5,223 Results for

CRM Jobs in Upper Moreland, PA

Jobs

Appeals Specialist Adaptive Biotechnologies Corp

Remote

$22.74–$27.79 / hour

Base salary is thoughtfully considered upon offer and is determined through multiple evaluation checks throughout the interview process, including: a candidate's ability to meet minimum qualifications (skills/experience/education), a candidate's ability to thoughtfully address preferred qualifications, current market conditions, and internal pay equity. This role involves preparing and submitting appeal documentation, following up with payer's post-submission, and collaborating with internal teams to resolve claim denials efficiently.

22 days ago

Inpatient Coding Specialist - Level 1 Trauma University of Washington

Olympia, Washington

Remote

Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement.

30+ days ago

Coding Specialist 1 - Edits Coder University of Washington

Seattle, WA

Remote

The Edits Coder is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines. Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).

6 days ago

Accounts Receivable Specialist United Wound Healing

Tacoma, WA

Remote

$24–$27 / hour

Claims 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.

30+ days ago

Coding Specialist 4 University of Washington

Seattle, Washington

Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC). Reviews available electronic and other appropriate documentation within Epic to identify all billable procedures and services within the emergency department requiring facility and/or professional fee coding, ensuring all necessary codes use the appropriate ICD, CPT.

17 days ago

Revenue Integrity Specialist Seattle Children's Hospital Research and Foundation

Seattle, WA

$88,786–$133,180 / year

Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho - the largest region of any children's hospital in the country. Certified Coding Specialist (CCS) certification by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC).

24 days ago

Phlebotomist / Administrative Assistant - Ballard Mac's List

$26.50–$28.50 / hour

What you'll likely work on: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. As a One Medical Phlebotomist/Administrative Assistant (internally known as Lab Services Specialist/Member Support Specialist) at one of our offices, you'll provide an exceptional experience for our patients and help them accomplish an important part of their care journey by providing venipuncture as well as other clinical support services.

30+ days ago

Patient Services Specialist 2 University of Washington

Seattle, WA

Communicate various types of information to patients, referral agencies, departments, physicians, and the community (e.g., financial arrangements for special programs, experimental protocols, hospital charge estimates, insurance coverage, and billing procedures). Nearly 29,000 professionals are part of the UW Medicine system, which includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, Airlift Northwest.

30+ days ago

Patient Services Specialist Lead University of Washington

Seattle, WA

15 days ago

Program Operations Specialist, Grants and Contracts Manager University of Washington

Seattle, WA

Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care.

28 days ago

Shared Resources Specialist I Clinical Research Specimen Processing Fred Hutchinson Cancer Research Center

Seattle, WA

$29.77–$42.39 / year

Excellent communication skills and organizational skills; Ability to work in a collaborative team-oriented environment; Experience with MS Office suite of applications (Outlook, Word, Excel, SharePoint, Teams, One Drive, etc); Capable of accurate record keeping and data entry. The Shared Resources Specialist I - Clinical Research Specimen Processing is responsible for supporting the needs of clinical investigators at Fred Hutch as users of the Clinical Research Specimen Processing shared resource (CRSP).

30+ days ago

Insurance Reimbursement Supervisor - Seattle Area (1.0 Fte) Neighborcare Health

Seattle, WA

$29.62–$45.88 / hour

We are one of the largest providers of primary medical, dental and behavioral health care services in the Seattle area serving low-income and uninsured families and individuals, seniors on fixed incomes, immigrants, and people experiencing homelessness. The Insurance Reimbursement Supervisor will work with the team to ensure the collection of and to maximize revenue opportunities through daily/regular oversight of the Insurance Reimbursement by ensuring consistent follow-up and/or appeal of unpaid, partially paid or denied claims.

