AR Claims Specialist I Yakima Valley Farm Workers ClinicAR Claims Specialist IWA$19.76–$24.21 / hourQualifications: High School diploma or GED Minimum six months' experience in healthcare setting Certified Revenue Cycle Representative (CRCR) preferred Experience with FQHC billing and/or coding preferred Strong attention to detail, analytical skills, and ability to meet deadlines Knowledge of medical and insurance terminology, CPT/ICD coding structures, and UB‑04/1500 claim forms Strong written and verbal communication skills. Through diligent follow‑up, payer expertise, and collaboration with billing and revenue cycle partners, this role helps reduce denials, improve workflows, and support YVFWC's mission.
Senior Claims Specialist - CA Workers'''' Compensation Great American Insurance CompanySenior Claims Specialist - CA Workers'''' CompensationWA$110,000–$120,000 / yearAlthough we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use.
Claims Specialist Lead The Progressive CorpClaims Specialist LeadFederal Way, WA$81,000–$107,000 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.
Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote SedgwickSr. Claims Specialist, Professional Liability | E&O, D&O, EPL | RemoteOlympia, WARemote$100,000–$125,000 / yearSkills & Knowledge** + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent negotiation skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings.
Claims Specialist - General Liability The HartfordClaims Specialist - General LiabilityOlympia, WA$107,600–$161,400 / yearKey responsibilities of this position include: + Conduct complex investigations and extensive claim file reviews on assigned cases + Determine coverage, draft position letters and communicate the coverage position(s) to insureds, business partners and legal counsel + Operate within prescribed authority levels to set appropriate expense and indemnity reserves + Regularly monitor indemnity reserves for any required adjustment + Present cases above authority level to leadership for expense/indemnity reserve and settlement authority + Develop and implement resolution strategies to achieve high quality outcomes + Pro-actively manage consultants and/or litigation and counsel throughout the case lifecycle + Directly oversee the litigation planning, execution, budget and bill review + Attend trials and mediations as necessary + Positively contribute to our claim and enterprise goals by participating in ad hoc audits, projects and product development initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on case developments, policy issues, industry trends, etc. + Prior experience handling both primary and excess policy coverages/claims + Strong coverage acumen with the ability to readily apply the terms and conditions found in manuscript policies to the facts of the claim + High level of discipline, results-orientation and ability to drive bottom line results + Superior analytical ability and organizational skills + Effective interpersonal communication skills in both verbal and written formats + Proven strategic reasoning and execution skills + Excellent negotiation and advanced technical claim handling skills + Full command of issues and medicals relative to high value bodily injury claims + Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity + Ability to effectively communicate in a highly-matrixed environment + Readily able to influence and drive successful, collaborative claim outcomes This role can have a Hybrid or Remote work arrangement.?
Litigated Claims Specialist, General Liability Zurich NALitigated Claims Specialist, General LiabilityOlympia, WARemoteBasic Qualifications:** + Bachelor's Degree and 3 or more years of experience in the Claims or Insurance areaOR + Zurich Certified Insurance Apprentice, including an associate degree and 3 or more years of experience in Claims or Insurance areaOR + Completion of Zurich Claims Training Program and 3 or more years of experience in the Claims or Insurance areaOR + High School Diploma or Equivalent and 5 or more years of experience in the Claims or Insurance areaAND + Must obtain and maintain required adjuster license(s) + Knowledge of insurance regulations, markets and products + Microsoft Office experience **Preferred Qualifications:** + 5 plus years of experience handling Commercial General Liability (CGL) claims + Demonstrated experience managing construction-related general liability claims, including bodily injury and property damage under wrap-up policies preferred + Experience with OCIP/CCIP wrap-up programs preferred + Strong litigation management experience + Currently hold an active adjusters license + Effective verbal and written communication skills + Strong analytical, critical thinking, and problem-solving skills + Solid time management, prioritization, and multi-tasking skills + Experience collaborating in a team environment and building cross functional working relationships. Our hybrid work model is thoughtfully designed around employee needs offering autonomy to complete focused work from a preferred location, while still supporting meaningful in-person collaboration when it adds value.
