Senior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsVT$77,000–$131,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
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 / 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.
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 Access (Registration) Specialist - Part Time UVM Medical CenterPatient Access (Registration) Specialist - Part TimeBurlington, VermontThe 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. The incumbent navigates complex regulatory requirements while coordinating activities across multiple disparate information systems to support physician and hospital operations while delivering a caring message in a streamlined, transparent and cohesive process.
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.
NewSenior 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.
National Conference Field Reimbursement Manager (Market Access) ADMA Biologics IncNational Conference Field Reimbursement Manager (Market Access)South Burlington, VTThis remote role is responsible for representing ADMA Biologics at national, regional, and state-level conferences, industry meetings, provider educational programs, reimbursement forums, and customer engagements throughout the U.S.This individual will attend in person all major national and regional immunology, allergy, infusion, specialty pharmacy, and rare disease conferences relevant to ADMA Biologics throughout the year and will spend the majority of their time traveling throughout the U.S. The NC-FRM will maintain a highly visible presence at major immunology, allergy, infusion, specialty pharmacy, and rare disease conferences throughout the year. Candidates should thrive in a highly travel-intensive road-warrior environment with significant time spent attending conferences, educating healthcare professionals, networking with stakeholders, and representing ADMA Biologics across the country.
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.
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.
Medical Director MPO CVS Health CorpMedical Director MPOVT$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Medical 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.
Medical 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.
Senior Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpSenior Data Scientist - Clinical Informatics (Analytics Enablement)VT$83,430–$222,480 / yearExperience designing patient-centric data models, feature stores, and dashboards that aggregate longitudinal data across sources, including demographics, encounters, conditions, medications, labs, utilization, cost, and enrichment attributes. A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses.
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.
Advanced Practice Clinician (NP/CNM/PA) Planned Parenthood of Northern New EnglandAdvanced Practice Clinician (NP/CNM/PA)Barre, VTRemotePart timePOSITION TITLE: Advanced Practice Clinician (NP/CNM/PA) LOCATION : Remote Care Team (Tuesdays), White River Junction ( Wednesdays), Barre (Thursdays), Rutland ( Fridays) HOURS: Part Time, 28.5/week, Hourly (Non-Exempt) UNION MEMBERSHIP: This position is represented by AFT union in VT POSITION PURPOSE: Advanced Practice Clinicians (APC) provide patient-centered, personalized health care to clients. Counsels/educates patients regarding general reproductive health care; all FDA-approved methods of birth control, including emergency contraception; pregnancy options including abortion, adoption as well as Gender Affirming Hormone Therapy.
Care Manager - Discharge Planner Copley HospitalCare Manager - Discharge PlannerMorrisville, Vermont$33–$37 / hourPer diemThis position is responsible and accountable for coordinating the interdisciplinary process that occurs throughout the continuum of care to ensure care coordination, communication and collaboration with patients, families, providers, ancillary services and community partners in order to achieve goals and maximize positive patient outcomes based upon individual assessments of patients' needs. The Care Manager- Discharge Planner is a core member of the hospital care team and leads discharge planning through full partnerships with caregivers, internal and external providers/customers, and patients and their families and communities.