72 Healthcare Administration jobs in Remote - United States.

Hiring now: Delegation Oversight Nurs @ Molina Hea, Rn Reviewer @ Cohere Hea, Revenue Integrity Analyst @ Conifer He, Risk Adjustment Coding Ad @ Edifecs, Medical Asst @ Salud Fami, Denials Ar Mgr @ R1 Rcm, Dir Of Public Healthcare @ Kestra Med, Edi Analyst I B2B Saas @ Prompt The, Contracts Mgr @ Centene, Dir Of Medical Affairs @ Hazel Heal.Explore more at jobswithgpt.com.

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compliance (10) healthcare (10) customer service (10) billing (8) collaboration (6) Compliance (5) coding (5) ICD-10 (5) medical necessity (4) communication skills (4)

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United States (72)
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Molina Healthcare

Delegation Oversight Nurse United States
Skills & Focus: Delegation Oversight, NCQA, CMS, State Medicaid, Utilization Review, Audit, Compliance, Delegated Entities, Corrective Action Plans, Healthcare Quality
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Minimum two years Utilization Review experience.
Salary: $54,922 - $107,099 / ANNUAL
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Investigator, SIU RN-Remote United States
Skills & Focus: health care fraud, waste, abuse, medical review audits, coding, billing, compliance, medical necessity, audit reports, provider education
Experience: Five years clinical nursing experience with broad clinical knowledge. Five years experience conducting medical review and coding/billing audits involving professional and facility based services. Two years of managed care experience.

Cohere Health

RN Reviewer United States
Skills & Focus: Registered Nurse, Utilization Management, clinical experience, medical necessity review, inpatient admissions, outpatient services, provider requests, quality improvement, communication skills, clinical criteria
About the Company: Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cuttin…
Experience: Minimum of 3 years of clinical experience.
Salary: $33/hour to $35/hour
Type: Full-time
Benefits: Includes health insurance, 401k, and bonus.

Molina Healthcare

Care Review Clinician, Inpatient Review (RN) United States
Skills & Focus: inpatient services, clinical guidelines, prior authorization, hospital acute care, utilization review, multidisciplinary teams, care coordination, evidence based, financial responsibility, registered nursing
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience.
Salary: $26.41 - $61.79 / HOURLY
Type: Full-time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Conifer Health Solutions

Revenue Integrity Analyst III United States
Skills & Focus: Revenue Integrity, Charge Description Master, billing, coding, compliance, auditing, healthcare, reimbursement, regulatory requirements, healthcare terminology
About the Company: Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their fina…
Experience: 5+ years of healthcare-related experience
Salary: $64,168.00 - $96,262.00 annually
Type: Full-time
Benefits: Medical, dental, vision, disability, life, and business travel insurance; Paid time off; 401k with up to 6% employer ma…

Edifecs

Risk Adjustment Coding Advisor – Temp United States
Skills & Focus: coding, auditing, ICD-10, healthcare, risk adjustment, documentation, Natural Language Processing, quality assurance, training, medical terminology
About the Company: Edifecs is a premier technology company in the U.S. Healthcare market with solutions focused on interoperability, workflows, risk adjustment, value-based care …
Experience: 3-5 years of coding and auditing experience
Salary: $40-$45/hour
Type: Temporary

Conifer Health Solutions

Coding Quality Auditor United States
Skills & Focus: coding, data quality audits, ICD-9-CM, CPT-4, medical records, discharge disposition, standards of ethical coding, consulting, chart analysis, professional development
About the Company: Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide.
Experience: Three years coding experience including hospital and consulting background
Salary: $30.85 - $46.28 per hour
Type: Full-time
Benefits: Medical, dental, vision, disability, and life insurance, Paid time off (vacation & sick leave), 401k with up to 6% empl…

Molina Healthcare

Correspondence Processor United States
Skills & Focus: administrative support, data entry, workflow management, authorization requests, correspondence, member support, collaboration, healthcare coordination, behavioral health, long-term care
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Min. 1 year experience in an administrative support role in healthcare.
Salary: $11.09 - $24.02 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Salud Family Health

Medical Assistant United States
Skills & Focus: Medical Assistant, healthcare, patient care, certification, documentation, vital signs, team-based care, bilingual, flexible spending accounts, vacation accrual
About the Company: Since 1970, Salud has been committed to providing a Medical Home to patients, where medical, dental, behavioral health services, and clinical pharmacists work …
Experience: Previous healthcare experience is preferred but not required.
Salary: $20.50 to $27.00 per hr
Type: Full-time
Benefits: Comprehensive Benefits Package includes: Medical (Includes Free Medical Services at All Salud Facilities), Dental (Empl…

R1 Rcm Inc.

