Project Coordinator III - AI Workflows and Vibe Coding Linda Werner & AssociatesProject Coordinator III - AI Workflows and Vibe CodingRemote, ORRemoteThis team owns programming strategy and discovery, and works hand in hand with product and engineering to build the tools that keep a busy slate of projects moving. Coordinate project work streams across content producers, developers, and cross functional partners, keeping everyone aligned on deliverables and timelines.
FQHC Billing Account Manager Nexus HR ServicesFQHC Billing Account ManagerRemote, ORRemote$60,000–$65,000 / yearThe RCM Billing Account Manager is responsible for overseeing all aspects of Revenue Cycle Management (RCM), including billing operations, coding compliance, claims submission, denial management, and reimbursement optimization for FQHC clients. Serve as a trusted advisor on FQHC billing rules, UDS reporting, wraparound payments, PPS/APM reimbursement models, sliding fee schedules, and Medicaid/Medicare billing.
Director of Clinical Revenue Cycle Services Adaugeo Healthcare SolutionsDirector of Clinical Revenue Cycle ServicesRemote, ORRemoteOur family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. This is a hybrid role, meaning you can live & work from any of the states in our company footprint (Oregon, Washington, Idaho, Nebraska) with the understanding that a portion of your time will be working from our worksites.
CHARGE CAPTURE SPECIALIST The Coos, Lower Umpqua and Siuslaw IndiansCHARGE CAPTURE SPECIALISTCoos Bay, ORTwo (2) years of experience in healthcare revenue cycle operations, including professional charging, claims billing, coding, Charge Master maintenance, audit support, accounts payable/receivable, and regulatory experience. Collaborates efficiently and effectively while consistently demonstrating professionalism and maintaining positive, respectful relationships with internal teams, external partners, and Tribal members.
RCM Billing Account Manager - Remote Nexus HR ServicesRCM Billing Account Manager - RemoteRemote, ORRemote$28–$30 / hourRCM Billing Account Managers oversee billing and RCM accounts and the team members who work them. They must communicate clearly and effectively with clients, team members, and coworkers.
Medical Review at Integrity Advantage (Remote) HireAlignedMedical Review at Integrity Advantage (Remote)Remote, OREGONRemoteOrganize and prioritize assigned reviews to make payment determinations in accordance with coding guidelines and medical policies, utilizing expertise in CDT, CPT, ICD, DRG, REV, and HCPCS coding to identify and address potential healthcare fraud schemes. Perform reviews of (pre-payment or post-payment) medical records and healthcare claims, determining the accuracy of codes billed and compliance with appropriate policies, procedures, and regulations.
Customer Service Representative Quantum RecruitersCustomer Service RepresentativeRemote, ORRemoteWork efficiently in multiple systems simultaneously while effectively utilizing critical thinking and problem solving skills. Work Experience: One-year medical insurance, other healthcare related field, call center or customer service experience required.
Authorization Representative Therapeutic Associates, Inc.Authorization RepresentativeOROur clinics are managed by owners and directors who have the support and resources of our large organization combined with the freedom to make decisions with their teams to best serve their patients and community. The position is responsible for managing daily physical therapy authorization requests, insurance eligibility and verification, assisting with insurance billing for each TAI clinic location - ensuring governmental and commercial billing guidelines are followed.
HCC Certified Coder Monogram Health IncHCC Certified CoderRemoteRemotePart timeMonogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
Bill Review Analyst I CorVel Healthcare CorporationBill Review Analyst IRemoteRemote$13.38–$23.42 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Director of Laboratory Revenue Cycle Services Adaugeo Healthcare SolutionsDirector of Laboratory Revenue Cycle ServicesRemote, ORRemoteOur family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. We're looking for a Director of Laboratory Revenue Cycle Services to own the strategy, performance, and people that keep lab billing accurate, compliant, and financially strong—from the moment a test is ordered to the day the claim is paid.
NewDirector of Quality and Risk Adjustment Advanced HealthDirector of Quality and Risk AdjustmentCoos Bay, OregonDepartment: QUALITY | Reports to: CHIEF COMPLIANCE & QUALITY OFFICER | Supervision Exercised: QUALITY STAFF OVERSIGHT Job Purpose: Director of Quality and Risk Adjustment The Director of Quality and Risk Adjustment provides strategic leadership for the development, implementation, oversight, and continuous improvement of organizational quality, risk adjustment, population health, and performance improvement programs. The Director collaborates with leadership, providers, and cross-functional teams to improve member outcomes, support value-based care initiatives, enhance revenue integrity, and drive organizational performance through data-informed decision making.
NewSenior Manager / Associate Director, Market Access & Reimbursement Cleveland Diagnostics Inc.Senior Manager / Associate Director, Market Access & ReimbursementRemote, ORRemoteJob Title Senior Manager / Associate Director, Market Access & Reimbursement Reports To The Senior Manager / Associate Director, Market Access & Reimbursement will report to the Chief Commercial Office Job Overview The Senior Manager / Associate Director of Market Access and Reimbursement will refine and execute on the commercial coverage strategy for CDx's diagnostics portfolio and secure coding and favorable coverage and payment from public and private payers. Cleveland Diagnostics (CDx) is a fast-growing, venture-backed, commercial-stage biotechnology company developing next-generation diagnostic platforms and products, such as our proprietary IsoClear platform and our first product, IsoPSA for prostate cancer.