8 days ago

Insurance Reimbursement Supervisor - Georgetown (1.0 FTE) Neighborcare Health

Seattle, WA

$29.62–$45.88 / hour

8 days ago

Clinical Nurse Specialist (Nurse Informaticist) (CNS/CQCT) State of Washington

Olympia, WA

Remote

$182–$501

CQCT staff work across the agency and with other agencies, such as the Department of Health and the Department of Social and Health Services, and in partnership with health care providers and community partners to develop, implement, and manage high-quality, evidence-based health care programs that enhance clients ability to access appropriate, quality health care. The Clinical Quality and Care Transformation (CQCT) division is seeking a Clinical Nurse Specialist with nurse informatics expertise to lead HCAs implementation of state and federal prior authorization interoperability requirements, including HB 1357 (as amended by HB 1706) and CMS-0057-F.

5 days ago

Senior Patient Services Specialist - Radiation Oncology Providence Health & Services

Seattle, WA

$30.30–$45.57 / hour

It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Requsition ID: 453248 Company: Swedish Jobs Job Category: Patient Access Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3901 SFH RADIATION ONCOLOGY Address: WA Seattle 1221 Madison Work Location: Swedish First Hill 1221 Madison-Seattle Workplace Type: On-site Pay Range: $30.30 - $45.57

2 days ago

Patient Authorization and Referral Representative - Orthopedics Providence St. Joseph Health

Seattle, WA

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. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

15 days ago

Compliance & Privacy Specialist Overlake Hospital Medical Center

Bellevue, WA

$79,165–$118,747 / year

Under the guidance of the Overlake Medical Center & Clinics Compliance & Risk Management Program, the Compliance Specialist provides compliance and privacy program support across Overlake to assist with the implementation of an effective Compliance and Risk Management Program. Facilitates the Conflict of Interest monitoring program, including policy management, process development, review of disclosures, audits of disclosures to Open Payment Data, and development of Conflict Management Plans.

30+ days ago

AR Claims Specialist I Yakima Valley Farm Workers Clinic

$19.76–$24.21 / hour

Qualifications: 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.

30+ days ago

Project Finance Operations Specialist CloudFit Software

Seattle, WA

Remote

$75,000–$92,000 / year

CloudFit Software provides customers the ability to quickly iterate on the development of Cloud Solutions while optimizing security, networking, operations, and monitoring through an engineering mindset. CloudFit is committed to providing reasonable accommodations and support in our recruiting processes for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs, or who are neurodivergent or require pregnancy-related support.

15 days ago

Program Integrity Investigator TriWest Healthcare Alliance

Seattle, WA

Remote

Full time

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

19 days ago

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CRM Jobs in Upper Moreland, PA

Appeals Specialist Adaptive Biotechnologies Corp

Inpatient Coding Specialist - Level 1 Trauma University of Washington

Coding Specialist 1 - Edits Coder University of Washington

Accounts Receivable Specialist United Wound Healing

Coding Specialist 4 University of Washington

Revenue Integrity Specialist Seattle Children's Hospital Research and Foundation

Phlebotomist / Administrative Assistant - Ballard Mac's List

Patient Services Specialist 2 University of Washington

Patient Services Specialist Lead University of Washington

Program Operations Specialist, Grants and Contracts Manager University of Washington

Shared Resources Specialist I Clinical Research Specimen Processing Fred Hutchinson Cancer Research Center

Insurance Reimbursement Supervisor - Seattle Area (1.0 Fte) Neighborcare Health

Insurance Reimbursement Supervisor - Georgetown (1.0 FTE) Neighborcare Health

Clinical Nurse Specialist (Nurse Informaticist) (CNS/CQCT) State of Washington

Senior Patient Services Specialist - Radiation Oncology Providence Health & Services

Patient Authorization and Referral Representative - Orthopedics Providence St. Joseph Health

Compliance & Privacy Specialist Overlake Hospital Medical Center

AR Claims Specialist I Yakima Valley Farm Workers Clinic

Project Finance Operations Specialist CloudFit Software

Program Integrity Investigator TriWest Healthcare Alliance

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