Data and Systems Coordinator South Puget Intertribal Planning AgencyData and Systems CoordinatorShelton, WAFull timeThis position works closely with Tribal patient navigators, clinic staff, providers, and partner organizations to ensure accurate, timely, and compliant program records and payments, reporting, and data systems that support program operations, evaluation, and continuous quality improvement. The Data and Systems Coordinator, as an employee of the South Puget Intertribal Planning Agency, is expected to collaborate, engage, and work closely with all SPIPA programs to fully support the Agency’s Vision, Mission, and Core Values in accordance with all agency directives.
COBCO Health Insurance Specialist (MAS3/AHSO) State of WashingtonCOBCO Health Insurance Specialist (MAS3/AHSO)Olympia, WA$48,048–$64,512 / yearThe Apple Health Services and Operations (AHSO) Division works across the Health Care Authority (HCA) and in partnership with the health care community at local, state and federal levels, in order to develop, and manage high quality, and evidence-based health care programs and purchase services that enhance Washington State's citizens' ability to access appropriate, quality health care. Option 5: One year as a Medical Assistance Specialist 2. Qualifying experience is defined as: providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits; public assistance eligibility determination; health insurance premiums/claims processing, adjusting, and investigation; other medical premiums/claims/eligibility related experience; or.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWA$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. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Pharmacy Assistant Mason HealthPharmacy AssistantShelton, WA$24.45–$38.16 / hourManages patient appointment scheduling and follow-up activities, including scheduling/rescheduling appointments, maintaining patient follow-up lists, coordinating referrals and order renewals, and collaborating with healthcare professionals to support continuity and coordination of patient care. Responsible for providing administrative and clerical support for Anti-Coagulation operations, including answering telephones, scheduling appointments, coordinating referrals, tracking patient follow-up visits, maintaining patient records, and supporting workflows.
Benefits Eligibility Specialist (MAS3/ERB) State of WashingtonBenefits Eligibility Specialist (MAS3/ERB)Olympia, WA$48,048–$64,512 / yearAbout the position: This position aligns with the HCA mission and Governors health care priorities by providing support in the delivery of quality customer service to PEBB and SEBB Programs' subscribers and their dependents, including retirees, COBRA/continuation coverage, and K-12 members. Option 5: One (1) year as a Medical Assistance Specialist 2. The required experience includes one or a combination of the following: Providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Auburn, WA$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Physical Therapist, PT - Olympia area - Bonus Available UnitedHealth Group IncPhysical Therapist, PT - Olympia area - Bonus AvailableOlympia, WAClinical › Corporate and business operations › Customer and support services › Early careers› Sales and account management › Technology and data› Physicians› Advanced practice clinicians› Pharmacy› Behavioral health› Nursing› Medical coding› Clinical support› U.S. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog Job seeker resources Login Bookmarked jobs 0. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Care Coordinator, Onsite - Centralia, WA - (Hybrid - RN/PT/OT/ST) UnitedHealth Group IncCare Coordinator, Onsite - Centralia, WA - (Hybrid - RN/PT/OT/ST)Centralia, WAClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. The Care Coordinator completes weekly functional assessments and engages the post-acute care PAC inter-disciplinary care team to coordinate discharge planning to support the members PAC journey.
Billing and Patient Services Representative TRA Medical ImagingBilling and Patient Services RepresentativeTacoma, WA$19.54–$23.77 / hourJob Summary: This position is responsible for addressing and resolving complex patient inquiries, concerns, and billing-related issues across various areas including eligibility, claims, denials, appeals, patient balances, collections and financial assistance. Essential Job Functions: Address complex patient inquiries, questions and concerns in all areas including eligibility, claims, denials, appeals, refunds, authorizations, collections, price quotes, financial assistance and grant matching.
Billing Specialist I, II or III Sea Mar Community Health CentersBilling Specialist I, II or IIIFederal Way, WA$20–$21.75 / hourSea 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. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services.
Billing and Patient Services Representative Downtown TacomaBilling and Patient Services RepresentativeTacoma, WashingtonThis position is responsible for addressing and resolving complex patient inquiries, concerns, and billing-related issues across various areas including eligibility, claims, denials, appeals, patient balances, collections and financial assistance. We are led by a progressive group of approximately 100 sub-specialized radiologists who take pride in delivering high-quality, patient-centered care while fostering a practice culture intended to feel more like a family than a corporation.
