Remote Medicare Advantage Claims Specialist
Plymouth, Plymouth County, Massachusetts, 02360, USA
Listed on 2026-10-02
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Insurance
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Healthcare
Mass General Brigham Health Plan is seeking a Medicare Advantage Claims Review Specialist to process and adjudicate complex Medicare claims when autoadjudication isn’t achieved. The role requires familiarity with QNXT or similar adjudication systems and strict adherence to policies and guidelines.
The position is remote and involves reviewing claims, applying correct benefits, and collaborating with multiple departments to resolve issues while maintaining high accuracy and compliance standards.
We are currently recruiting a Remote Medicare Advantage Claims Specialist for our team in Somerville, MA, United States.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote Medicare Advantage Claims Specialist role in the description above.
We appreciate your interest in this position.
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