Remote Health Rules Payor Config Specialist
Vytwo
- Remote job
Vytwo is seeking a Health Rules Configuration Analyst for a remote position. The ideal candidate will have significant experience with Health Rules Payor configurations, specifically in benefit and referral category configurational contexts. Expertise in HR Payer table structures and SQL querying abilities are essential. The role emphasizes a strong background in health benefits configuration to optimize operational efficiencies. #J-18808-Ljbffr Vytwo
- ...RethinkFirst Accounts Receivable Specialist RethinkFirst was... ...the entire behavioral health community by adding... ..., provider, and payor industries, and to drive... ...specific payor billing rules as needed Follow up... ...Monday-Friday (8-5 PM) Remote opportunities are available...Remote workHourly payFull timeWork at officeImmediate startWorldwideMonday to Friday
- ...Authorization Specialist The Authorization Specialist... ...sites of service to ensure payor requirements are met... ...experience working with health insurance or in a... ...benefits, third party payor rules and regulations is preferred... ...for hybrid or mobile/remote work mode are at the...Remote workWork at officeImmediate startWork from homeFlexible hours
- ...Title Revenue Cycle Specialist III Job Description... ...recognizes hospitals and health systems nationwide that... ...submitting claims to payors, performing account follow... .... Keeps informed if rules and regulations... ...system errors. *Approved Remote States: Arizona, California...Remote workShift work
$27.5 - $33 per hour
At LifeStance Health, we strive to help individuals, families... ...Revenue Integrity Coding Specialist to join our Shared... ...working knowledge of CPT rules, ICD-10 guidelines, and payor reimbursement policies. This... ...description. This position is a remote role with the ability to sit...Remote workHourly payFull timeTemporary work- ...Description Job Description At Aylo Health, we work together to enrich the health... .... Position Summary The Payor Enrollment Specialist is responsible for coordinating and managing... ...data across all systems. Location: Remote in Georgia; Occasional in office meetings...Remote workFull timeWork at officeMonday to Friday
- ...PRN Physician Coding Specialist II, Orthopedic Clinic -... .... Communicates with payors and other internal departments... ...knowledge of coding rules and payer guidelines.... ...will encounter Protected Health Information (PHI) as... ...Level Travel: No Remote Work: Hybrid Job Posting...Remote workDaily paidWork experience placementRelief
- ...award recognizes hospitals and health systems nationwide that have... ...specialty claims to third party payors, performing account follow-up... ...of the Department. *Approved Remote States: Arizona, California,... ...Salary 25 Maximum Salary 35.94 UKG Pay Rule C007 Cedars SinaiRemote workShift work
- SummaryJob Description:Baptist Health is looking for a Revenue Integrity Specialist I to join our team! This is a remote work position that requires residency in KY or INResearch... ...from all commercial and governmental payors. Performs payor compliance review on accounts...Remote workFull time
- The HIMS Senior Specialist should have a broad knowledge of an electronic health record (EHR), specifically Epic. The individual... ...function. Adheres to state and federal rules regarding privacy and... ...hybrid position that is primarily remote. Candidates must reside within 1...Remote workContract workWork at officeFlexible hours
$29.62 - $45.31 per hour
...Description Providence Health Plan caregivers are not simply valued – they’re invaluable... ..., Dx), regulations, and other coverage rules Take incoming phone calls from providers... ...inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- Inspire health. Serve with compassion. Be the difference.Job SummaryLeads, oversees and ensures... ..., and risks. This position allows remote work at the discretion of the reporting operational... ...skillsUnderstanding of BOP/DHEC/DEA rules/regulations.Work ShiftDay (United States...Remote workInternship
- ...Ovation Healthcare (formerly QHR Health), we've been making local... ...highly skilled subject matter specialists and operations executives in... ...expert knowledge of insurance rules and regulations, best... ...and video conferencing. Remote work is expected 100% of the...Remote workWork at officeLocal areaWork from home
- ...Ovation Healthcare (formerly QHR Health), we've been making local... ...highly skilled subject matter specialists and operations executives, in... ...current on evolving payer rules and denial trends. KNOWLEDGE... ...REQUIREMENTS: ~100% Remote ~ Reliable high-speed internet...Remote workContract workWork experience placementLocal area
- ...review professional to evaluate behavioral health cases, ensuring medical necessity and... ...engage with hospital teams and third-party payors to secure quality care and proper payment... ...in-office training, the position offers remote work from home options. #J-18808-Ljbffr...Remote jobWork at officeWork from home
$18.65 - $19.9 per hour