L&I Health Services Analysis Program Manager State of WashingtonL&I Health Services Analysis Program ManagerTumwater, WA$104,772–$146,784 / yearThis includes credentialing providers, monitoring health care provider quality and performance, managing medical and spending through fee schedules and payment policies, paying medical bills, supporting providers through a call center and through outreach activities, managing language access services to ensure workers can effectively communicate with health care and vocational providers, and increasing providers' use of occupational health best practices. The program establishes and maintains medical fee schedules that are fair and competitive to ensure providers are willing to treat injured workers and workers have timely and equitable access to necessary medical services.
Associate Program Director - Resident Affairs (39754) Community Health CareAssociate Program Director - Resident Affairs (39754)Tacoma, WAAttains and maintains current knowledge of the ACGME Special Requirements for Residency in Family Medicine found at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/120_FamilyMedicine_2020.pdf . Supervises, teaches, mentors, evaluates and advises residents and rotating medical students in full-spectrum ambulatory and inpatient settings in accordance with ACGME Special Requirements for Residency in Family Medicine.
New340B Program Operations Analyst Valley Medical Center340B Program Operations AnalystRenton, WAApplied Job Experience: 340 Program Services Background: Industry experience preferred as a 340B program analyst with 340B program audit experience or Clinical Background: Clinical experience in health care, hospital/health system pharmacy. PREREQUISITES: 340B Program Operations Analyst: Bachelor''s degree plus one to three (1-3) years industry related experience, OR Associate''s degree and four (4) years related experience, OR five (5) years related experience.
NewSIU Investigator Centene Corporation GroupSIU InvestigatorWA$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteWARemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
Epic Application Analyst Valley Medical CenterEpic Application AnalystRenton, WAMinimum of 2 years of relevant experience required in one or more of the following areas: Information Services with entry-level or early IT analyst experience; clinical experience in acute or ambulatory settings (clinical education or licensure is a plus); or healthcare operations experience involving billing, scheduling, access services, or HIM, with familiarity in appointment scheduling, billing procedures, coding, and patient flow. The role partners closely with business, clinical, IT, and vendor stakeholders to ensure system reliability, data integrity, workflow effectiveness, and compliance with organizational and regulatory requirements, while working within a more defined scope and escalating higher-risk or more complex issues appropriately.
L&I Workers' Compensation Adjudicator 2-Apprentice State of WashingtonL&I Workers' Compensation Adjudicator 2-ApprenticeTumwater, WA$55,596–$74,748 / yearRequired: One year of experience working with insurance claims within Labor and Industries or in claims/insurance adjusting, claims investigations, paramedical occupations, disability management, claims risk management/loss control, medical billing or paralegal services with experience in personal injury or medical insurance, or related fields. 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.
Documentation Education Specialist IV - Remote must live in Washington or Idaho Kaiser PermanenteDocumentation Education Specialist IV - Remote must live in Washington or IdahoRenton, WARemoteContributes to coding quality audits by: conducting special projects, audits, reviews, and/or monitoring of assigned lines of business or scope independently to monitor the accuracy and quality of coding and documentation; using processes to assess accuracy and completeness of coded documentation integrity; and following guidelines and procedures to ensure special projects, audits, reviews, and/or monitoring align with state and federal regulatory and reimbursement requirements, current documentation, and coding guidelines, and guiding team members to do the same. Contributes to enhancing coding integrity by: assisting with the identification of coding/documentation trends and opportunities; leveraging expert knowledge to aid teams in their assigned lines of business or scope in developing, implementing, and monitoring new processes and workflows that support regulatory needs and requirements, organizational goals, and business objectives; and leading the process of communicating up-to-date and accurate regulation, policy, and guideline changes impacting coding and documentation to all impacted employees.
Director Clinical Operations and Medical Policy Cambia Health Solutions IncDirector Clinical Operations and Medical PolicyRenton, WADemonstrated knowledge of the following: Health Plan and benefit design structures and application; Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Knowledge of health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities, health insurance operations, or legal research helpful; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. These activities include services pertaining to: evidence reviews of medications, formulary development, Pharmacy and Therapeutics (P&T) Committee support, medication use policy development, the Medication Policy Group (MPG), clinical prior authorization, implementation of utilization management activities, guidance for clinical edit coding for prescription claims processor or medical claims system, medication pipeline monitoring, medication trend management, and consultation and guidance on medication-related issues.