Insurance Eligibility Specialist Olympic Sports & Spine RehabilitationInsurance Eligibility SpecialistTacoma, WAEnter insurance benefit and authorization information into the EMR system and maintain detailed documentation of all communications with insurance companies, patients, clinic staff, and billing personnel. Strong verbal and written communication skills with the ability to interact professionally and effectively with patients, staff, insurance representatives, and referral sources.
NewCollections Specialist- 3648411 AMS StaffingCollections Specialist- 3648411Columbia, WashingtonResponsible for daily function of collection efforts, including inventory review, regular consultation with attorneys to review issues related to A/R and determine best strategy for collection. Excellent interpersonal and communication skills (oral and written), professional demeanor, and presentation, including active listening and ability to convey information clearly.
Clinical Research Budget Specialist - SoM Clinical Trials Office University of WashingtonClinical Research Budget Specialist - SoM Clinical Trials OfficeSeattle, WAThis role is a key resource within the Clinical Research Budget and Billing program, partnering with billing colleagues, study teams, practice sites, and other stakeholders to translate billing grids, Epic workflows, OnCore data, and Medicare rules into practical, high-quality operations. Reporting to the Clinical Research Billing Manager, the Clinical Research Billing Specialist supports the clinical research mission of UW Medicine by helping ensure accurate, compliant, and timely research billing and revenue cycle operations across a complex clinical trials portfolio.
Claims Specialist - Other Fiscal Services Pacific Medical Center IncClaims Specialist - Other Fiscal ServicesSeattle, WARequsition ID: 435789 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 OTHER FISCAL SERVICES WA Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: On-site Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Claims Specialist - Hybrid Remote WA State Providence Health & ServicesClaims Specialist - Hybrid Remote WA StateSeattle, WARemoteRequsition ID: 435789 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 OTHER FISCAL SERVICES WA Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: On-site Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Claims Specialist - Other Fiscal Services Providence St. Joseph HealthClaims Specialist - Other Fiscal ServicesSeattle, WATogether, 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. Monitors daily electronic claims transmission to research and resolve system and electronic clearinghouse claim rejection to maximize the number and percentage of patient bills processed without denials or errors.
Rehabilitation Specialist / Chiropractic Assistant HealthSource ChiropracticRehabilitation Specialist / Chiropractic AssistantBothell, Washington$20–$25 / hourAccess ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career. We are a fast-paced, upbeat chiropractic and progressive rehab clinic helping patients get back to doing what they love through chiropractic care, exercise therapy, and other wellness services.
Business Development Manager - Mental Health Care, Seattle, WA Mindful Support ServicesBusiness Development Manager - Mental Health Care, Seattle, WAMountlake Terrace, WA$80,000–$95,000The ideal candidate will play a key role in establishing and nurturing relationships with healthcare providers, agencies, and other strategic partners to ensure a steady flow of high-quality referrals, while also working to recruit top tier providers to meet the needs of our expanding services. Establish and cultivate relationships with key referral sources, including primary care physicians, specialists, healthcare organizations, insurance providers, and community organizations in Texas and surrounding markets.
Authorization Specialist (Medical Insurance) Olympic Sports & SpineAuthorization Specialist (Medical Insurance)Tacoma, WAFull timeKey Responsibilities:Review referrals for accuracy and completeness, and collaborate with therapists and office staff to obtain required medical documentation and ensure the plan of care aligns with diagnoses and referral details. Manage all correspondence and enter detailed notes into the EMR system regarding interactions with insurance companies, patients, clinic staff, and billing personnel.
Specialist, Appeals & Grievances Molina Healthcare IncSpecialist, Appeals & GrievancesBothell, WARequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
NewSenior Technical Program Manager, Business Systems OutreachSenior Technical Program Manager, Business SystemsSeattle, WA$150,000–$200,000 / yearAs a Senior Technical Program Manager , you will lead and deliver high-impact, cross-functional initiatives across teams, including Engineering, Product, GTM, Finance, Support Operations, Legal, Privacy, Marketing and Analytics You’ll guide our cloud-first architecture strategy, streamline business processes, and drive scalable system integrations and implementations. Lead large cross-functional programs spanning Business Systems Engineering, Product, Support Operations, Finance, Marketing, Privacy, and other cross-functional teams to deliver strategic initiatives aligned with business objectives.
Manager - Arbitration Operations MaximusManager - Arbitration OperationsSeattle, WAFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
Medical Social Worker - Weight Loss and Bariatrics Kirkland, Washington | Department: Weight Loss and Bariatrics | Job Type: Full-Time | Evergreen HealthcareMedical Social Worker - Weight Loss and Bariatrics Kirkland, Washington | Department: Weight Loss and Bariatrics | Job Type: Full-Time |Kirkland, WA$94,857–$116,113 / yearActive license as Independent Clinical Social Worker (LICSW), Marriage and Family Therapist (MFT), Mental Health Counselor (LMHC) PsyD or other equivalent Mental Health Licensure in the State of Washington. Specific certification and/or training in CBT, DBT, EMDR or other therapeutic interventions aimed at treating Mood Disorders, ADHD, PTSD, or ASD.
