South Weymouth, MA · On-site
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Evaluate insurance reimbursement schemes as needed to verify that payments and adjustments have ...
South Weymouth, MA · On-site
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Evaluate insurance reimbursement schemes as needed to verify that payments and adjustments have ...
Third Party Billing * Prepare and submit claims for all districts * Review Time studies ... Verify MA eligibility * Review IEP's * File correspondence. * Record Keeping/Files * Follow-up with ...
Third Party Billing * Prepare and submit claims for all districts * Review Time studies ... Verify MA eligibility * Review IEP's * File correspondence. * Record Keeping/Files * Follow-up with ...
Weymouth, MA · On-site
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
Weymouth, MA · On-site
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
Boston, MA · On-site
$70K - $110K/yr
You will help manage third-party vendor risk reviews, and operational requests, in cross-functional ... WHOOP is an Equal Opportunity Employer and participates in E-verify to determine employment ...
New
Boston, MA · On-site
$70K - $110K/yr
You will help manage third-party vendor risk reviews, and operational requests, in cross-functional ... WHOOP is an Equal Opportunity Employer and participates in E-verify to determine employment ...
New
Boston, MA · On-site
$70K - $110K/yr
You will help manage third-party vendor risk reviews, and operational requests, in cross-functional ... WHOOP is an Equal Opportunity Employer and participates in E-verify to determine employment ...
New
Quick apply
Boston, MA · On-site
$70K - $110K/yr
You will help manage third-party vendor risk reviews, and operational requests, in cross-functional ... WHOOP is an Equal Opportunity Employer and participates in E-verify to determine employment ...
New
Denton, TX · On-site
$24.25 - $32.75/hr
Candidates must be able to verify all past employment through a third-party system.
Denton, TX · On-site
$24.25 - $32.75/hr
Candidates must be able to verify all past employment through a third-party system.
Boston, MA · On-site
$70K - $110K/yr
You will help manage third-party vendor risk reviews, and operational requests, in cross-functional ... WHOOP is an Equal Opportunity Employer and participates in E-verify to determine employment ...
New
Boston, MA · On-site
$70K - $110K/yr
You will help manage third-party vendor risk reviews, and operational requests, in cross-functional ... WHOOP is an Equal Opportunity Employer and participates in E-verify to determine employment ...
New
Plainfield, NJ · On-site
$80 - $120/hr
... verify work quality, and ensure alignment with design intent and brand standards Track project ... third-party performance, decisions, and communications Estimating & Bidding Participation ...
New
Quick apply
Plainfield, NJ · On-site
$80 - $120/hr
... verify work quality, and ensure alignment with design intent and brand standards Track project ... third-party performance, decisions, and communications Estimating & Bidding Participation ...
New
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
... verify work quality, and ensure alignment with design intent and brand standards Track project ... third-party performance, decisions, and communications Estimating & Bidding Participation ...
New
... verify work quality, and ensure alignment with design intent and brand standards Track project ... third-party performance, decisions, and communications Estimating & Bidding Participation ...
New
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
Boston, MA · On-site
$70K - $110K/yr
You will help manage third-party vendor risk reviews, and operational requests, in cross-functional ... WHOOP is an Equal Opportunity Employer and participates in E-verify to determine employment ...
New
Boston, MA · On-site
$70K - $110K/yr
You will help manage third-party vendor risk reviews, and operational requests, in cross-functional ... WHOOP is an Equal Opportunity Employer and participates in E-verify to determine employment ...
New
Weymouth, MA · On-site
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
Weymouth, MA · On-site
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
Weymouth, MA · On-site
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
Weymouth, MA · On-site
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
$21.05 - $29.45/hr
... third party insurance and physician claims. Initiate all collection calls for payment on aged ... Obtain proper verification of predefined patient demographic information and maintain documentation ...
Familiarity with third-party verification programs like Non-GMO Project and Identity Preserved (IP)
Quick apply
Familiarity with third-party verification programs like Non-GMO Project and Identity Preserved (IP)
Monitor and test operational risk controls to verify effectiveness of design and execution. WHAT WE EXPECT OF YOU Knowledge of third-party risk management best practices and frameworks including ...
Monitor and test operational risk controls to verify effectiveness of design and execution. WHAT WE EXPECT OF YOU Knowledge of third-party risk management best practices and frameworks including ...
Execute end-to-end third party diligence activities, including identity verification and customer, partner, and supplier screening, following defined processes and utilizing dedicated tooling.
Execute end-to-end third party diligence activities, including identity verification and customer, partner, and supplier screening, following defined processes and utilizing dedicated tooling.
Execute end-to-end third party diligence activities, including identity verification and customer, partner, and supplier screening, following defined processes and utilizing dedicated tooling.
Execute end-to-end third party diligence activities, including identity verification and customer, partner, and supplier screening, following defined processes and utilizing dedicated tooling.
Execute end-to-end third party diligence activities, including identity verification and customer, partner, and supplier screening, following defined processes and utilizing dedicated tooling.
Execute end-to-end third party diligence activities, including identity verification and customer, partner, and supplier screening, following defined processes and utilizing dedicated tooling.