Personal and Advertising Injury Liability Claims Specialist The HartfordPersonal and Advertising Injury Liability Claims SpecialistOlympia, WARemote$107,600–$161,400 / yearProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity + Work with business partners to evaluate and address claim trends and developments + Address inquiries from agents and policyholders, providing superior customer service **Qualifications:** + Bachelor's Degree is required, law degree a plus + Minimum of 7 years' experience handling complex claims, litigated coverage and liability matters required + Candidate should be disciplined, results-oriented and able to focus on bottom line results + Superior analytical ability and organizational skills + Excellent oral and written communication skills + Excellent strategic thinking ability and execution skills + Excellent negotiation and advanced technical claim handling skills, including knowledge of coverage and tort laws + An ability to communicate thoughts clearly and concisely and to influence and persuade others + Superior interpersonal skills + An ability to exceed expectations and influence others to do the same **Additional Information** : + This role can have a Hybrid or Remote work arrangement.? + Internet Connectivity Requirement/Remote Positions: For 100% remote positions, we require that (1) you have high speed broadband cable internet service with minimum upload/download speeds of 3Mbps/30Mbps and (2) your Internet provider supplied device is to be hardwired to the Hartford issued router and/or computer.
Appeals Specialist Medical Claims Northwest Administrators IncAppeals Specialist Medical ClaimsFederal Way, WA$30.70–$41.54 / hourWe will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. The Appeals Specialist will assist in the operations of the Health and Welfare Claims Department and will primarily focus on member disputes and appeals.
PNW PACE Authorization Specialist MultiCare Health SystemPNW PACE Authorization SpecialistTacoma, WAFull timeResponsibilities include verification of insurance information (eligibility and benefits), referral management, submitting and monitoring of pre-authorizations, determines medical necessity and identifies any coverage concerns and works with providers and billing to resolve authorization denials. OR Graduate of a health vocational program such as Medical Assistant, or Medical Billing & Insurance, and 1-year experience in healthcare AND Minimum two (2) years of experience in dealing with the public in a customer service role.
Revenue Specialist I (ROPS) DaVitaRevenue Specialist I (ROPS)Federal Way, WAFull timeWashington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour. Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
Oncology Sales Specialist - S1 - (Tacoma, WA) (field based) EisaiOncology Sales Specialist - S1 - (Tacoma, WA) (field based)Tacoma, WAFull timeExperience working withkey laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred. Collaborates appropriately with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner.
Revenue Specialist II (ROPS) DaVitaRevenue Specialist II (ROPS)Federal Way, WAFull timeIdentify trends and perform root cause analysis on unpaid and underpaid claims* Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate insurance payor* Develop and maintain positive working relationships with clinical personnel, teammates, and insurance representatives* High school diploma or GED, required* Associates or Bachelor's degree, highly preferred* Ability to research and problem solve, using analytical and critical thinking skills* Healthcare and medical billing/collections experience is preferred* Intermediate computer proficiency in Microsoft Office including: Word, Excel, and Outlook* Demonstrated history of resolving challenging issues* Deeply built values of TEAM!What's in it for you? Here's what we bring to the table:* A Fun, relationships-based culture-patient- and teammate-driven team* Working for a company stability-as the nation's largest independent provider of dialysis services* Receive award winning training, as note in Training Magazine Top 125 award-winning education* Opportunity for multiple career paths across a variety of cutting-edge modalities* Rewards for your STELLAR performance* Clinical outcomes consistently ranked above the national average-treating more than one-third of the dialysis population (that's approximately 100,000 patients!)* Exceptional benefits-including the healthcare industry's most generous profit sharing programMost importantly.
Revenue Specialist III, ROPS DaVitaRevenue Specialist III, ROPSFederal Way, WAFull timeThis position will also be responsible for implementing, designing, and providing support for business and administrative analytics within revenue cycle functional areas; develops reports with key performance indicators, metrics, data points, and formulas to support management objectives; determines how processes can be aligned with best practices to achieve optimal results, measurable change, and a quantifiable, positive contribution. We are seeking a revenue operations specialist to work closely with practices and leaders to investigate and design strategic initiatives in order to improve revenue cycle statistics, reporting capabilities, and overall performance.