Denials & AR Manager United States
Skills & Focus: Revenue Cycle Management, Denial Prevention, Billing, Collections, AR Management, Leadership, Staff Management, Performance Metrics, Inventory Management, Client Meetings
About the Company: R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals…
Experience: Minimum 5-7 years of Revenue Cycle experience, Minimum 3 years Leadership experience, Minimum 2-3 years of Denial Prevention experience
Salary: $69,556.00 - $114,234.05
Type: Full-time
Benefits: This job is eligible to participate in our annual bonus plan at a target of 10.00%. Competitive benefits package.

Kestra Medical Technologies

Director of Public Healthcare & Payor Compliance United States
Skills & Focus: DME Reimbursement, Compliance, Medicare, Medicaid, Accreditation, Audit management, Payor contracts, Regulatory policies, Training programs, Financial management
About the Company: The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leade…
Experience: At least 15 years of experience in DME Reimbursement field – policy, funding & billing
Salary: $185,000-$217,000 plus bonus
Type: Full-time
Benefits: Kestra offers a very competitive benefit package including Medical, Dental, 401K with Match, etc.

Prompt Therapy Solutions, Inc

EDI Analyst I (B2B SaaS) United States
Skills & Focus: EDI, B2B, SaaS, Healthcare, RCM, Clearinghouse, Enrollment, Support, Customer Experience, Troubleshooting
About the Company: Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they se…
Experience: Experience performing Healthcare EDI/ERA enrollment process from start to finish for Part A and/or Part B facilities
Salary: $70K – $80K
Type: Full time
Benefits: Competitive salaries, Potential equity compensation, Flexible PTO, Company-wide sponsored lunches, Medical, dental, and…

Centene Corporation

Contracts Manager United States
Skills & Focus: Contracts Manager, health care, negotiating agreements, network providers, contract amendments, provider contracts, financial analysis, administrative operations, health plan, provider relations
About the Company: Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefit…
Experience: Experience in health care setting at a payer, hospital, provider relations, provider contracting, health plan operations, or health care/medical office environment preferred
Salary: $86,000.00 - $154,700.00 per year
Type: Full time
Benefits: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, a…

Hazel Health

Director of Medical Affairs United States
Skills & Focus: Telehealth, Clinical Operations, Quality Assurance, Credentialing, Regulatory Compliance, Provider Support, Risk Management, Accreditation, Payer Enrollment, Virtual Care
About the Company: Hazel Health is the nation's largest virtual provider of school-based healthcare services, recognized for increasing equitable access to quality health care ex…
Experience: Minimum of 8+ years of clinical leadership experience, with at least 3-5 years in telehealth or virtual care settings.
Salary: $125,000 - $175,000
Type: Full-time
Benefits: 401k match, healthcare coverage, paid time off, stock options, and a broad range of other benefits and perks.
Director of Medical Affairs United States
Skills & Focus: Telehealth, Clinical Operations, Quality Assurance, Credentialing, Regulatory Compliance, Provider Support, Risk Management, Accreditation, Payer Enrollment, Virtual Care
About the Company: Hazel Health is the nation's largest virtual provider of school-based healthcare services, recognized for increasing equitable access to quality health care ex…
Experience: Minimum of 8+ years of clinical leadership experience, with at least 3-5 years in telehealth or virtual care settings.
Salary: $125,000 - $175,000
Type: Full-time
Benefits: 401k match, healthcare coverage, paid time off, stock options, and a broad range of other benefits and perks.

Iqvia

Bi-lingual Pharmacy Tech Support Call Center Rep United States
Skills & Focus: bi-lingual, pharmacy, support, call center, remote, customer requests, payment assistance, problem resolution, HIPAA, medical claims
About the Company: IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industri…
Experience: Call center experience required (3+ years preferred)
Salary: $18.00 per hour
Type: Contract
Benefits: Benefits programs designed to meet your total well-being needs so you can thrive at work and at home.

