding of Medicare and Medicaid/MassHealth reimbursement
Experience in home health, hospice, behavioral health, or postacute care
Expertise in healthcare revenue cycle operations, billing, collections, and cost reporting
Strong knowledge of GAAP and internal controls
Knowledge of accrual-based accounting
Experience with budgeting, forecasting, and financial modeling
Advanced Excel and financial reporting proficiency
Supervisory experience

Preferred

CPA, MBA, or MHA
Experience with home care billing, EVV systems, or MassHealth programs
Familiarity with QuickBooks Desktop, Sage Intacct, or healthcare EMR/billing systems
Strong operational mindset with ability to connect clinical workflows to financial performance
Processimprovement and systemsoriented thinker

CompensationBenefits

Salary Range: $125,000 – $165,000
Bonus Potential
Medical, dental, and vision insurance
401(k) retirement plan
Hybrid work schedule

Quick Apply

Refine Your Search

claims processing jobs in massachusetts

Controller of Financial Operations and Reimbursement

Office Administrator

Dental Insurance/Financial Coordinator

MEDICAL BILLING AND COLLECTIONS SPECIALIST

Human Resources Manager

Senior Director of Utilization Management

AVP, Benefits Analyst II

Trainer, Medical Billing

Senior Manager of Revenue Cycle

Senior Deposit Operations Associate/ACH Specialist (FT)

Benefits Program Specialist (Hybrid)

Human Resources Generalist

Medical Billing

Claims Examiner II

Account Manager (JD Preferred)

Payroll/Benefits Specialist

Compliance Director

Benefits Manager

Human Resources Coordinator

Assistant Manager

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