Claims Adjuster Senior - Litigation The Progressive CorpClaims Adjuster Senior - LitigationFederal Way, WA$33–$43 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
AVP, Complex Claim Liability Specialist Travelers Insurance CompanyAVP, Complex Claim Liability SpecialistOlympia, WA$132,800–$219,100 / yearRepresent the company as a technical resource, attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws + Obtain and evaluate current information regarding trends in the law; digest and communicate this information to other Company departments and divisions to assist in underwriting and management decisions. + Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
Claims Adjuster - Attorney Represented Injury The Progressive CorpClaims Adjuster - Attorney Represented InjuryFederal Way, WA$30.29–$39.23 / hourAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/.
Claim Resolution Specialist, Large Loss Personal Property Adjuster Liberty Mutual Holding Company IncClaim Resolution Specialist, Large Loss Personal Property AdjusterOlympia, WAThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Coding Consultant I, II, or III DOE Cambia Health SolutionsCoding Consultant I, II, or III DOETumwater, WAFull timeCoding Review Consultant: Certification in at least 1 of the following is required at the time of hire, and throughout tenure in job: Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), RHIT (Registered Health Information Technician), or RHIA (Registered Health Information Administrator). * Identify trends and patterns; collate audit results and analyze findings; identify root cause analysis; and identify system issues that may contribute to claims, coding, provider contracting and revenue cycle deficiencies.
Sr Analyst, Business (ROPS) DaVitaSr Analyst, Business (ROPS)Federal Way, WAFull timeHigh school diploma or equivalent required* Minimum of three (3) years' healthcare reimbursement experience preferred ; experience with admissions, billing, and collections preferred* Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred* Basic computer skills and proficiency in MS Word, Excel, and Outlook requiredJoin us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen."Why wait? Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour.
Warehouse Team Member II Interstate Batteries, Inc.Warehouse Team Member IITumwater, WAFull timeExposed to battery warehouse conditions, such as exposure to moving equipment, mechanical parts, fumes or airborne particles; toxic or caustic chemicals. To view the full job description, https://www.aplitrak.com/?adid=YmJnZW5lcmljLjk3MzgwLjg3NjlAaW50ZXJzdGF0ZWNvbXAuYXBsaXRyYWsuY29t">click here.
Revenue Integrity Analyst - Contracting Administration Providence St. Joseph HealthRevenue Integrity Analyst - Contracting AdministrationLacey, WAFull timeThe Revenue Integrity Analyst is a key resource within the Quality Improvement/Finance Department, responsible for analyzing professional revenue cycle performance and identifying opportunities to optimize collections, clean claims, denials, and fee-for-service revenue. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewDSHS ESA Public Benefits Specialist 3 State of WashingtonDSHS ESA Public Benefits Specialist 3Centralia, WA$3,917–$6,075Were looking for applicants who have the education and/or experience as listed below: Four years in a customer service job where the major duties involved public contact or a job providing staff support in financial eligibility determination such as examining/processing loan applications, medical insurance or rehabilitation claims, or unemployment insurance claims. Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.
DSHS ESA Public Benefits Specialist 1-3 State of WashingtonDSHS ESA Public Benefits Specialist 1-3Tumwater, WA$3,840–$5,956Were looking for applicants who have the education and/or experience as listed below: Four years in a customer service job where the major duties involved public contact or a job providing staff support in financial eligibility determination such as examining/processing loan applications, medical insurance or rehabilitation claims, or unemployment insurance claims. Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.
NewPublic Benefits Specialist 3 - Tax Credit Administration Unit State of WashingtonPublic Benefits Specialist 3 - Tax Credit Administration UnitTumwater, WA$4,517–$6,075An associate's degree AND three years of experience examining/processing loan applications, medical insurance or rehabilitation claims, unemployment insurance claims, or a job providing staff support in financial eligibility determination, or in a job analyzing, verifying, and evaluating financial or tax data and information, Equivalent education/experience: Experience examining/processing loan applications, medical insurance or rehabilitation claims, unemployment insurance claims, or a job providing staff support in financial eligibility determination, or in a job analyzing, verifying, and evaluating financial data and information, will substitute year for year, for education experience. A bachelor's degree in social services, business administration, or a related field AND one year of experience examining/processing loan applications, medical insurance or rehabilitation claims, unemployment insurance claims, or a job providing staff support in financial eligibility determination, or in a job analyzing, verifying, and evaluating financial or tax data and information, OR.
