Access and Reimbursement Manager- NPS Renal- Seattle, WA Novartis AGAccess and Reimbursement Manager- NPS Renal- Seattle, WASeattle, WARemoteAssociate must reside within territory, or within a reasonable daily commuting distance of 60 miles from territory ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination.
Investigator III Premera Blue CrossInvestigator IIIMountlake Terrace, WashingtonDevelop and maintain collaborative and liaison relationships with Blue Cross Blue Shield Association (BCBSA), Blue Cross Blue Shield (BCBS) Plans, HHS OIG, other carriers' anti-fraud professionals, law enforcement and regulatory agencies. May attend webinars and conferences like BCBSA, National Health Care Anti-Fraud Association (NHCAA), and Association of Certified Fraud Examiners (ACFE) to keep apprised of developments in health care fraud.
Coder II-III Whidbey General HospitalCoder II-IIICoupeville, WAHealth Well-Being You Can Count On We offer a thoughtful, comprehensive benefits package designed to support you and your family at every stage of life: Medical Coverage HDHP w/HSA / PPO Prescription Drug Coverage Dental Options PPO / Managed-Care Plan Vision Benefits VSP Life ADD Insurance Employer paid coverage Long-Term Disability Coverage Employer paid income Protection Health Savings Account (HSA) If enrolled in HDHP Healthcare Flexible Spending Account (FSA) Dependent Healthcare Employee Provider Assistance Programs Free, confidential support Voluntary Life ADD Insurance Additional employee paid buy up option Voluntary Long-Term Disability Coverage Additional employee paid buy up option. A 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).
Account Associate - State Farm Agent Team Member A'lan Edmonson - State Farm AgentAccount Associate - State Farm Agent Team MemberKent, WAPart timeAs the Account Associate - State Farm Agent Team Member for A'lan Edmonson - State Farm Agent , you’ll play a key role in driving agency growth through consultative sales and relationship-building . This is a sales-forward, customer-facing role where your ability to follow up, educate, and close opportunities directly impacts your success and our agency’s results.
NewFACETS Developer – Healthcare Payer I8IS INC.FACETS Developer – Healthcare PayerSeattle, WAHands-on experience in one or more FACETS functional areas: Provider, Networks & Pricing Group, Membership, Billing & Class/Plan Claims & Encounters Strong understanding of: FACETS Front-End Functionality FACETS Batch Processes FACETS Backend Data Models FACETS Configuration and Extensions Advanced SQL development and performance tuning skills. Develop solutions across one or more of the following functional areas: Provider, Network Management & Pricing Group, Membership, Billing & Class/Plan Configuration Claims Processing & Encounters Create and optimize complex SQL queries, stored procedures, and data validation processes.
Dir, Ntwk Ops Engagement TriWest Healthcare AllianceDir, Ntwk Ops EngagementSeattle, WARemoteFull timeBachelor's degree in Business, Health Care Administration or equivalent experience • U.S. Citizen • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation • 8+ years of leadership or account management experience in a managed care environment that includes end-to-end provider network delivery experience such as overseeing successful contracting, credentialing, data loading, and ongoing maintenance of any claims issues while working with both executive and operational stakeholders • 8+ years' provider healthcare experience spanning multiple provider types and across regions • Experience and fluency in health plan credentialing, provider data systems, healthcare analytics, and/or performance management. • Lead partnership, advocacy, and service delivery for a portfolio of Health Systems across multiple states, along with large Provider Group strategic partnerships and National providers • Support MVS Field Staff and Military Treatment Facility/VA Medical Center network/provider needs in their regions.
NewRemote Psychiatric Mental Health Nurse Practitioner (Pmhnp) Seasoned RecruitmentRemote Psychiatric Mental Health Nurse Practitioner (Pmhnp)Seattle, WARemoteBenefit from total schedule control, guaranteed patient volume, and dedicated back-office support so you can focus on quality patient outcomes. Role Overview Seeking Board-Certified PMHNPs to deliver virtual psychiatric evaluations and medication management.
Insurance Follow Up Specialist - Seattle, WA Mindful Support ServicesInsurance Follow Up Specialist - Seattle, WASeattle, WA$24–$28 / hourExperience with payer portals for regional and national commercial payers, including Blue Cross Blue Shield plans, Aetna, Cigna, Optum/UnitedHealthcare, Medicare contractors, and Medicaid managed-care organizations. The ideal candidate has at least two years of hands-on insurance A/R follow-up and claim-resolution experience, including direct payer outreach, portal-based research, denial management, corrected claims, reconsiderations, appeals, and escalation of recurring payer or workflow issues.
Revenue Cycle Informatics Analyst Overlake Hospital Medical CenterRevenue Cycle Informatics AnalystBellevue, WARemote$99,736–$149,614 / yearThe Revenue Cycle Informatics Analyst is responsible for the independent analysis of information, best practice development, generation, and presentation of strategic information and designs critical to the operational performance, financial viability and ongoing measurement of the revenue cycle. Candidates should have a minimum of 5 years of experience in patient financial services with advance working knowledge and practice of EPIC Electronic Medical Records, state and federal payor regulations, and insurance claim processing.
