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
$21.3 - $28.36 per hour
...Central Follow-Up Specialist Working at Planned Parenthood... .... Our exceptional health center staff drives our... ...cases, according to state rules and regulations.... ...to HEDIS requests from payors. Performs other duties... ...Prior experience with remote/telehealth work strongly...Remote workFull timeTemporary work1 day per week- ...Rethink Behavioral Health is the leading global provider of online... ...exciting. Overview The A/R Specialist is responsible for... ...or at risk Research specific payor billing rules as needed Ensure strict HIPAA... ...time, Monday-Friday (8-5 PM) Remote opportunities are available...Remote workFull timeWork at officeMonday to Friday
- ...Revenue Cycle Specialist III Align yourself with an organization... ...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
$28.85 - $31.25 per hour
...Oasis / Coding Review Specialist who is excited to learn... ...days in office and 3 days remote) What You'll Do... ...federal regulations, and payor requirements Identify... ...required 1+ year home health/hospice/related clinical... ...methodology, and payor rules Clear communication, high...Remote workHourly payFull timeWork at officeLocal area- ...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... ...Entry Level Travel: No Remote Work: Hybrid Job Posting...Remote workDaily paidWork experience placementRelief
$26.48 - $38.4 per hour
...Job Description - Payment Specialist (MEM009759) Payment Specialist - (... ...Days (8hrs shifts) Predominately Remote Pay Range: $26.48/hr - $38.40/hr At MemorialCare Health System, we believe in providing... ...and on time, follow organization rules and procedures and directions...Remote workFull timeContract workWork at officeWork from homeShift workDay shift$24.32 - $40.16 per hour
...Refer a Friend Back Remote Work from Home Share This... ...0 Location: Johns Hopkins Health System, Baltimore, MD 2... ...& Observation, the Coding Specialist II analyzes and interprets clinical... ...coding, and applying those rules to ensure claims are billed...Remote workFull timeWork experience placementLocal areaWork from homeDay shift- ...Inspire health. Serve with compassion. Be the difference. Job Summary Works with Cardiology physicians, clinicians, providers... ...treatment plan. Also, applies and interprets monitoring via telephone, remote telemetry or in the office as ordered by the Cardiologist or...Remote workPermanent employmentFull timeTemporary workWork at officeShift work
$18 per hour
At Accendra Health, we understand that healthcare is complex, and we’re here to make it easier... ...Standard Operating Procedures for safety rules and requirements received in training... ...explore our career opportunities ─ from remote-friendly to hybrid and in-person roles ─...Remote workHourly payTemporary workLocal areaWork from homeFlexible hours$25.4 - $27 per hour
...Leave Specialist Shape the world of health care by joining UPMC! As a leader in the industry, we are committed to enhancing the lives of all who are... ...outbound employee leave related calls. Applies concepts and rules as mandated by guidelines for FMLA and other federally...Remote workTemporary workWork at officeWork from home- ...are the partner of choice for health systems and radiologists,... ...Compliance - Release of Information Specialist in our Atlanta, GA location.... ...and follow confidentiality rules to protect clients' sensitive... .... The position is a remote position with one day a week...Remote workTemporary workWork at office1 day per week
- ...Prior Authorization Specialist (Contract) Flagler Health | Posted Mar 9 Apply Full-time New York Negotiable... ...through AI-powered workflow automation, remote patient engagement, and chronic care... ...with NCCI edits, bundling rules, and step therapy protocols Experience...Remote workFull timeContract work
$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$48k - $50k
...reimbursement admissions, and payors enjoy 12x reduced costs with... ...patients. The Role As an Intake Specialist, you’ll play a key role in... ...nurses, you’ll represent Float Health with empathy, professionalism... .... Team‑oriented: in a remote role, strong teammate connections...Remote workFull timeMonday to FridayFlexible hoursShift work- ...Brands is seeking a Cash Posting Specialist. Candidates should be... ...achieve a lifetime of great oral health. Job Related Experience:... ...Conditions/Physical Demands: ~ Remote Major Duties and... ...Understand a payer contract with all rules that apply to that specific...Remote workContract workWork at officeLocal area