Insurance Eligibility & Follow-Up Specialist (Remote) GetixHealthInsurance Eligibility & Follow-Up Specialist (Remote)Tacoma, WashingtonRemoteThe Insurance Eligibility & Follow-Up Specialist is responsible for verifying patient insurance coverage prior to service, tracking outstanding insurance claims, resolving denials, and ensuring timely reimbursement from insurance carriers. This role combines front-end insurance eligibility verification with back-end insurance follow-up responsibilities—helping reduce denials, improve reimbursement, and support a seamless patient financial experience from start to finish.
Medical Billing Specialist - Insurance AR Olympic Sports & Spine RehabilitationMedical Billing Specialist - Insurance ARTacoma, WAPosition Summary: The Medical Billing Specialist performs insurance A/R collection by following up with assigned insurance carriers, manages appeals, resolves patient and payer inquiries, and ensures accurate account activity. As part of our commitment to maintaining a professional, compliant, and high-integrity workplace, all employment offers at Olympic Sports & Spine are contingent upon the successful completion of a comprehensive background screening.
Fire Chief / Safety Specialist Par Pacific Holdings IncFire Chief / Safety SpecialistTacoma, WA$99,133–$148,699 / yearIn addition to emergency response leadership, this role provides field-based safety support across the facility, partnering with operations to identify and mitigate risk, support permit-to-work systems, and reinforce a strong safety culture. Acting as the on-site Incident Commander, the Fire Chief ensures effective emergency preparedness through structured training, drills, pre-incident planning, and maintenance of firefighting systems and equipment.
NewDSHS ESA Public Benefits Specialist 4 State of WashingtonDSHS ESA Public Benefits Specialist 4WA$56,952–$76,608 / yearPer the Information Exchange Agreement No. 2013-02 between the Centers for Medicare & Medicaid Services (CMS) and State-Based Exchanges for the disclosure of health insurance affordability programs information under the Patient Protection and Affordable Care Act, passing a criminal background check is required for this position. We strive to create greater access and affirming representation of the communities we serve, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.
ES Benefit Specialist 2: Insurance Services (In-Training) State of WashingtonES Benefit Specialist 2: Insurance Services (In-Training)Olympia, WA$49,428–$73,284 / yearIf you are a person needing assistance in the application process, if you need this job announcement in an alternate format, or if you have general questions about this opportunity, please contact Katie Swanson, 360-742-8208 or the Talent Acquisition Team, or Washington Relay Service 711 prior to the recruitment closing. Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.
NewInsurance Eligibility & Follow-Up Specialist (Remote) Patient Accounting Service Center, LLCInsurance Eligibility & Follow-Up Specialist (Remote)Tacoma, WARemote$18–$20 / hourPart timeThe Insurance Eligibility & Follow-Up Specialist is responsible for verifying patient insurance coverage prior to service, tracking outstanding insurance claims, resolving denials, and ensuring timely reimbursement from insurance carriers. This role combines front-end insurance eligibility verification with back-end insurance follow-up responsibilities—helping reduce denials, improve reimbursement, and support a seamless patient financial experience from start to finish.
Billing Specialist III Sea Mar Community Health CentersBilling Specialist IIIFederal Way, WashingtonAdjust sliding fee discounts according to the sliding fee policy Process all clean claims and correct and process all failed and rejected claims Follow-up with insurance companies on claim correction questions or on outstanding accounts Correct and rebill patient accounts billed with the incorrect insurance, plan or no insurance. Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State.
NewCERTIFIED ATHLETIC TRAINIER- WORK REHABILIATION SPECIALIST Pierce County Olympic Sports & Spine RehabilitationCERTIFIED ATHLETIC TRAINIER- WORK REHABILIATION SPECIALIST Pierce CountyPuyallup, WAThe ideal candidate will have experience working with workers' compensation populations and possess expertise in acute work injury management, work conditioning and work hardening programs, job demand analysis, and return-to-work coordination. This position requires exceptional communication and collaboration with Occupational Medicine providers, Claims Managers, Nurse Case Managers, Vocational Rehabilitation Counselors, employers, and other stakeholders to facilitate safe, effective, and timely return-to-work outcomes.