...cycle management solutions for health systems, including hospitals... ...Financial Counseling Specialist performs the task of benefit... ...validate that patients have a valid payor source with authorization on... ...Monster Top Workplace for Remote Work 2024 Great Place to Work...Remote workLocal areaNight shiftWeekend work- ...OCHIN is a nonprofit leader in health care innovation and a trusted partner... ...00 skilled professionals, working remotely across 49 states. We offer a generous... ...Position Overview The Enrollment Specialist performs all aspects of the payor enrollment processes for providers...Remote workFor contractorsWork at officeWork from homeHome office
- ...Assessment Specialist OHC Clark, Montgomery, Greene and Miami Counties... ...Counties Job Type: Full-Time | Remote with Field Visits Industry:... ...management and population health. With a mission to Improve Communities... .... ~ Adheres to the CareStar Rule in performance of job...Remote workFull timeWork from home
- ...At Accendra Health, we understand that healthcare is complex, and we’re here to make it... ...Standard Operating Procedures for safety rules and requirements. ADDITIONAL REQUIREMENTS... ...impact, explore our career opportunities from remote-friendly to hybrid and in‑person roles...Remote workHourly payTemporary workLocal areaWork from homeFlexible hoursNight shiftWeekend work
$34.55k
...with opportunities for all. The Residential Specialist is responsible for providing a warm,... ...the elderly and individuals with mental health and developmental disabilities. PREFERRED... ...policies and procedures, knowing the rules and adhering to them Persistence: Do...Remote workPart timeWork at officeLocal areaFlexible hoursShift work$23 - $25 per hour
...Location: Remote, United States Date Posted: Apr 9, 2026 Join us... ...difference in the field of behavioral health. We are committed to... ...care. As a Cash Application Specialist, you will be an essential part... ...claims with the appropriate Payor or Patient Resolve delinquent...Remote workHourly pay$40k - $70k
...thrive while making a difference in mental health. Want to help over two million people... ...hands of everyone! We are looking for a Payor Success Associateto join our team. The Payor... ...delivering quality mental healthcare. This is a remote position based on Eastern Time. Talkspace...Remote workTemporary workLive inLocal areaWorldwideFlexible hours- ...Silna Health Prior Authorization And Benefits Verifications Expert Silna Health attacks... ...exclusions ~ Have familiarity with payor portals and experience calling payors ~... ...includes benefits and equity in the company Remote role Best of all, a chance to make an...Remote workHourly payFull timeFor contractors
$22.9 per hour
...building careers. At Emplify Health, we care for our teams, while... ...seeking a detail‑oriented Coding Specialist to support accurate... ...experience! Monday–Friday, day shift Remote eligible (Must reside in WI,... ...guidelines, CMS observation rules, APC optimization Emplify Health...Remote workFull timeMonday to FridayDay shift$28 - $38 per hour
...Coding SpecialistVolt is immediately hiring Remote Critical Access/ Rural Health Medical Coders.As a Critical Access/ Rural Health Medical Coder you... ...orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If...Remote workHourly payFull timeContract workTemporary workWork experience placementImmediate start$16.12 - $26.7 per hour
...Job Description HIM Specialist Job Code: MR4357 The HIM Specialist supports... ...where achieving good health is just the beginning. At UVA... ...Understands how to apply HIPAA rules/regulations/policies/ procedures... ...between campus buildings, remote facilities, and out of town as...Remote workHourly payWork experience placementCasual workWork at officeLocal areaShift work$2,000 per month
...Please Note: This is a remote position available in the state(s)... ...truly shine as an Amendment Specialist! As an Amendment Specialist,... ...Familiar with Third Party Access rules In current role for at least... ...Salt Lake Tribune Comprehensive health, life, and disability...Remote workWork at office$27.02 per hour
...job will deliver value to the Health Plan, and its beneficiaries... ...adjustment coding. Supports all Remote Patient Monitoring (RPM) risk... ...(CRC) Certified Coding Specialist (CCS) Registered Health Information... ...federal and state laws, rules, and regulations as well as...Remote workFor contractorsWork at officeLocal areaFlexible hours- ...their own practices. Now, we give specialty health practices the power to make decisions... ...and professional demeanor. Follows HIPPA rules and regulations. POSITION REQUIREMENTS High... ...LOCATION: This is a full-time hybrid/remote position; meaning, there will be required...Remote workFull timeTemporary workWork at office
$20.38 - $36.44 per hour
...healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits,... ...characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace...Remote workHourly payMinimum wageFull timeWork experience placementLive inLocal areaImmediate start- ...Flexible spending account Comprehensive health coverage | Free student loan coaching | Loan... ...care Hybrid work schedule options | Remote work options | State provided computer 40... ...support CAQH | CMS Regulations | Commercial payors | Data entry | Excel 401k match | Dental...Remote workFull timeContract workFlexible hours
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