$32.24k - $58.45k
...Central Business Office (CBO) Specialist II, you will facilitate... ...office staff and hospitals or payor plans. You will maintain provider... ...240 - $58,448. ~This is a remote position; however, employment... ...mission-driven, not-for-profit health care organization...Remote workFull timeWork at officeFlexible hours$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$22 per hour
...industry, seeking a seasoned Revenue Cycle Specialist with health insurance claims experience to fill a... ...is a must. This is a full-time, remote position requiring a daily schedule of... ..., authorization workflows, and general rules. Limited phone work exclusively dealing...Remote workHourly payPermanent employmentFull timeTemporary workWork at office- ...TRC Talent Solutions is partnering with JTS Health Partners and hiring Revenue Cycle Specialists! This is a fully remote, full-time opportunity with JTS Health Partners... ...with payers, patients, and providers to achieve payor compliance and improve financial outcomes....Remote workFull timeWork at office
- ...Authorization Specialist The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation's largest Orthopaedics practices,... ...provider of choice for our patients; partner of choice for payors and health systems; and employer of choice by attracting and retaining...Remote workWork at office
$15 - $21 per hour
...At SCP Health, What You Do Matters As part of the SCP Health team, you have an opportunity... ...on feedback provided by internal or payor edits, using available resources: face sheets... ...LA – SCP Office (4 days in office, 1 day remote). Pay Range 15.00 – 21.00 USD per hour. This...Remote workHourly payWork at office- ...Reconciliation Specialist RethinkFirst was founded in 2007 with a... ...support the entire behavioral health community by adding solutions... ...the employer, provider, and payor industries, and to drive whole... ...Hourly, Monday-Friday (8-5 PM) Remote opportunities are available...Remote workHourly payFull timeWork at officeWorldwideMonday to Friday
$25.75 - $30 per hour
...in helping improve people's health through nutritional therapies... ...Reimbursement Authorization Specialist I is integral to the success... ...with flexibility for limited remote work. The core hours of operation... ...• Knowledge of third-party rules and regulations to include contracts...Remote workHourly payWork experience placementCasual workWork at officeLocal area$18.65 - $19.9 per hour
## Specialist, Financial CounselingApplylocations: Front Royal, VA: Valley... ...management solutions for health systems, including hospitals... ...validate that patients have a valid payor source with authorization on... ...024Monster Top Workplace for Remote Work 2024Great Place to Work...Remote workLocal areaNight 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- ...Mediator and Intake Specialist The NYC Department of Consumer and Worker Protection (DCWP... ...resources they need to achieve financial health and work-life balance. DCWP also conducts... ...complaints in accordance with the laws, rules, and regulations enforced by DCWP; Maintaining...Remote work
- ...position may be eligible for remote work for up to 2 days per week... ...need to achieve financial health and work‑life balance. DCWP also... ...seeks a Mediator and Intake Specialist to be a member of a collaborative... ...in accordance with the laws, rules, and regulations enforced by...Remote workPermanent employment2 days per week
$60k - $125k
...Market Facing Underwriter OR Underwriting Specialist- Accident & Health Division 132162 Zurich Insurance is... .... Complying with underwriting rules and guidelines, insurance laws and... ...AM - Philadelphia, AM - Schaumburg Remote Working: Hybrid Schedule: Full Time...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaVisa sponsorshipFlexible hours3 days per week$72k - $75k
...Control Branch, the Program Specialist (PS) applies high-level professional... ...Department of Public Health. The position provides administrative... ...environment including both remote and office centered work. The... ...range will be guided by the rules in the collective bargaining...Remote workTemporary workWork experience placementWork at officeLocal areaWorldwide1 day per week- ...Why Charlie Health? Millions of people across the country are navigating mental health... .... This is a full-time (W-2) , fully remote telehealth position designed for clinicians... .... As a Mental Health Group Specialist, you will begin making a difference on day...Remote workFull timeLocal area
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