NewPHYSICAL THERAPIST- WORK REHABILIATION SPECIALIST Pierce County Olympic Sports & Spine RehabilitationPHYSICAL THERAPIST- WORK REHABILIATION SPECIALIST Pierce CountyTacoma, WAWe are looking for strong clinical skills, excellent communication abilities, and experience collaborating with Occupational Medicine providers, Claims Managers, Nurse Case Managers, Vocational Rehabilitation Counselors, employers, and other stakeholders to facilitate safe and timely return-to-work outcomes. This position focuses exclusively on treating injured workers and providing specialized services including acute work injury rehabilitation, work conditioning and work hardening programs, and Functional Capacity Evaluations (FCEs).
NewCERTIFIED ATHLETIC TRAINIER- WORK REHABILIATION SPECIALIST South King County Olympic Sports & Spine RehabilitationCERTIFIED ATHLETIC TRAINIER- WORK REHABILIATION SPECIALIST South King CountyFederal Way, WAThe ideal candidate will have experience working with workers' compensation populations and possess expertise in acute work injury management, work conditioning and work hardening programs, job demand analysis, and return-to-work coordination. This position requires exceptional communication and collaboration with Occupational Medicine providers, Claims Managers, Nurse Case Managers, Vocational Rehabilitation Counselors, employers, and other stakeholders to facilitate safe, effective, and timely return-to-work outcomes.
Warranty Specialist - Ford Korum Automotive GroupWarranty Specialist - FordPuyallup, WashingtonKorum Ford , located in Puyallup, WA, is seeking a skilled and experienced Warranty Administrator with a strong background in working with Ford or Lincoln dealerships. Reviews the Work in Process (WIP) related to warranty report and service contract services for the Service Advisors monthly and provides information to the Service Lane Manager.
NewPharmacy Technician Billing Specialist - TLT/SDA King County, WAPharmacy Technician Billing Specialist - TLT/SDAWA$29.96–$37.97 / hourEquitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. Jail Health Services (JHS) provides needed health and social services to the incarcerated population located in the King County jails - King County Correctional Facility (KCCF) in Seattle, WA and Maleng Regional Justice Center (MRJC) in Kent, WA.
NewDSHS ESA DDS Examiner Support Specialist 2 State of WashingtonDSHS ESA DDS Examiner Support Specialist 2Federal Way, WA$3,917–$5,240As an Examiner Support Specialist 2, you will support disability claims processing by responding to customer inquiries, verifying and updating claim information, retrieving records, managing a limited caseload of specialized claims, and assisting team members by gathering information from claimants. DSHS ESA DDS Examiner Support Specialist 2. The Division of Disability Determination Services (DDDS), a division within DSHS's Economic Services Administration, has an opening for an Examiner Support Specialist to join their team.
Per Diem- - Revenue Cycle Specialist Summit Pacific Medical CenterPer Diem- - Revenue Cycle SpecialistElma, WashingtonYour trusted partner in Health and Wellness, Summit Pacific is a vibrant and expanding public hospital district that operates a Critical Access Hospital with a Level IV trauma designation, three rural healthcare clinics, and a seven-day-a-week urgent care clinic. Maintains an accurate Chargemaster, while identifying problems with charge capture and implementing reliable solutions for improvement; continually identifying opportunities to automate processes and improve revenue capture.
NewSenior Quality Specialist CVS Health CorpSenior Quality SpecialistWA$18.50–$38.82 / hourActs as an advocate and subject matter expert guiding the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations and programs to consistently drive optimal results.
Accounts Receivable Specialist United Wound HealingAccounts Receivable SpecialistWARemote$24–$27 / hourClaims Knowledge: Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up.
L&I Vocational Services Specialist 2 State of WashingtonL&I Vocational Services Specialist 2Tumwater, WA$64,512–$86,688 / yearL&I's Insurance Services' Return to Work Partnerships program is seeking to hire a Vocational Service Specialist (VSS2) to provide professional and technical expertise to department staff, private vocational counselors, employers and their representatives, health care professionals and injured workers by effectively interpreting and implementing the statutes, administrative codes, department policies and procedures associated with vocational rehabilitation services. Do you want to be a part of an integral Vocational Services Specialist team that supports claims units in fulfilling L&I's mission of preventing long-term disability by returning injured workers back to employment as quickly and safely as possible?