Cardinal Health

Senior Case Manager United States
Skills & Focus: patient access, insurance verification, care coordination, patient advocacy, benefit investigation, medication adherence, complex patient cases, health insurance, pharmaceutical therapies, CRM systems
About the Company: Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford an…
Experience: 5-8 years of industry experience with patient-facing or high touch customer interaction experience.
Type: Full time

Tenet Healthcare

Prior Authorization LVN Nurse United States
Skills & Focus: Prior Authorization, Nurse, LVN, acute care, managed care, referral determination, compliance, ICD-9 coding, health plan, quality service
About the Company: Tenet Healthcare is a healthcare services company that provides comprehensive services with a commitment to improving healthcare delivery through effective per…
Experience: 3 to 5 years of acute care experience, 2 years in managed care preferred
Salary: $27.30 - $40.95 per hour
Type: Full-time
Benefits: Medical, dental, vision, disability, and life insurance; Paid time off; 401k with up to 6% employer match; Voluntary be…
Insurance Follow-Up Specialist United States
Skills & Focus: revenue cycle, insurance collections, claims submission, patient accounting, managed care, Medicare, Medicaid, billing, customer service, dispute resolution
About the Company: As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 loca…
Experience: 1-4 years medical claims and/or hospital collections experience
Salary: $15.80 - $23.70 per hour
Type: Full-time
Benefits: Medical, dental, vision, disability, and life insurance; Paid time off; 401k with up to 6% employer match; 10 paid holi…

Cardinal Health

Supervisor, Access and Patient Support United States
Skills & Focus: patient access, customer service, enrollment, reimbursement activities, benefit investigations, prior authorization, team management, compliance, metrics reporting, performance coaching
About the Company: Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford an…
Experience: 2-3 years’ proven experience in a call center leadership position exposed to customer service preferred
Salary: $66,500 - $94,900
Type: Full time
Benefits: Medical, dental and vision coverage, Paid time off plan, Health savings account (HSA), 401k savings plan, Access to wag…

Conifer Health Solutions

Healthcare Appeals Clinician RN United States
Skills & Focus: medical necessity, InterQual, utilization review, case management, denials management, clinical claims, revenue cycle, appeals process, patient accounting, contract management
About the Company: Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their fina…
Experience: Minimum of 3 years acute care experience in a facility environment.
Salary: $30.85 - $46.28 per hour
Type: Full-time
Benefits: Medical, dental, vision, disability, and life insurance; Paid time off; 401k with up to 6% employer match; Health savin…

Aflac

Leave Case Manager United States
Skills & Focus: absence management, customer service, communication skills, FMLA regulations, medical disability management, organizational skills, interpersonal skills, claim decisions, statutory paid leave, compliance
About the Company: Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known bra…
Experience: 1 - 2 years of professional job-related experience
Salary: 40,000 to 61,000
Type: Hybrid
Benefits: Medical, dental, and vision coverage, prescription drug coverage, health care flexible spending, dependent care flexibl…

Dane Street

Independent Contract Reviewer (Physician) United States
Skills & Focus: Utilization Review, Independent Review Organization, telework, physician panel, medical necessity, treatment requests, appeals, Colorado licenses, Neurological Surgery, Orthopedic Surgery
About the Company: Dane Street is an Independent Review Organization and a national provider of Utilization Review services.
Experience: Active Colorado medical licenses in relevant specialties
Salary: Compensated on a per-case basis
Type: Contract
Benefits: Flexible telework opportunity, customized schedule

The Jackson Clinics

Patient Care Coordinator United States
Skills & Focus: patient care, customer service, scheduling, data entry, insurance authorizations, patient charts, payments, organization, team player, attention to detail
About the Company: The Jackson Clinics is a nationally recognized Orthopedic and Sports Medicine Physical Therapy group in Virginia. We provide care for our patients specific to …
Salary: $17-$20/hr depending on experience
Type: Part-time
Benefits: Competitive compensation, excellent benefits package, including 401k, health, dental, RX benefits, paid time off, plus …

Dane Street

Group Health Reviewer / Panel Hearing Physician United States
Skills & Focus: Group Health Reviews, Panel Hearing Calls, Clinical Summary, Evidence-based Criteria, Medical Records Review, Credentialing, Healthcare Services, Board Certified, Pediatric Hematology, Addiction Psychiatry
About the Company: Dane Street provides medical peer review services and seeks qualified physicians to conduct reviews and participate in panel hearing calls as part of insurance…
Experience: Current, unrestricted Medical License; Active Practice; Board Certified
Salary: Compensation varies based on reviews and hearings, with higher compensation for Panel Appeal Hearings.
Type: Contract
Benefits: Flexible scheduling, opportunities for higher compensation, support for peer-to-peer phone calls.