Insurance Follow Up Specialist - Seattle, WA MINDFUL SUPPORT SERVICESInsurance Follow Up Specialist - Seattle, WASeattle, WA$24–$28 / hourThe ideal candidate has at least two years of hands-on insurance A/R follow-up and claim-resolution experience, including direct payer outreach, portal-based research, denial management, corrected claims, reconsiderations, appeals, and escalation of recurring payer or workflow issues. About the role: We are seeking an experienced claim specialist to independently resolve complex outstanding insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers.
Healthcare Data Analyst II Blue Cross and Blue Shield AssociationHealthcare Data Analyst IIMountlake Terrace, WA$80,200–$130,200 / yearUtilizing statistical and mathematical methodologies, you will develop diverse analyses, convert data into meaningful visualizations to facilitate informed decision-making, and generate operational reports as well as trend analyses through both conventional and programmatic approaches. Your work will encompass a broad spectrum of healthcare-reported data, including claims, clinical records, pharmacy information, laboratory results, healthcare costs, utilization metrics, management data, and clinical research findings.
Vice President, Customer Success (Payors) Health GPT IncVice President, Customer Success (Payors)Seattle, WADrive lasting impact: At 12 months, you will have scaled your payer CS team from concept to fully functional, high-performing organization, established replicable playbooks for payer onboarding and success management, grown net revenue retention across your payer book of business to 110%+, positioned payer customers as visible advocates for Hippocratic AI in the industry, and proven out the payer CS model that can scale across the organization. Own your first major outcome: By day 90, you will have completed a diagnostic of your payer customer base and success metrics, established your CS team's operating framework and KPIs, recruited and onboarded your first CS leaders and specialists, and shipped measurable improvements in customer retention or satisfaction for your most strategic accounts.
Provider Reimbursement Systems Analyst Or Sr DOE Cambia HealthProvider Reimbursement Systems Analyst Or Sr DOERenton, WA$72,523–$119,663 / yearAs a member of the Tech Services team, our Provider Reimbursement Systems Analysts support, maintain, and enhance existing systems while developing, configuring, and delivering new solutions in direct alignment with Cambia Core Strategies and Key Initiatives - all in service of creating an economically sustainable health care system. What You Bring to Cambia: Qualifications: Provider Reimbursement Systems Analyst: College degree in Computer Sciences, Mathematics, Business Administration, or a related field; may be substituted by sufficient years of healthcare industry experience.
Provider Reimbursement Systems Analyst or Sr DOE Cambia Health Solutions IncProvider Reimbursement Systems Analyst or Sr DOERenton, WA$72,523–$119,663 / yearAs a member of the Tech Services team, our Provider Reimbursement Systems Analysts support, maintain, and enhance existing systems while developing, configuring, and delivering new solutions in direct alignment with Cambia Core Strategies and Key Initiatives - all in service of creating an economically sustainable health care system. What You Bring to Cambia: Qualifications: Provider Reimbursement Systems Analyst: College degree in Computer Sciences, Mathematics, Business Administration, or a related field; may be substituted by sufficient years of healthcare industry experience.
Investigator III Blue Cross and Blue Shield AssociationInvestigator IIIMountlake Terrace, WA$80,200–$118,300 / yearDevelop and maintain collaborative and liaison relationships with Blue Cross Blue Shield Association (BCBSA), Blue Cross Blue Shield (BCBS) Plans, HHS OIG, other carriers' anti-fraud professionals, law enforcement and regulatory agencies. May attend webinars and conferences like BCBSA, National Health Care Anti-Fraud Association (NHCAA), and Association of Certified Fraud Examiners (ACFE) to keep apprised of developments in health care fraud.
Epic Denials Manager DeloitteEpic Denials ManagerBellevue, WARemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Customer Service Representative - State Farm Agent Team Member Hayk Tadevosyan - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberKirkland, WAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Hayk Tadevosyan - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. I’m a proud father, husband, athlete, and business owner with over 14 years in the insurance industry, leading multiple thriving State Farm offices across the Seattle metro area - each built from the ground up.
Xfinity Mobile Retail Service Associate Comcast CorporationXfinity Mobile Retail Service AssociateEverett, WAOn-Demand Delivery, BAPIS & XM Upsell: Fulfill Xfinity Mobile on-demand deliveries and BAPIS pickups by staging orders accurately, ensuring smooth handoff, and identifying opportunities to upsell accessories or add-ons. RSAs handle mobile activation, education, troubleshooting, and escalations while assisting with operational priorities to ensure that customers leave confident and excited about their Comcast products and services.
Customer Service Representative - State Farm Agent Team Member Kathy Northrop - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberEverett, WAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Kathy Northrop - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Luis Sanchez - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberMarysville, WAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Luis Sanchez - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. I’ve been part of the State Farm family since 2003, starting as a team member and working my way up, and I now bring more than 22 years of industry experience to leading this agency.