Remote Claims Review Specialist; D-SNP/OneCare
Remote / Online - Candidates ideally in
Somerville, Middlesex County, Massachusetts, 02145, USA
Listed on 2026-08-24
Somerville, Middlesex County, Massachusetts, 02145, USA
Listing for:
Mass General Brigham Incorporated
Remote/Work from Home
position Listed on 2026-08-24
Job specializations:
-
Healthcare
Healthcare Administration, Medical Billing and Coding, Healthcare Compliance
Job Description & How to Apply Below
Mass General Brigham Health Plan Holding Company, Inc. is seeking a D-SNP Claims Review Specialist to adjudicate SCO and One Care claims with accuracy and compliance. This remote role supports a nationwide team and requires familiarity with QNXT or similar adjudication systems.
The ideal candidate will have 1–2 years in healthcare claims processing, knowledge of ICD-10, HCPCS, CPT-4, and strong customer service skills. A High School Diploma is required;
Associate's degree is preferred.
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