Mae

Program Manager United States
Skills & Focus: Fem-tech, digital health, maternal health equity, Medicaid payer partnerships, rural health disparities, implementation, management, key payer contracts, business development, collaboration
About the Company: A venture-backed Fem-tech digital health start-up focused on reducing maternal health disparities and redefining the pregnancy experience for expectant mothers.
Experience: Experienced
Program Manager United States
Skills & Focus: Fem-tech, digital health, maternal health equity, Medicaid payer partnerships, rural health disparities, implementation, management, key payer contracts, business development, collaboration
About the Company: A venture-backed Fem-tech digital health start-up focused on reducing maternal health disparities and redefining the pregnancy experience for expectant mothers.
Experience: Experienced

Tebra

Billing Support Specialist United States
Skills & Focus: billing support, customer satisfaction, medical billing, technical support, claims processing, customer support, Salesforce, HIPAA compliance, revenue cycle management, SaaS
About the Company: Tebra aims to unlock better healthcare by helping independent practices bring modernized care to patients everywhere. Well over 100,000 providers trust Tebra t…
Experience: 12-month minimum experience in customer support, technical support, or billing support, preferably for a billing company, medical office billing team, contact center or healthcare SaaS company
Salary: $24.52 - $24.52 USD
Type: Remote
Benefits: Healthcare benefits, discounts for work from home basics, fitness resources, Employee Assistance Program for mental hea…

Included Health

Product Manager United States
Skills & Focus: healthcare, product management, medications, insurance, affordability, self-serve, digital experience, advocacy, cost of care, healthcare access
About the Company: At Included Health, our mission is to raise the standard of healthcare for everyone. The healthcare system is confusing, complex, fragmented, and the decisions…

Dane Street

Independent Contract Reviewer (Physician) United States
Skills & Focus: Utilization Review, Independent Contractor, Connecticut Medical License, Board Certified, Medical Necessity, Telework Opportunity, Advisory Opinions, Clinical Decision-Making, Peer-to-Peer Calls, Structured Case Flow
About the Company: Independent Review Organization and national provider of Utilization Review services
Experience: Board Certified, Active Practice with a Current, unrestricted Connecticut Medical License
Type: Independent Consultant
Benefits: Schedule flexibility, predictable work hours, independent contractor model with no doctor/patient relationship, streaml…

G-P

Benefits Specialist United States
Skills & Focus: employee benefits, health and welfare, retirement, compliance, data management, stakeholder management, benefit communication, program management, process improvement, customer focus
About the Company: Our leading SaaS-based Global Growth Platform enables clients to expand into over 180 countries quickly and efficiently, without the complexities of establishi…
Experience: 5+ years of experience in employee benefits or related fields
Benefits: competitive compensation and benefits, expand your skills, help reshape the future of work

Conifer Health Solutions

Charge Audit Specialist United States
Skills & Focus: audit, billing, healthcare, document, training, regulatory, compliance, revenue capture, health information, CPT/HCPCS coding
About the Company: Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their fina…
Experience: Five years recent directly related work experience in a healthcare environment with significant exposure to healthcare coding/billing/reimbursement.
Salary: $30.85 - $46.28 per hour
Type: Full-time
Benefits: Medical, dental, vision, disability, and life insurance; Paid time off; 401k with up to 6% employer match; Health savin…

Tenet Healthcare

Inquiry Resolution Rep - Remote United States
Skills & Focus: dispute resolution, healthcare compliance, HIPAA, FDCPA, FCRA, patient inquiries, investigation, billing issues, communication skills, decision-making
About the Company: As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 loca…
Experience: Minimum of 4 years of healthcare industry (preferably facility/provider) experience.
Salary: $15.80 - $23.70 per hour
Type: Full-time
Benefits: Medical, dental, vision, disability, and life insurance; Paid time off (vacation & sick leave); 401k with up to 6% empl…

Centene Corporation

Manager, Quality Improvement United States
Skills & Focus: Quality Improvement, Healthcare, Compliance, Reports, Budget, Training, Staff Communication, Data Analysis, Health Plans, Supervision
About the Company: Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefit…
Experience: 3+ years clinical, quality management or healthcare related experience and 1 year of recent quality improvement and supervisory experience
Salary: $86,000.00 - $154,700.00 per year
Type: Full time
Benefits: Competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, a…

Progressive

Central Claims Rep - Senior United States
Skills & Focus: claims adjuster, auto claims, coverage decisions, liability decisions, customer service, accident documentation, high volume claims, decision making, coaching, performance rewards
About the Company: Progressive is a leading insurance provider known for its innovative solutions and commitment to customer service.
Experience: A minimum of two years relevant work experience OR A minimum of two years post-secondary education
Salary: $24.25 - $25.75/hour
Type: Remote
Benefits: 401(k) with dollar-for-dollar company match up to 6%, Medical, dental & vision, wellness programs, paid time off, and c…
Central Claims Rep - Senior United States
Skills & Focus: claims adjuster, auto claims, coverage decisions, liability decisions, customer service, accident documentation, high volume claims, decision making, coaching, performance rewards
About the Company: Progressive is a leading insurance provider known for its innovative solutions and commitment to customer service.
Experience: A minimum of two years relevant work experience OR A minimum of two years post-secondary education
Salary: $24.25 - $25.75/hour
Type: Remote
Benefits: 401(k) with dollar-for-dollar company match up to 6%, Medical, dental & vision, wellness programs, paid time off, and c…

