PFS Representative CBO Billing Follow-up Denials Mgt Banner HealthPFS Representative CBO Billing Follow-up Denials MgtWYRemote$18.02–$27.03 / hourAs assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
Billing Specialist - Shared Services Insurance Office of AmericaBilling Specialist - Shared ServicesCheyenne, WYRemote$40,000–$60,000 / yearFull timePlease note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. The Billing Specialist plays a critical role in supporting financial operations while delivering consistent, high‑quality results within established turnaround timelines.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, WY$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Fraud Waste and Abuse - Sr. Analyst CVS Health CorpFraud Waste and Abuse - Sr. AnalystWork At Home, WY$46,988–$112,200 / yearActivities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminCheyenne, WYRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Manager, Revenue Cycle Applications Transformation - IT Services - Full Time SolutionHealthManager, Revenue Cycle Applications Transformation - IT Services - Full TimeWYAble to demonstrate strong leadership capabilities, including the ability to guide and evaluate team performance, support the development of leaders, manage competing priorities, and make complex decisions in fast-paced and evolving healthcare environments, while fostering collaboration through active listening and contributing to a positive, inclusive workplace. Must be able to read, analyze, and interpret technical documentation, operational procedures, and applicable regulations, and possess the ability to author clear reports, business correspondence, and procedural documentation for both technical and non-technical audiences, as well as present complex technical risks and roadmaps in a manner easily understood by clinical and business leaders.