$8.17 - $10.05
9% of jobs
$10.05 - $11.93
13% of jobs
$12.50 is the 25th percentile. Wages below this are outliers.
$11.93 - $13.81
10% of jobs
The median wage is $15.26 / hr.
$13.81 - $15.69
23% of jobs
$15.69 - $17.57
18% of jobs
$17.99 is the 75th percentile. Wages above this are outliers.
$17.57 - $19.45
9% of jobs
$19.45 - $21.33
8% of jobs
$21.33 - $23.21
4% of jobs
$23.21 - $25.09
4% of jobs
$25.09 - $26.97
1% of jobs
$26.97 - $28.85
0% of jobs
$8
$17
$28
A Third Party Verification (TPV) job involves confirming customer information, agreements, or transactions on behalf of a company to ensure accuracy and compliance. TPV agents typically work in call centers and verify details independently to prevent fraud and unauthorized changes. This role requires strong communication skills, attention to detail, and adherence to company scripts and legal guidelines.
To excel in Third Party Verification, candidates need strong attention to detail, active listening skills, and the ability to follow verification protocols accurately, often with a high school diploma or equivalent. Familiarity with call center software, CRM systems, and secure data entry processes is typically required. Excellent verbal communication, professionalism, and the ability to remain neutral and courteous under pressure are valuable soft skills. These competencies ensure that verifications are performed efficiently, accurately, and in compliance with legal and contractual requirements.
As a Third Party Verification (TPV) representative, your daily responsibilities typically include making or receiving calls to independently confirm customer decisions, recording responses, and verifying personal information according to company guidelines. You'll follow strict scripts and regulatory processes to ensure that all required disclosures and questions are addressed correctly. Most TPV roles require accurate data entry during or after calls, and you may work closely with quality assurance teams to address any compliance issues. The work environment is often fast-paced, involves repetitive tasks, and requires flexibility to handle peak call times, which makes reliability and attention to detail especially important in this role.
$21.05 - $29.45/hr
Other
This job post has expired today. Applications are no longer accepted.
7.7
Based on 52 frontline employees who took The Breakroom Quiz
157th of 884 rated healthcare providers
Accumulate data from Patient Access and Health Information Management for the purpose of submitting compliant third party insurance and physician claims. Initiate all collection calls for payment on aged accounts receivable up to the point of self-pay collections. Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for assigned insurance's to complete the revenue cycle.
Compensation Pay Range: $21.05 - $29.45
Maintains up to date knowledge of all Federal, State and Insurance specific billing regulations, policies, procedures and code sets. Retains knowledge of Hospitals Credit Collection Policy. Notifies manager of any changes that would effect claim submission.
Evaluates daily claim file using online claim editing software for submission of UB92 and 1500 claim forms. Initiate claim corrections as defined by insurance regulation and hospital policy. Evaluate unresolved accounts weekly, contact outside departments as needed and submit status to manager weekly to resolve unbillable accounts.
Initiate collection of aged accounts receivable through an automated collector work lists. Unresolved accounts require insurance company contact by phone, e-mail or designated web site to resolve outstanding balances. Collaborate with denial management staff for accounts than require clinical intervention for an appeal process. Generate technical appeals as needed for account resolution. Provide to manager a detail account history for any account that is considered uncollectable. All work list accounts must have collection efforts documented every 30 days unless otherwise notified.
Generate reports as needed for collection of aged accounts receivable. Accumulate at the beginning of each month or as requested a listing of unresolved/open accounts with aging greater than 120 days for manager review.
Evaluate insurance reimbursement schemes as needed to verify that payments and adjustments have been accurately recorded. Review credit balance accounts in assigned worklist, review payment history for accuracy. Make a determination if a refund is needed and forward to the appropriate refund agent for resolution. Initiate Insurance retractions as needed for payments posted to the Hospitals Unlocated Cash Accounts. Incorrect payments that require a check will be forwarded to the appropriate refund agent for resolution.
Communicate with patients as needed for additional insurance or other information needed in order to process a claim. Generate phone calls or letters as needed to obtain necessary insurance or other related information, prior to an account being placed in self pay. Obtain proper verification of predefined patient demographic information and maintain documentation in order to verify identity.
Uses the API payroll system to enter time worked, sick days, vacations and holidays. Uses Meditech to access and run reports. Uses Lotus Notes as a communication tool. Access provider web sites for verification of accounts. Successfully answers safety questions in the annual mandatory education packet. Maintains a neat, organized work environment. Adheres to respiratory etiquette guidelines.
Other duties as required. Attends and participates in staff meetings, in-service meetings and other activities as related to job performance. Attend seminars, workshops and training sessions offered by providers.
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South Shore Health is a leading provider of health services in South Weymouth, Massachusetts, US. As an integrated health system, the company has a broad offering ranging from primary and specialty care, home health and hospice services, to preventive and emergency care. Founded over a century ago, South Shore Health initially operated as a single hospital but has since morphed into a health network of providers and facilities for comprehensive care. The company's mission is to benefit the community by providing easily accessible, top-quality health services with an emphasis on wellness and prevention.
Health care and social assistance
5,001 - 10,000 Employees
South Weymouth, MA, US
1922