Arvinas

Director, Payer Accounts United States
Skills & Focus: payer accounts, market access, strategic launch planning, payer strategy, cross-functional collaboration, reimbursement support, formulary review, patient access, national payers, negotiation process
About the Company: Arvinas is a clinical-stage biotechnology company dedicated to improving the lives of patients suffering from debilitating and life-threatening diseases throug…
Experience: Minimum 10 years of sales experience in biotech/pharmaceuticals, including 5 years in payer account management
Type: Full-time
Benefits: group medical, vision and dental coverage, group and supplemental life insurance, and much more

Midi Health

Certified Medical Assistant United States
Skills & Focus: Medical Assistant, CMA, RMA, Telehealth, Remote work, Athenahealth EMR, Compliance, HIPAA, Patient records, Clinical administrative functions
About the Company: Midi is seeking a resourceful, professional and highly skilled Certified Medical Assistant to join our team!
Experience: 3+ years of experience as a Medical Assistant - huge plus if you have telehealth and/or remote work experience! 2+ years of Athenahealth outpatient EMR experience (strongly preferred), 5+ years of overall EMR experience
Salary: $22/hour
Type: Full-time
Benefits: Benefits (medical, dental, vision, 401k)
Certified Medical Assistant United States
Skills & Focus: Medical Assistant, CMA, RMA, Telehealth, Remote work, Athenahealth EMR, Compliance, HIPAA, Patient records, Clinical administrative functions
About the Company: Midi is seeking a resourceful, professional and highly skilled Certified Medical Assistant to join our team!
Experience: 3+ years of experience as a Medical Assistant - huge plus if you have telehealth and/or remote work experience! 2+ years of Athenahealth outpatient EMR experience (strongly preferred), 5+ years of overall EMR experience
Salary: $22/hour
Type: Full-time
Benefits: Benefits (medical, dental, vision, 401k)

Cardinal Health

Reimbursement Coordinator (Patient Assistance and Support) United States
Skills & Focus: patient assistance, healthcare, benefit investigation, insurance verification, patient onboarding, pharma, payer, compliance, customer support, case management
About the Company: Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford an…
Experience: Healthcare background (medical assistant, claims/billing, pharmacy technician, etc.) preferred
Salary: $21.50 - $27.70 per hour
Type: Full time
Benefits: Medical, dental and vision coverage, Paid time off, Health savings account (HSA), 401k savings plan, Flexible spending …

Cohere Health

Orthopedic Spine Surgery Physician United States
Skills & Focus: clinical reviews, evidence-based criteria, medical necessity, peer-to-peer discussions, operational improvements, managed care utilization review, clinical expertise, doctor, orthopedic, spine surgery
About the Company: Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cuttin…
Experience: 5+ years of clinical practice beyond residency/fellowship
Salary: $250,000 to $270,000 annually
Type: Full-time
Benefits: health insurance, 401k and bonus

Smarterdx

RCM Solutions Engineer United States
Skills & Focus: Revenue Cycle Management, EHR systems, Integration, Data Manipulation, SQL, Python, Epic Hospital Billing, Technical Implementation, Client Communication, Healthcare Consulting
About the Company: SmarterDx builds clinical AI that empowers hospitals to analyze the complete record of every patient to fully capture the value of care delivered. Founded by p…
Experience: 5+ years in hospital revenue cycle management
Salary: $170 to 200k base + equity incentives
Type: Full-time
Benefits: Medical, Dental & Vision – Comprehensive plans, One Medical Membership, Paid Parental Leave, Remote-First Team, Unlimit…

Parexel

Senior Payment Specialist United States
Skills & Focus: Finance, Payment, Operations, Global, Strategy, Clinical, Research, Medical, Career, Consultation
Senior Payment Specialist United States
Skills & Focus: Finance, Payment, Operations, Global, Strategy, Clinical, Research, Medical, Career, Consultation
Senior Payment Specialist United States
Skills & Focus: Finance, Payment, Operations, Global, Strategy, Clinical, Research, Medical, Career, Consultation