NewSenior Technical Program Manager, Business Systems Outreach CorpSenior Technical Program Manager, Business SystemsSeattle, WA$150,000–$200,000 / yearAs a Senior Technical Program Manager, you will lead and deliver high-impact, cross-functional initiatives across teams, including Engineering, Product, GTM, Finance, Support Operations, Legal, Privacy, Marketing and Analytics You'll guide our cloud-first architecture strategy, streamline business processes, and drive scalable system integrations and implementations. Lead large cross-functional programs spanning Business Systems Engineering, Product, Support Operations, Finance, Marketing, Privacy, and other cross-functional teams to deliver strategic initiatives aligned with business objectives.
Engineering Manager (Revenue Engine) Therapymatch, Inc.Engineering Manager (Revenue Engine)Seattle, WA$222,800–$278,500 / yearWhy its interesting: designing the state machine that decides which financial actions an appointment is eligible for and in what order; guardrail APIs that can refuse a write the domain doesnt allow yet; immutable snapshots of every input and output, so a commitment made months ago can be reconstructed and explained exactly; a shadow mode that lets other teams simulate pricing and billing logic (and compare ML models) against real data without ever committing a financial outcome; and the non-happy paths that make it real, where a refiling, a fee-schedule change, or a correction has to reopen settled state and re-settle it safely. Cross-functional partnership: with the other Revenue Engine teams, with the platform teams whose inputs and outputs you depend on (benefits, payments, payouts, corrections, claims operations), and with Finance and Accounting, who consume your systems output as the companys financial record.
Patient Access Navigator Washington Center for Bleeding DisordersPatient Access NavigatorSeattle, WashingtonWorking collaboratively with clinical staff, pharmacy, billing teams, and external payers, the Specialist helps patients and families understand coverage, benefits, and billing, and resolves eligibility and billing concerns with compassion and efficiency. · Knowledge of community resources, public benefits, and financial assistance programs, with the ability to connect patients to services that reduce barriers to care and improve access to treatment.
Patient Access Representative Kaiser PermanentePatient Access RepresentativeSeattle, WAGeneral Account Management: Confirm and set up payor coverage structures; Obtain prior authorization for services; Process appropriate items in the patient, claim edit and charge review work queues; Act as liaison to Patient Financial Services and the Health Plan; Communicate with external government payors and employers, as necessary; Perform manual service capture and data entry; Act as liaison to Health Information Management Coding Specialist for facility specific coding issues; Apply account review criteria and billing guidelines in preparation for off-site billing of professional services; Provide fee estimates for KP services; Assist patients with billing questions. Essential Responsibilities: Patient Access and Registration: Answer phones; Perform appointment making processes; Complete accurate patient registration, such as verification of patient demographics and payor coverage; Perform check-in, check-out, admit and discharge tasks; Build and maintain appointing templates; Perform MyGH set up verification; Communicate with patients via multiple channels; Process internal and external referrals.
Legal Administrative Assistant Ballard Spahr LLPLegal Administrative AssistantSeattle, WashingtonImpactful Contributions: Play a pivotal role in developing industry-leading solutions that make a significant difference in legal practice and client service. We offer equal consideration to all qualified applicants, regardless of race, ethnicity, religion, age, national origin, handicap or disability, citizenship, sex, pregnancy, childbirth or related medical condition, sexual orientation, gender identity and expression, transgender status, sex stereotyping, genet
Payment Integrity Subject Matter Expert (SME) BerryDunnPayment Integrity Subject Matter Expert (SME)Seattle, Washington$95,000–$120,000 / yearFull timeThis position will provide subject matter expertise in Medicaid program integrity, claims audits, risk assessment, external audit coordination, interpretation and application of Medicaid policy and applicable federal and state requirements, and development of data-driven methodologies to identify improper payments, billing anomalies, fraud risks, compliance issues, cost avoidance opportunities, and recovery opportunities across Medicaid medical, dental, behavioral health, pharmacy, provider, member, financial, and operational data. You Will: Develop, refine, and apply analytics approaches to identify improper payments, billing anomalies, outliers, fraud risk indicators, cost avoidance opportunities, recovery opportunities, and program integrity risks across Medicaid medical, dental, behavioral health, pharmacy, provider, member, financial, audit, TPL, and operational data.
Ambulatory Payment Classification Coordinator Houston Methodist HospitalAmbulatory Payment Classification CoordinatorWAMust have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC) • CPC-H - Certified Professional Coder - Hospital (AAPC) • CPC-I - Certified Professional Coder Instructor (AAPC) • CPC-A - Certified Professional Coder Associate (AAPC) • CCC - Certified Cardiology Coder (AAPC) • COC - Certified Outpatient Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC) •CPC-H - Certified Professional Coder - Hospital (AAPC) •CPC-I - Certified Professional Coder Instructor (AAPC) •CPC-A - Certified Professional Coder Associate (AAPC) •CCC - Certified Cardiology Coder (AAPC) •COC - Certified Outpatient Coder (AAPC).