Utilization Management Specialist Jamestown S'Klallam TribeUtilization Management SpecialistSequim, WA$31.74–$41.26 / hourFull timeJamestown Salish Seasons is seeking a Utilization Management Specialist (UMS) to support insurance coordination, utilization management, authorization processes, provider credentialing, and revenue cycle operations within our residential behavioral health program. Assist with denial management activities, including scheduling peer-to-peer reviews and facilitating communication between providers and payors.
Stop Loss Underwriting Specialist Cambia Health SolutionsStop Loss Underwriting SpecialistBurlington, WAFull timeAdditionally, they complete travel and expenses for stop loss director and team when applicable, and provide other administrative support as directed - all in service of creating an economically sustainable health care system. Stop Loss UW Specialist would have a High School diploma or GED and 4 years office, data entry or equivalent combination of education and experience, preferably in a health care environment.
Medical Staff Coordinator Island HospitalMedical Staff CoordinatorAnacortes, WA$38.55–$56.23 / hourFull timeKnowledge of specific legal statutes (State and Federal), requirements of DNV, DOH and other regulatory bodies, and Medical Staff Bylaws as they relate to Physician Credentialing, Peer Review, Physician Quality Assurance, and other hospital/interdepartmental functions, is necessary. Interactions with regional and corporate colleagues with MSO/Credentialing responsibilities and internal (credentialed providers, hospital departments, CVO etc) and external (managed care agencies, general public, etc.) customers.
ERP (SAP) - Data Specialist Bruker Nano IncERP (SAP) - Data SpecialistMill Creek, WAFull timeBruker Nano, one of Bruker's four operating segments, provides customers in academic and governmental institutions, life science, materials, and applied industries with the tools to determine the characteristics of matter and visualize the structure of molecules. The base salary for the role will depend on a several job-related factors, including, but not limited to education, training, experience, the geographic location of the successful candidate, skills, competencies, job-related knowledge and travel requirements for this position.
PFS Representative Billing and Collecting Whidbey General HospitalPFS Representative Billing and CollectingCoupeville, WA$22.48–$39.71 / hourCertificates, Licenses, Registrations Certified Revenue Cycle Specialist (CRCS) certification preferred; Certified Healthcare Access Associate (CHAA) certification is acceptable for PFS Representatives working in Patient Referrals, Insurance Verifier or Financial Advocate roles. A PFS Representative II is eligible to move to a PFS Representative III after the completion of three (3) consecutive years as a PFS Representative I-II in their assigned department with the proven ability to perform all essential functions and competencies of the position with no recent performance improvement documentation on file.
Business Office Manager / Medicare & Medicaid Billing - Sequim, WA Sequim Rehabilitation LLCBusiness Office Manager / Medicare & Medicaid Billing - Sequim, WASequim, WA$58,000–$79,000 / yearPart timeThe primary purpose of your job position is to assist in the day-to-day accounting functions of the facility in accordance with current acceptable accounting practices, accounts receivable and cost reimbursement principles relating to nursing or assisted living facility operations, and as may be directed by the Administrator, Executive Director, or Regional Revenue Cycle Manager. Engage as part of the management team by actively contributing to problem solving, decision making, center and company-wide initiatives and attending management team meetings such as stand up, triple check, utilization review (UR) quality assurance performance improvement (QAPI), AR, and other meetings as required.
Business Office Manager / Medicare & Medicaid Billing - Sequim, WA AvamereBusiness Office Manager / Medicare & Medicaid Billing - Sequim, WASequim, WashingtonThe primary purpose of your job position is to assist in the day-to-day accounting functions of the facility in accordance with current acceptable accounting practices, accounts receivable and cost reimbursement principles relating to nursing or assisted living facility operations, and as may be directed by the Administrator, Executive Director, or Regional Revenue Cycle Manager. Engage as part of the management team by actively contributing to problem solving, decision making, center and company-wide initiatives and attending management team meetings such as stand up, triple check, utilization review (UR) quality assurance performance improvement (QAPI), AR, and other meetings as required.
Epic Professional Billing Claims Analyst UnitedHealth Group IncEpic Professional Billing Claims AnalystEverett, WAClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Patient Access Specialist - Medical COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTYPatient Access Specialist - MedicalEverett, WAThe Specialist answers telephones in a centralized call center environment and performs a variety of clerical, reception and administrative tasks: transcribes messages, schedules appointments, pre-registers patients, and verifies insurance coverage. Customer service related experience working with the general public or a combination of equivalent education and work experience (1 year).
PFS Representative Patient Referrals Whidbey General HospitalPFS Representative Patient ReferralsCoupeville, WA$22.48–$39.71 / hourCertificates, Licenses, Registrations Certified Revenue Cycle Specialist (CRCS) certification preferred; Certified Healthcare Access Associate (CHAA) certification is acceptable for PFS Representatives working in Patient Referrals, Insurance Verifier or Financial Advocate roles. A PFS Representative II is eligible to move to a PFS Representative III after the completion of three (3) consecutive years as a PFS Representative I-II in their assigned department with the proven ability to perform all essential functions and competencies of the position with no recent performance improvement documentation on file.