Clearlink

Licensed Medicare Sales Agent United States
Skills & Focus: Medicare, sales, customer service, health insurance, call center, AEP Experience, Medicare Supplement, communication skills, remote work, performance goals
About the Company: Clearlink is currently seeking experienced and Licensed Medicare Sales Agents to join our work from home Medicare team!
Experience: Minimum of 1 year AEP Experience
Salary: $18/HR + uncapped commission
Type: Full-time
Benefits: We offer low-cost, competitive health coverage, 401(k) matching, lifestyle spending stipends, competitive time-off bala…

Boulder Care

Peer Recovery Specialist United States
Skills & Focus: peer recovery specialist, substance use disorders, community resources, patient support, recovery management, mental health, clinical excellence, compassionate care, virtual care team, administrative responsibilities
About the Company: Boulder Care is an award-winning digital clinic for addiction medicine, recognized for both innovation and high quality of patient care. Founded in 2017, Bould…
Experience: 2+ years working in peer support
Salary: $24.52 - $28.32 per hour
Type: Full-time
Benefits: Medical, Dental, Vision, Short Term Disability, 4 weeks PTO, Sick leave, Mental Health Services, 9 Paid Holidays, 12 we…

Q-Centrix

VQI Data Abstractor United States
Skills & Focus: Vascular Quality Initiative, Data Abstractor, Carotid Artery Stent, Carotid Endarterectomy, Endovascular AAA Repair, Open AAA Repair, Hemodialysis Access, Peripheral Vascular Intervention, Thoracic and Complex EVAR, Varicose Vein
Experience: Experience abstracting for the Vascular Quality Initiative (VQI) in the last 12 months.
Type: Part-time

Smith+Nephew

Reimbursement Expert United States
Skills & Focus: reimbursement, coding, billing, healthcare, biotechnology, medical device, insurance verification, claims issues, compliance, wound care
About the Company: Smith+Nephew designs and manufactures technology that takes the limits off living.
Experience: 8+ years in biotechnology, pharmaceutical, medical device, or medical/hospital management industry. 3+ years in reimbursement, billing, and coding.
Salary: $90,000 - $140,000 USD annually
Type: Full-time
Benefits: 401k Matching Program, Tuition Reimbursement, Medical, Dental, Vision, Health Savings Account, Paid Holidays, and more.

Elevance Health

Reviewer - Therapy Services United States
Skills & Focus: medical records, therapy services, authorization requests, customer satisfaction, clinical reviewers, analyses, reports, quality standards, productivity standards, healthcare
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 1 year of clinical experience; graduate of an accredited program in physical therapy, occupational therapy, or speech-language pathology.
Salary: $32.63 to $48.94 per hour
Type: Full-time
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution.

Tenet Healthcare

AR Insurance Follow-Up Specialist United States
Skills & Focus: Revenue Cycle, Insurance Collections, Patient Accounts, Claims Submission, Remittance Review, Commercial Insurance, Medicaid, Medicare, Contract Language, Billing Issues
About the Company: Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide, helping organizations transition from vol…
Experience: 1-4 years medical claims and/or hospital collections experience
Salary: $15.80 - $23.70 per hour
Type: Full-time
Benefits: Medical, dental, vision, disability, and life insurance; Paid time off (vacation & sick leave); 401k with up to 6% empl…

Assurant

AVP, P&C Property Claims United States
Skills & Focus: claims management, leadership, customer experience, compliance, process improvement, stakeholder relationships, data analysis, team development, collaboration, budget management
About the Company: Assurant is a leading global business services company that supports, protects, and connects major consumer purchases. A Fortune 500 company with a presence in…
Experience: Minimum of 10 years of experience in claims management within the insurance industry, with at least 10 years in a leadership role.
Salary: $141,400.00 - $236,100.00
Type: Full Time
Benefits: U.S. benefit information can be found at myassurantbenefits.com. For benefit information outside the U.S., please speak…

Hippocratic Ai

Nurse Reviewer - RN United States
Skills & Focus: patient safety, AI systems, care management, quality reviews, medical safety, empathy, bias, feedback, collaboration, G Suite
About the Company: We are a passionate group of medical professionals and engineers dedicated to bringing safety to AI within healthcare.
Experience: Minimum 3 years of care management experience
Type: Full time
Benefits: Flexible work schedule, Remote work opportunities, Chance to contribute to cutting-edge AI safety in healthcare, Collab…

Mebe Family

Revenue Cycle Specialist United States
Skills & Focus: Revenue Cycle, Insurance Verification, Claims Processing, CPT Coding, ICD-10, HCPCS Guidelines, Accounts Receivable, Billing, Behavioral Health, Medical Billing
About the Company: Provider of evidence-based therapies for children with autism and other special needs, empowering families and professionals through education and training.
Experience: Minimum of 3+ years of billing experience
Salary: $23–$27 per hour
Type: Full-time
Benefits: Paid days off, Medical, Vision, Dental insurance, Life and Disability insurance, Mental health support, 401k program, T…

Elevance Health

Utilization Management Representative II United States
Skills & Focus: Utilization Management, provider, authorization, precertification, eligibility, claims, customer service, medical terminology, communications, healthcare
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 2 years customer service experience in healthcare related setting.
Salary: $17.49 to $29.99
Type: Full-time
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution.

