• Carrie Rikon & Associates (Miami, FL)
    Remote Bilingual Spanish/English Speaking Customer Service Rep Remote Position Must Live in Florida. Reports to: Director of Account Services Temporary Position ... with inquiries related to their employer's benefit programs. Support members in filing claims , setting up direct deposits, and issuing new vendor cards. Update and… more
    Upward (07/19/25)
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  • Veterans Health Administration (Atlanta, GA)
    …as a Purchasing Agent for the Logistics Service within the Atlanta VA Health Care System performing work to acquire supplies, services, and construction by purchase, ... to a variety of customers such as inventory management specialists , other service line contacts, and contracting officers as...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) Qualifications To qualify for this… more
    Upward (07/20/25)
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  • Veterans Health Administration (Dallas, TX)
    …This is an internal announcement. Open to current, permanent North Texas Health Care System (VANTHCS) employees, Department of Veterans Affairs current and permanent ... deviations when possible, and escalating significant deviations to the Inventory Management Specialists . As needed, assists in other functional areas of the Section… more
    Upward (07/14/25)
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  • Veterans Health Administration (Memphis, TN)
    health care system providers including VA and non-VA specialists , hospital, diagnostic and treating facilities, and community-based programs. These positions ... Medical Center and will provide support to the Inpatient Ward, Emergency Room, Baggage Claims , Environmental Care and Call Center. This job is open to Internal to an… more
    Upward (07/20/25)
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  • Astrana Health, Inc. (Houston, TX)
    …provider sites in surrounding areas *May be open to considering Level I Specialists based on experience and skills Our Values: Put Patients First Empower ... a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition… more
    Upward (07/23/25)
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  • Gateway Regional Medical Center (Granite City, IL)
    …we serve and to be a trusted partner in their journey to better health . Position Overview: Billing Specialists are responsible for reviewing and contacting ... patients for prior balances. Review insurance eligibility to make sure claims are sent to the appropriate payer. Monitoring outstanding accounts and reviewing for… more
    Upward (07/03/25)
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  • Sr. Professional Liability Medical Claims

    Providence (TX)
    …communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists **Maintain complete documentation for each ... patient safety projects, through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote work for… more
    Providence (07/15/25)
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  • Health Navigation Claims Resolution…

    Alight (TX)
    …with the Quality team to close gaps. Serve as an escalation point for the Claims Specialists , and adjust workloads as needed. + Creating and manage short-term ... financially secure workforce by unifying the benefits ecosystem across health , wealth, wellbeing, absence management and navigation. With a...and long-term career goals for Claims Specialists . + Using subject matter expertise… more
    Alight (07/23/25)
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  • Medical Claims Rep - Self-Pay…

    Atrius Health (Chelmsford, MA)
    Atrius Health , an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical ... practice locations in eastern Massachusetts. Atrius Health 's 645 physicians and primary care providers, along with 420 additional clinicians, work in close… more
    Atrius Health (06/14/25)
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  • Account Consultant- Remote Opportunity-…

    Sedgwick (Philadelphia, PA)
    …Fortune Best Workplaces in Financial Services & Insurance Account Consultant- Remote Opportunity- Flood Experience Required **PRIMARY PURPOSE** **:** To manage claim ... caseload of basic to highly complex claims within granted authority level including related financial implications, along with financial implications and to mentor… more
    Sedgwick (05/22/25)
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  • Coder II - ED, Observation ( Remote )

    Trinity Health (Livonia, MI)
    …If applicable, telecommuting (working remotely), must be able to comply with Trinity Health 's and the Region/HM Working Remote Policy. _The above statements are ... documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal… more
    Trinity Health (07/19/25)
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  • Coding Auditor Professional - Remote

    McLaren Health Care (Shelby Township, MI)
    …department staff, Clinical Documentation Improvement (CDI), and other allied health professionals to improve documentation of patient care and appropriately ... **:** 1. Responsible for completing quality assurance audits on professional coding specialists , onboarding audits and training of newly hired coding specialists more
    McLaren Health Care (06/04/25)
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  • Coder IV, Inpatient ( Remote )

    Trinity Health (Silver Spring, MD)
    …and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, ... ESSENTIAL FUNCTIONS: 1. Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. 2.… more
    Trinity Health (07/10/25)
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  • Divisional Coder IV Remote

    AdventHealth (Altamonte Springs, FL)
    …Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about ... that **together** we are even better. **Job Location** : Remote **Shift:** Full-Time, Monday-Friday **The role you will contribute:**...you will contribute:** The Coder Analyst IV is a Health Information Professional with a high level of coding… more
    AdventHealth (07/01/25)
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  • Divisional Coder III Remote

    AdventHealth (Altamonte Springs, FL)
    …Day One . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being ... understanding that together we are even better. **Job Location: Monday-Friday - Remote ** **The role you'll contribute:** Assigns codes to hospital inpatient accounts… more
    AdventHealth (06/26/25)
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  • Remote Medical Director

    Centene Corporation (Jefferson City, MO)
    …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (07/23/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Albany, NY)
    …to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
    University of Rochester (05/13/25)
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  • Associate Director, Digital Health

    Otsuka America Pharmaceutical Inc. (Des Moines, IA)
    health backgrounds (eg licensed therapists, clinical psychologists, behavioral health specialists , Nurse Practitioners and Physician Assistants in behavioral ... health **Must live in IA, MO, KS, NE** **\#LI- Remote ** **Competencies** **Accountability for Results -** Stay focused on...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/11/25)
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  • Inpatient Coding Quality Officer III - (Medicare)

    RWJBarnabas Health (Oceanport, NJ)
    …III - (Medicare)Req #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding Quality Pay ... Job Title: Inpatient Coding Quality Officer III - (Medicare) Location: Barnabas Health Corp Department: HIM - Coding Quality Req#: 0000183242 Status: Full-Time… more
    RWJBarnabas Health (06/19/25)
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  • Revenue Integrity Analyst (Full-Time) Hybrid

    Virtua Health (Mount Laurel, NJ)
    At Virtua Health , we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to ... care you need. Whether that's wellness and prevention, experienced specialists , life-changing care, or something in-between - we are...or something in-between - we are your partner in health devoted to building a healthier community. If you… more
    Virtua Health (06/18/25)
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