Commercial Service Specialist Northwest Fiber, LLCCommercial Service SpecialistEverett, WA$61,013–$93,023 / yearConduct quarterly account reviews Billing, Contracts & Financial Accuracy · Maintain accurate account records by thoroughly reviewing contracts, statements, customer information, account products/services, and issuing billing adjustments. Preferred Qualifications: · Knowledge of SIP, Hosted Voice/VOIP/PBX, Fiber Internet, Ethernet (EIA, EVPL, EPL, ELAN, etc.) circuits, TDM/SONET networks technology and protocols.
Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Everett, WAREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Utilization Management Specialist Jamestown Sklallam TribeUtilization Management SpecialistSequim, WAJamestown Salish Seasons is seeking a Utilization Management Specialist (UMS) to support insurance coordination, utilization management, authorization processes, provider credentialing, and revenue cycle operations within our residential behavioral health program. Assist with denial management activities, including scheduling peer-to-peer reviews and facilitating communication between providers and payors.
Patient Account Representative II Jefferson HealthcarePatient Account Representative IIPort Townsend, WAPatient Account Representative II is a critical part of the larger finance team and is responsible for reviewing patient account information to ensure accurate and timely billing and collection follow-up efforts. Disclaimer: As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test.
Stop Loss Underwriting Specialist CambiaStop Loss Underwriting SpecialistBurlington, WA$19.40–$26.80 / hourWhat You Bring to Cambia: Qualifications: Stop Loss UW Specialist would have a High School diploma or GED and 4 years office, data entry or equivalent combination of education and experience, preferably in a health care environment. Additionally, they complete travel and expenses for stop loss director and team when applicable, and provide other administrative support as directed - all in service of creating an economically sustainable health care system.
Pharmacy Tech Whidbey General HospitalPharmacy TechCoupeville, WA$25.22–$41.75 / hourDuties to include but not limited to: IV admixture, populate and receive orders, outdate checks, fill orders for other departments, maintain perpetual inventories, prepare unit dose medications, fill and deliver medication orders for patients including daily automated drug dispensing devices, enter medication charges for all patients and answer the telephone. + Successfully completes the hospital's IV certifications, to include hand hygiene and garbing competency, passing written test, observational review, fingertip testing, and growth media testing prior to being allowed to perform compounding of sterile products.
Patient Financial Counselor Jefferson HealthcarePatient Financial CounselorPort Townsend, WAPatient financial counselors have key role in supporting our patients by connecting them to health care funding sources, starting with reviewing accounts for accuracy and completeness and answering questions regarding patient bills and associated estimates. The ideal candidate will also have a strong background in customer service, be able to clearly and effectively communicate to a diverse patient population and be interested in program/process improvement.
Accounting Director Twin City Foods, Inc.Accounting DirectorStanwood, WA$160,000–$190,000 / yearThis is a working leadership role with direct CFO access: senior enough to represent the accounting function to lenders, auditors, and operational leadership without an intermediary, and close enough to the details to catch problems before they compound. Cost Accountant with full accounting operations team (AR Manager, Treasury Specialist & AP Team Lead, and Accounting Specialists) reporting through the Controller; set expectations, develop capability, and hold the team accountable.
Coding Quality Auditor - Revenue Capture Providence Health & ServicesCoding Quality Auditor - Revenue CaptureEverett, WA$37.17–$57.71 / hourRequsition ID: 437732 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 3001 REVENUE CAPTURE WA Address: WA Everett 916 Pacific Ave Work Location: Everett Medical Ctr Pacific-Everett Workplace Type: Remote Pay Range: $37.17 - $57.71 The incumbent reviews and abstracts HCC codes to ensure they are coded accurately, to the highest specificity, queries providers to clinically validate or clarify diagnosis criteria, and reviews for compliant documentation resulting in compliant reporting/billing and RVU capture.
Coding Quality Auditor - Revenue Capture Providence St. Joseph HealthCoding Quality Auditor - Revenue CaptureEverett, WAThe incumbent reviews and abstracts HCC codes to ensure they are coded accurately, to the highest specificity, queries providers to clinically validate or clarify diagnosis criteria, and reviews for compliant documentation resulting in compliant reporting/billing and RVU capture. Under the supervision of the Coding Manager, Revenue Capture, the HCC Coding Quality Auditor is responsible for detailed diagnostic chart reviews of clinical documentation and coding associated with Risk Adjustment and HCC coding.
Coder II-III Whidbey General HospitalCoder II-IIICoupeville, WA$28.59–$44.48 / hourA Coder ll is eligible to move to Coder III after the completion of two (2) consecutive years as a Coder ll with Whidbey Health with demonstrated proficiency in ICD10CM coding and proven ability to code multiple services (LAB, DI, EMS, REHAB, CAM, LC, NS, RT, SC, WFO) and at least one additional service line (a service line is defined as IP, OBS, SDS, ED and/or MAC) or Professional Service Coding of E/M and CPT procedural coding for two or more areas (areas are defined as (Primary care, Walk in clinic, General Surgery, Orthopedics and/or Obstetrics/Gynecology). Certificates, Licenses, Registrations RHIA, RHIT, CCA, CCS, CCS-P, CPC, COC, CIC, CRC or other valid AHIMA and/or AAPC coding certification.
Medical Assistant COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTYMedical AssistantEverett, WAJob Specific Functions/Performance: Greets patients, interpreters and visitors, in person and by phone, in a prompt, courteous and helpful manner, responds to inquiries, takes messages, and provides accurate information regarding schedules and services. Monitors schedules and patient arrivals, participates in sequencing patients, and provides assistance to co-workers to maintain a smooth and efficient patient flow for entire clinic for maximum productivity.