Top 4535 Program specialist Jobs in Arlington, Ma

Utilization Review Specialist
Charles River Recovery —Weston, MA
- $24 - $26 an hour
- Part-time
- Background check
- Nursing
- Addiction Medicine
Quick Apply
Benefits Program Specialist (Hybrid)
Quincy Mutual Group, Inc. —Quincy, MA
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- 5 years
- Writing skills
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Partnerships Specialist
Green City Growers —Somerville, MA
- $65,000 - $75,000 a year
- Email
- Google Workspace
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
MIT Physical Education and Wellness Program Backpacking Specialist
Massachusetts Institute of Technology —Cambridge, MA
- From $15 an hour
- Temporary
- Microsoft PowerPoint
- Microsoft Word
- Background check
- Paid training
- Wellness program
Quick Apply
Talent Acquisition Specialist
All Care —Lynn, MA
- $75,000 - $90,000 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- 403(b) matching
- Mileage reimbursement
Quick Apply
Program Controls Specialist I
Honeywell Aerospace —Woburn, MA
- Full-time
- Entry level
Day Program Specialist (Developmental Services)
Vinfen —Brighton, MA
- $51,254 a year
- 8 hour shift
- 5 years
- Writing skills
- Master's degree
- AD&D insurance
- Disability insurance
Occupancy Specialist
Barkan Management Company —Brighton, MA
- $28 - $31 an hour
- Customer service
- Mid-level
- Residential
Quick Apply
6d
Program Specialist, Boston
Literations —Boston, MA
- $54,000 - $59,000 a year
- Full-time
- Hybrid work
- Background check
- School experience
- Spanish
- Health insurance
- Paid time off
Quick Apply
2d
Order Manager, Patient Support (Contract)
Vertex Pharmaceuticals —Boston, MA
- $65 - $75 an hour
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Office
5d
Patient Support Vendor and Program Operations Manager (Contract)
Vertex Pharmaceuticals —Boston, MA
- $60 - $65 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
Client Strategy Specialist - TEMP
BakoDx —Lexington, MA
- $24 - $26 an hour
- Temporary
- Background check
- Microsoft Excel
- Microsoft Outlook
Quick Apply
After School Program Specialist
Literations —Boston, MA
- $72,000 - $77,000 a year
- Full-time
- Hybrid work
- School experience
- Spanish
- Customer service
- Disability insurance
- Health insurance
Quick Apply
2d
Program Specialist II
Honeywell Aerospace —Woburn, MA
- Full-time
- Hybrid work
- Mid-level
- Office
- Team management
Program Specialist
US Veterans Health Administration —Boston, MA
- $69,905 - $109,959 a year
- Online Application
- Psychiatry
- Customer service
- Pass drug screening
1d
HR Operations Specialist
Replimune —Woburn, MA
- $91,500 - $118,500 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Enrichment Specialist for Older Adults (Part-time)
Lifecare Advocates —Arlington, MA
- $30 - $35 an hour
- Part-time
- Hybrid work
- Background check
- Clean driving record
- Adults
- Continuing education credits
- Dental insurance
Quick Apply
Program Specialist (Multiple Openings)
City of Somerville —Somerville, MA
- $25 an hour
- Seasonal
- Pass drug screening
- Mid-level
- Military encouraged
- Disability insurance
- Health insurance
Quick Apply
HR Operations Specialist
Nedap Inc —Burlington, MA
- $115,000 - $130,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- Disability insurance
- Dental insurance
Quick Apply
Integrations & Technical Support Specialist (Remote)
ezCater, Inc —Boston, MA
- $70,350 - $92,400 a year
- Hybrid work
- Background check
- Mid-level
- Travel
- Paid holidays
- Disability insurance
Quick Apply

