Certified 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. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
NewClaim Benefit Specialist- Commercial Operations CVS Health CorpClaim Benefit Specialist- Commercial OperationsVT$17–$28.46 / hourPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Analyzes 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.
Coder Level II - HIM The University of Vermont Health NetworkCoder Level II - HIMVTRemote$27.93–$40.50 / hourJob Ref:R0089511 Category:Medical Billing and Coding Employment Type:Part-Time Health Care Partner:Champlain Valley Physicians Hospital Location: Remote Department:CVPH - Health Information Management Job Type:Regular Primary Shift:Day Hours:8:00 AM - 12:00 PM Estimated Hours per Week: 20 Bi-Weekly Hours: 40 Weekend Needs:As Scheduled Pay Rate: $27.93 - $40.50 per hour. GENERAL SUMMARY: Under the general supervision of the Manager, HIM (Coding) and following established hospital and Department policies and procedures, a Coder Level II will apply ICD-10 CM diagnostic and procedure codes as well as CPT procedure and Evaluation and Management codes to outpatient Emergency Care Center/Fast Track accounts.
Patient Access (Registration) Specialist - Part Time The University of Vermont Health NetworkPatient Access (Registration) Specialist - Part TimeBurlington, VT$21.84–$31.79 / hourJob Ref:R0089791 Category:Administration Employment Type:Part-Time Health Care Partner:University of Vermont Medical Center Location: 111 Colchester Ave, Burlington, VT 05401 Department:Registration ACC Job Type:Regular Primary Shift:Day Hours:- Hours per Week: 20 Weekend Needs:None Pay Rate: $21.84 - $31.79 per hour. The Specialist shall function independently, resolve patient and operational issues and effectively manage patient financial engagement while facilitating all aspects of the access experience to ensure the UVM Medical Center revenue cycle remains whole.
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.
Patient Account Representative Billing COPLEY HEALTH SYSTEMS INCPatient Account Representative BillingVT$18.50–$21 / hourCOLLECTIONS: 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.
Patient Account Representative II Northwestern Medical CenterPatient Account Representative IISt. Albans, VermontWe are proud to offer a generous benefits package, with recognized national carriers, designed to help our people stay healthy, balance work & life responsibilities, protect your assets & plan for a secure financial future. Working Conditions: Medical office environment, exposure to infectious diseases, moderate stress, must be able to handle multiple calls and inquiries, subject to many interruptions.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)VT$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Field Reimbursement Manager Immunology Gastroenterology - Albany NY AbbVie IncField Reimbursement Manager Immunology Gastroenterology - Albany NYBurlington, VTThe amount and availability of any bonus, commission,incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless anduntil paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of thisposting based on the job grade for this position.
Associate Optometrist - LensCrafters - South Burlington, VT EssilorLuxottica SAAssociate Optometrist - LensCrafters - South Burlington, VTSouth Burlington, VTIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Field Reimbursement Manager Market Access - Central Region ADMA Biologics IncField Reimbursement Manager Market Access - Central RegionSouth Burlington, VTRemote10 years of experience working for a major pharmaceutical organization on the field reimbursement team, understanding different site of care provider segments and payors, i.e., (Commercial, Medicare, Medicaid, VA/DOD/Tricare, and ACA) as well as a deep understanding of the Medical and Pharmacy benefits, billing and coding practices for infused products is required. The Market Access Field Reimbursement Manager (FRM) (Central Region) will proactively engage with the ADMA Biologics field force to provide education and support to provider, their offices, and support staff on ADMA HUB Patient Support Program and services, national and regional payor coverage, policy, and criteria.
Laboratory Clinical Coordinator Copley HospitalLaboratory Clinical CoordinatorMorrisville, Vermont$19–$20.50 / hourFull timeThis position is responsible for the collection and validation of accurate referring providers on referrals, communication with physicians’ offices as needed and all requests via phone and zoom chat. Organizes and facilitates clerical administrative duties including answering the phone to coordinate referrals and results between all outpatient referring offices.
Laboratory Clinical Coordinator COPLEY HEALTH SYSTEMS INCLaboratory Clinical CoordinatorMorrisville, VT$19–$20.50 / hourThis position is responsible for the collection and validation of accurate referring providers on referrals, communication with physicians' offices as needed and all requests via phone and zoom chat. Organizes and facilitates clerical administrative duties including answering the phone to coordinate referrals and results between all outpatient referring offices.
NewDental Hygienist Dickinson & Branon Dental PlcDental HygienistSaint Albans, VTFull timeAs a key member of our practice, you will provide comprehensive preventive dental services, educate patients on oral health, and support the overall efficiency of the dental office. The ideal candidate will have a passion for helping patients become healthier and working as part of a seamless and supportive team.
NewMedical Records Technician Ho-Chunk, Inc.Medical Records TechnicianColchester, Vermont$17.25–$22.22 / hourFull timeThe Medical Records Technician supports Vermont Army National Guard (VTARNG) medical readiness operations by maintaining, processing, reconciling, uploading, and safeguarding Soldier medical and dental records in accordance with Army medical records requirements, HIPAA, PII protections, and applicable Government system procedures. The position supports the accuracy, completeness, timeliness, and availability of Soldier health readiness documentation across electronic and hard copy records, including support for Periodic Health Assessment, Soldier Readiness Process, mobilization, Medical Evaluation Board, and other medical readiness activities.
NewMedical Records Technician Flatwater GroupMedical Records TechnicianColchester, Vermont$17.25–$22.22 / hourFull timeThe Medical Records Technician supports Vermont Army National Guard (VTARNG) medical readiness operations by maintaining, processing, reconciling, uploading, and safeguarding Soldier medical and dental records in accordance with Army medical records requirements, HIPAA, PII protections, and applicable Government system procedures. The position supports the accuracy, completeness, timeliness, and availability of Soldier health readiness documentation across electronic and hard copy records, including support for Periodic Health Assessment, Soldier Readiness Process, mobilization, Medical Evaluation Board, and other medical readiness activities.
Medical Director - ENT CVS Health CorpMedical Director - ENTVT$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOVT$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Director, Revenue Cycle Technology & Automation The University of Vermont Health NetworkDirector, Revenue Cycle Technology & AutomationSouth Burlington, VT$75.05–$112.58 / hourThe Director owns the revenue cycle technology stack (Epic revenue applications and integrated bolt-ons), an explicit automation roadmap with quantified return targets, denials prevention, prior-authorization automation, coding assistance, payer connectivity, and robotic and agentic workflow automation, and the data integrity that links clinical quality documentation to appropriate reimbursement. Job Ref:R0090484 Category:Leadership Employment Type:Full-Time Health Care Partner:University of Vermont Medical Center Location: 40 IDX Dr, South Burlington, VT 05403 Department:UVMH Corporate Operations Job Type:Regular Primary Shift:Day Hours:- Hours per Week: 40 Weekend Needs:None Pay Rate: $75.05 - $112.58 per hour.