Owens & Minor

Customer Service Representative United States
Skills & Focus: insurance coverage, administrative activities, customer service, documentation, phone etiquette, medical terminology, reimbursement, outbound calls, Microsoft Office, patient complaints
About the Company: Owens & Minor is a critical part of the healthcare process, providing integrated technologies, products, and services across the full continuum of care as a Fo…
Experience: One or more years of customer service experience
Benefits: Medical, dental, and vision insurance, 401(k), Employee stock purchase plan, Tuition reimbursement

Cardinal Health

Supervisor, Access and Patient Support United States
Skills & Focus: customer service, patient support, enrollment, reimbursement, benefit investigations, prior authorization, co-pay enrollment, operations supervision, program metrics, process efficiencies
About the Company: Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford an…
Experience: 3-5 years of experience in related field
Salary: $66,500 - $94,900
Type: Full time
Benefits: Cardinal Health offers a wide variety of benefits, including medical, dental, and vision coverage, paid time off, healt…

Optima Dermatology

Accounts Receivable Specialist United States
Skills & Focus: Claims Management, Accounts Receivable, insurance, billing guidelines, EOBs, patient account management, communication, collaboration, problem-solving, HIPAA compliance
About the Company: At Optima Dermatology, our mission to revolutionize skin care is made possible by our world class team that is highly engaged, mission-driven, and inspired to …
Experience: Minimum of 3 years in healthcare reimbursement preferred.
Salary: competitive compensation
Type: Full-time
Benefits: generous health, dental, vision, disability, and life insurance.

Imagine Pediatrics

Actuary United States
Skills & Focus: actuarial expertise, value-based care, healthcare utilization trends, financial savings, IBNR estimates, claims data analytics, profitability analysis, reimbursement strategies, performance measurement, stakeholder communication
About the Company: Imagine Pediatrics is an innovative, tech-enabled, pediatrician-led medical group that helps children with special health care needs get the quality 24/7 care …
Experience: Minimum of 5 years of health actuarial experience
Salary: $135,000 - $160,000
Type: Full-time
Benefits: Competitive medical, dental, and vision insurance; Healthcare and Dependent Care FSA; Company-funded HSA; 401(k) with 4…

Pmd

(Contract) Medical Coding Specialist United States
Skills & Focus: medical coding, billing accuracy, revenue cycle, claim errors, timely payment, industry standard, scrubbing claims, preventing denial, healthcare professionals, leadership principles
About the Company: We hold ourselves to exceptionally high standards in order to provide unparalleled service to healthcare professionals, their staff and patients. We strive to …
Type: Contract

R1 Rcm Inc.

Clinical Appeals Nurse United States
Skills & Focus: Clinical Appeals, denials management, claims processing, patient medical records, governmental regulations, payer protocols, medical necessity appeals, evidence-based guidelines, clinical judgment, remote position
About the Company: R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and med…
Experience: Experience in a clinical inpatient environment
Salary: $65,342.00 - $94,799.70 per year
Type: Full-time
Benefits: Participation in annual bonus plan at a target of 10.00%, competitive benefits package.

Smarterdx

VP of Clinical Excellence United States
Skills & Focus: Revenue Cycle Management, Clinical Documentation Improvement, AI-powered CDI, Healthcare, ICD-10, HCC coding, Medicare guidelines, Payer documentation requirements, Training, Client Success
About the Company: SmarterDx builds clinical AI that empowers hospitals to achieve 100% chart accuracy for revenue integrity. Our solution helps hospitals tell the most accurate …
Experience: 5+ years in clinical documentation improvement leadership, hospital CDI, HIM, and/or RCM programs.
Salary: $200 to 275k base + equity incentives
Type: Full-time
Benefits: Medical, Dental & Vision – Comprehensive plans with leading insurance providers, covering 90-100% of your premiums and …