I want to receive the latest job alert for program specialist in arlington, ma

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

program specialist jobs near arlington, ma

Program Specialist jobs in Boston, MA

Patient Support Manager jobs in Boston, MA

Order Manager jobs in Boston, MA

Program Specialist jobs in Somerville, MA

Clinical Documentation Specialist jobs in Houston, TX

Wellness Specialist jobs in Rochester, MN

Wellness Specialist jobs in Montgomery County, MD

Wellness Specialist jobs in Jefferson City, MO

Corporate Wellness jobs in California

Onboarding Specialist Nyc Health jobs in New York, NY

Wellness Specialist jobs in Virginia

Human Resources Specialist jobs in Concord, NC

Entry Level Human Resources jobs in Charlotte, NC

Human Resources Specialist jobs in Baltimore, MD

Human Resources Specialist jobs in Duluth, GA

Human Resources jobs in Oxnard, CA

Human Resources jobs in Indianapolis, IN

Human Resources Specialist jobs in Abingdon, MD

Program Specialist jobs in Washington, DC

Gme Program Coordinator jobs in Texas

Utilization Review Specialist

Charles River Recovery -
Weston, MA

Quick Apply

Job Details

Part-time
$24 - $26 an hour

Qualifications

Writing skills
High school diploma or GED
Productivity software
Clinical confidentiality policies
Medical terminology

Full Job Description

Position Overview: The primary purpose of the Utilization Review Specialist is to create and manage the flow of revenue for each client through liaison with insurance companies. The Utilization Review Specialist establishes a file on all incoming clients with insurance and maintains authorization for reimbursement from pre-certification through continuing stay reviews through discharge or referral. The Utilization Review Specialist uses communication, reading and writing skills to establish the best, most accurate position of need for each client to ensure maximum reimbursement for care and appropriate reimbursement for the level of care being provided. The Utilization Review Specialist has skills in gathering information from clinicians, navigating EMRs, and creating cases for presentation.

Specific Responsibilities:

Gather all information salient to insurance reimbursement.
Call insurance companies to obtain precertification or concurrent certification concurrent with the level of care

· · Establish positive relationships with insurance providers.

Identify trends in reimbursements and report out to supervisor through verbal report and generation of graphics.
Work closely with all departments
Keep accurate records of all transaction and communication with insurances.
Accurately transfer all information to the Billing Department
Provides corrective criticism and peer review.
Reported to work as assigned and keep workplace professional.
Maintain acceptable overall attendance.
Promote a favorable/positive work atmosphere.
Maintains safety of the physical environment.
Communicate effectively both orally and in writing.
Independently solve problems and follow through.
Organize and function independently in an office environment.
Other duties as assigned.

Minimum Qualifications

High School Graduate or equivalent. Post high school training in the medical field, the insurance field or in the behavioral health field preferred
A minimum of two years in the field of medicine, chemical dependency/substance abuse/psychiatric setting or human services field. Experience in third party reimbursements.
Licensure in nursing, social services helpful but not required.
Ability to work as a team member and have management, communication, organizational and interpersonal skills.
Ability to work under stressful conditions and be flexible in relation to department needs.
Understanding of medical and behavioral health terminology
Demonstrates Proficiency in Verbal and Written Communication Skills.
Knowledge of State and Federal Statutes Regarding Patient Confidentiality Laws.
Knowledge of Drug-Free Workplace Policies.
Knowledge of Corporate Integrity and Compliance Program.
Knowledge of current utilized technology.
Understanding of Insurance policy coverage limits.
Proficient in Microsoft Office
Satisfactory CORI and background check.
Satisfactory drug screen

Part Time Remote Role

Quick Apply

Refine Your Search

program specialist jobs in arlington, ma

Utilization Review Specialist

Benefits Program Specialist (Hybrid)

Partnerships Specialist

MIT Physical Education and Wellness Program Backpacking Specialist

Talent Acquisition Specialist

Program Controls Specialist I

Day Program Specialist (Developmental Services)

Occupancy Specialist

Program Specialist, Boston

Order Manager, Patient Support (Contract)

Patient Support Vendor and Program Operations Manager (Contract)

Client Strategy Specialist - TEMP

After School Program Specialist

Program Specialist II

Program Specialist

HR Operations Specialist

Enrichment Specialist for Older Adults (Part-time)

Program Specialist (Multiple Openings)

HR Operations Specialist

Integrations & Technical Support Specialist (Remote)

I want to receive the latest job alert for program specialist in arlington, ma

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected