System Pharmacy Billing & Compliance Analyst The University of Vermont Health NetworkSystem Pharmacy Billing & Compliance AnalystColchester, VT$27.85–$41.78 / hourJob Ref:R0089617 Category:Pharmacology Employment Type:Full-Time Health Care Partner:University of Vermont Medical Center Location: 356 Mountain View Dr, Colchester, VT 05439 Department:Inpatient Pharmacy - Business Office & Storeroom Job Type:Regular Primary Shift:Day-8hr Hours:7:30 AM - 4:00 PM Hours per Week: 40 Weekend Needs:None Pay Rate: $27.85 - $41.78 per hour. Key responsibilities include identifying and resolving missing or inaccurate medication charges, reconciling dispensed and administered medications, supporting Pharmacy-owned billing and charge-capture workflows, monitoring high-cost medication utilization, and auditing medication storage and handling practices.
Patient Account Representative - Billing Copley HospitalPatient Account Representative - BillingMorrisville, Vermont$18.50–$21 / hourFull timeCOLLECTIONS: Reviews posted remittance advices from assigned insurance carrier(s) within the timeframe established by department policies and procedures, appropriately following up on and resolving any rejections or other non-payments to ensure accurate posting of balances for reimbursement, deductible, co-pay, co-ins, contractual adjustment, non-covered charges, rejected claims, and any balance-billing to the patient or guarantor as appropriate. INSURANCE BILLING: Keeps self informed of billing policies and requirements of assigned insurance carrier(s) by regularly monitoring list-servs, carrier websites, maintaining open lines of communication with provider representatives, researching problem claims, and other means of staying informed that the assigned carrier(s) makes available.
Senior Project Coordinator, Advanced Industries J.E. Dunn Construction Group IncSenior Project Coordinator, Advanced IndustriesEssex Junction, VTJE Dunn's Advanced Facilities Group (AFG) combines Mission Critical, Advanced Industries, and Industrial & Manufacturing into one high-performing team focused on cutting-edge work to serve innovative clients on large Industrial & Manufacturing, Data Center, and Semiconductor projects. Tracks, monitors and/or collaborates with internal stakeholders to ensure necessary documentation (such as badging, certified payroll, diversity reporting, insurance certificates, bonds, lien waivers, affidavits, etc.) meets compliance requirements before releasing payments to subcontractors.
Rehab Support Specialist Central Vermont Medical CenterRehab Support SpecialistBerlin, VTJOB DESCRIPTION: Under the general direction of the Rehab Office Supervisor, assumes responsibility for coordinating outpatient scheduling, inpatient and outpatient billing, insurance clearance and general office management. EDUCATION: High School Graduate or Equivalent, Associates Degree preferred.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)VT$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistVT$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. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.