Owens & Minor

Chronic Account Manager - NPWT United States
Skills & Focus: Negative Pressure Wound Therapy, selling, sales calls, case managers, customer satisfaction, profitability goals, CRM system, patient education, quality assurance, healthcare
About the Company: Owens & Minor is a Fortune 500 company with 350+ facilities across the US and 22,000 teammates in over 90 countries, providing integrated technologies, product…
Experience: 3-5 Years of Experience in selling service or commodity products
Benefits: Medical, dental, and vision insurance, available on first working day; 401(k), eligibility after one year of service; E…

Arcadia.Io

Customer Success Analyst United States
Skills & Focus: Customer Success, Data Management, Value-Based Care, Product Training, Troubleshooting, Healthcare Data, EHR, Claims Data, Issue Resolution, Project Management
About the Company: Arcadia is a company focused on improving healthcare delivery through value-based care and advanced data management solutions.
Experience: Experience in customer success, data management, and healthcare technology preferred.
Type: Full-time
Customer Success Analyst United States
Skills & Focus: Customer Success, Data Management, Value-Based Care, Product Training, Troubleshooting, Healthcare Data, EHR, Claims Data, Issue Resolution, Project Management
About the Company: Arcadia is a company focused on improving healthcare delivery through value-based care and advanced data management solutions.
Experience: Experience in customer success, data management, and healthcare technology preferred.
Type: Full-time

Curai Health

Biller/Coder United States
Skills & Focus: medical coding, billing, telehealth, claims submission, revenue cycle management, ICD-10, CPT/HCPCS, insurance denials, process improvements, training staff
About the Company: Curai Health is a leading telehealth primary care clinic, focused on making high-quality healthcare accessible through a virtual-first primary care service.
Experience: Minimum of 3 years in medical coding and billing, preferably in a telehealth primary care and urgent care setting.
Salary: $25,000 - $35,000 annually
Type: Part-time
Benefits: Unlimited PTO, flexible working hours, remote working options, 401k plan with employer matching.
Biller/Coder United States
Skills & Focus: medical coding, billing, telehealth, claims submission, revenue cycle management, ICD-10, CPT/HCPCS, insurance denials, process improvements, training staff
About the Company: Curai Health is a leading telehealth primary care clinic, focused on making high-quality healthcare accessible through a virtual-first primary care service.
Experience: Minimum of 3 years in medical coding and billing, preferably in a telehealth primary care and urgent care setting.
Salary: $25,000 - $35,000 annually
Type: Part-time
Benefits: Unlimited PTO, flexible working hours, remote working options, 401k plan with employer matching.

Nirvana Insurance

Claims Adjuster - Bodily Injury United States
Skills & Focus: Claims Adjuster, Bodily Injury, commercial auto claim adjudication, negotiation, liability decisions, claims leadership, settlement demands, data analysis, insurance, claim success
About the Company: Nirvana is on a mission to harness the power of data to revolutionize commercial insurance and enable a safer world. We are bringing much-needed innovation int…
Experience: 7+ years of experience in commercial auto claim adjudication, with at least 5 years handling injury severity losses.
Type: Full time
Benefits: Competitive salary, Medical, dental & vision insurance, 401k with company match, Unlimited PTO, Work from home friendly

Grow Therapy

Payor Partnership Support Specialist United States
Skills & Focus: customer support, healthcare billing, live calls, client interaction, team collaboration, problem-solving, billing issues, quality assurance, technical understanding, large databases
About the Company: Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. They empower prov…
Experience: At least 2 years of experience in customer support; 1 year of experience assisting customers over the phone, via live chat, and email support.
Salary: $46,749.00 - $51,944.00 USD
Type: Full-time
Benefits: Comprehensive health insurance plans, including dental and vision; Flexible working hours; Flexible Time Off; Company-w…

Nira Medical

Revenue Cycle Team Lead United States
Skills & Focus: Revenue Cycle Management, Healthcare Operations, Billing, Collections, Denials Management, Payer Relations, Leadership, Change Management, Problem Solving, Operational Optimization
About the Company: Nira Medical is a national partnership of physician-led, patient-centered independent practices committed to driving the future of neurological care. Nira's mi…
Experience: 3+ years of experience in revenue cycle management, healthcare operations, or a related field
Type: Full time

Pie Insurance

Director of Billing and Collections United States
Skills & Focus: billing, collections, P&C insurance, regulatory compliance, automation, efficiency, financial statement reporting, SQL, stakeholder management, cash flow forecasting
About the Company: Pie’s mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how sm…
Experience: Minimum of 12 years of experience in premium billing, collections, or revenue cycle management in P&C insurance; Minimum of 10 years of leadership/management experience.
Salary: $200,000 - $250,000 USD
Type: Full-time
Benefits: Competitive cash compensation, equity, comprehensive health plans, generous PTO, future-focused 401k match, generous pa…