- Seattle Children's (Seattle, WA)
- The Audit Management Specialist will complete and communicate the status of hospital facility claims audits by third parties conducted to reduce payment for ... reasons other than the medical necessity of care. The Audit Management Specialist will coordinate with internal and external resources to ensure payer requirements… more
- Seattle Children's (Seattle, WA)
- …billing or accounts receivable follow-up experience. Experience working with medical claims and electronic data interchange systems, eg Epic, Relay Health, ... certified medical billing credential such as CRCS, Certified Revenue Cycle Specialist . Basic project management experience. **Compensation Range** $24.77 - $37.16… more
- Modernizing Medicine (Olympia, WA)
- …across the US, Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping ... primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections… more
- Insight Global (Tukwila, WA)
- Job Description * The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, including ... * 2 years' Experience in health care or pharmacy billing, collections, or medical claims processing * 2 years' Experience as a pharmacy technician in a specialty… more
- Otsuka America Pharmaceutical Inc. (Tacoma, WA)
- …everyday health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... on products and their approved conditions. This model enhances patient , caregiver, and HCP experiences by focusing on local... care and provide a superior experience. The Neuroscience Specialist will report directly to the respective Area Business… more
- Datavant (Olympia, WA)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
- Cognizant (Olympia, WA)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims /appeals information on relevant tracking systems . Utilize critical thinking… more
- Option Care Health (Tacoma, WA)
- …talent in healthcare. **Job Description Summary:** Hiring Range from $21 The Specialist , Patient Registration is responsible for facilitating new patient ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- Cardinal Health (Olympia, WA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Elevance Health (Seattle, WA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Highmark Health (Olympia, WA)
- …to construct and leverage comprehensive healthcare knowledge graphs, integrating diverse patient , provider, claims , and clinical data to uncover hidden ... not just as disparate facts, but as a vast, dynamic network of patient journeys, disease progressions, and treatment efficacy? Highmark Health is seeking a… more
- CenterWell (Kent, WA)
- …other duties as assigned. **Essential Functions:** Administrative + Prepare patient assessment packets, including admission, recertification, and post hospital ... End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more
- Providence (Tukwila, WA)
- …meet required qualifications and conditions for payment** The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex ... Infusion and Pharmacy Services and thrive in our culture of patient -focused, whole-person care built on understanding, commitment, and mutual respect. Your… more