Continuous Improvement - Program Specialist 3 State of WashingtonContinuous Improvement - Program Specialist 3Olympia, WA$59,760–$80,496 / yearMicrosoft Planner) or technical strategy ensuring deadlines are met for the team; Provide technological and programmatic support across the state, including, networking, programmatic resource collection and disbursement, training notices, answering questions about communications, meetings, resources, and program updates, grants, contracts, and RAR. I have expert proficiency in Microsoft Office Suite, leveraging advanced features to improve efficiency and reporting; can optimize workflows and troubleshoot within web-based databases; and can perform complex, strategic internet research using advanced search methodologies, critically evaluate information quality, and provide actionable insights to support organizational decision-making.
A&G Clinical Specialist HealthfirstA&G Clinical SpecialistWA$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating and responding verbally and in writing to member and provider clinical appeals and grievances. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Patient Relations Specialist CommonSpirit HealthPatient Relations SpecialistTacoma, WAParticipates in the review, analysis, and evaluation of patient/family service and complaint management data (assigning tasks through electronic system, monitoring completion within guidelines, and appropriate intervention and resolution by managers(s) assigned); recommends innovative solutions to customer service issues including systems problems and gaps in customer relations skills in assigned areas. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.
Account Specialist Alera Group IncAccount SpecialistTacoma, WA$25–$30 / hourThis role will focus on client servicing and collaborate with producers, account managers, carriers, clients, internal operations teams. Collaborate with producers, account managers, carriers, and internal team members to ensure seamless execution of client deliverables.
NewQuality Specialist III Blue Cross and Blue Shield AssociationQuality Specialist IIIWA$52,400–$78,600 / yearThe Quality Specialist III is responsible for conducting and overseeing Premera's compliance with corporate audit programs such as the Blue Cross Blue Shield Association (BCBSA) Local Operations Scorecard (LOS) and Licensee Desk Level Audit (LDLA), the Federal Employee Program (FEP) audit and tier II support to customer service representatives and QA teams, both offshore and onshore, along with ensuring compliance with state and federal laws, contracts and the achievement of corporate objectives. Your expertise will directly impact member satisfaction and trust by safeguarding compliance, supporting audit processes, and fostering a culture of continuous improvement-helping us deliver care and service our members can rely on, every step of the way.
Junior Human Resource Specialist GAP Solutions IncJunior Human Resource SpecialistOlympia, WAMinimum Qualifications:** + **Delegated Examining Certification and/or HRM Certificate from an accredited academic institution preferred.** + **Intermediate to advanced technical proficiency in the full Microsoft Office Suite.** + **Strong written and oral communication skills.** + **Advanced presentation skills.** + **Ability to work effectively within a group or individually.** **Position Objective:** As a Junior Human Resource Specialist, apply HR skills in support of managers, program staff and customers on the full range of HR topics including but not limited to staffing, classification, processing, benefits, recruitment, compensation, SES programs, work life programs, policy and employee and labor relations.
NewSpecialist, Logistics Quality MazdaSpecialist, Logistics QualityTacoma, Washington35%) Quality Administration Collaborate with vehicle quality engineering, supplier quality assurance, accessory engineering, local Port Operations, local Port/Vessel/Truck/Rail vendors, and other departments to investigate quality concerns and implement corrective action and preventive actions within the local Port facility and Transportation pipeline. Audit stop ship/reworks repair process at the local Port; develop containment and damage prevention plans with support from Port Operations, management, Technical Services (TSD), MC, and any other relevant teams to ensure repair of all affected units.
NewSpecialist, Logistics Quality Mazda Motor of America, Inc.Specialist, Logistics QualityTacoma, WA$69,400–$100,600 / yearCollaborate with vehicle quality engineering, supplier quality assurance, accessory engineering, local Port Operations, local Port/Vessel/Truck/Rail vendors, and other departments to investigate quality concerns and implement corrective action and preventive actions within the local Port facility and Transportation pipeline. Audit stop ship/reworks repair process at the local Port; develop containment and damage prevention plans with support from Port Operations, management, Technical Services (TSD), MC, and any other relevant teams to ensure repair of all affected units.
Sr. Oncology Sales Specialist - S1 - (Tacoma, WA) (field based) EisaiSr. Oncology Sales Specialist - S1 - (Tacoma, WA) (field based)Tacoma, WACollaborates appropriately with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner. Experience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred.