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28 Jobs

  • Medicare Encounter Data Analyst

    CareOregon - Portland, Oregon
    ... Exempt Department Finance Manager Title Risk Adjustment Manager Direct Reports n/a ...
  • Finance & ERP Controller

    EMCOR Group - Portland, Oregon
    ... maintaining the integrity of the accounting and data processing systems and by ensuring that appropriate ... timely and accurately. Review contracts and leases prior to execution noting billing, payment ...
  • Actuary

    CareOregon - Portland, Oregon
    ... Finance Manager Title Actuarial Services Manager ... , provider payment evaluation and review of actuarial estimates such as IBNR and PDR ...
  • Associate Account Management II - Large Group

    Kaiser Permanente - Portland, Oregon
    ... customer loyalty and retention. Monitor and maintain data integrity within sales systems, accounts and book ... alert account manager. Identify and act on enrollment opportunities including ...
  • Coordinator, Hospice Program Administration

    Kaiser Permanente - Portland, Oregon
    ... Job Summary: Works with Hospice Management and field team to ensure integrity of ... Palliative Care Program Director, Team Managers, Volunteer Manager and Bereavement Coordinators. Responsible ...
  • Claims Representative - Auto

    Sedgwick - Portland, Maine
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Representative - Auto PRIMARY PURPOSE : To analyze and process low to mid-level auto and transportation claims ...
  • Claims Representative - Auto

    Sedgwick - Portland, Oregon
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims ... transportation claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes auto property ...
  • Field Access Specialist, Rheumatology/Dermatology - Portsmouth, NH

    AbbVie - Portland, Maine
    ... educate providers on payer issues, coding changes, and appropriate claims submission processes ... technical payer policy processes, systems and requirements for coverage, coding and payment for specialty ...
  • Utilities Technician - 1st Shift - Offering $5,000 Sign on Bonus!

    Kerry - Portland, Maine
    ... provide payment to participate in the hiring process (e.g., purchasing a starter kit, investing in ...
  • Patient Service Representative

    Northern Light Health - Portland, Maine
    ... manager or all team members of potential issues or access opportunities Collects co pays/patient ... facility. Competencies and Skills Behaves with Integrity and Builds ...
  • Group Claims Specialist - West Coast (MST/PST)

    Lincoln Financial Group - Portland, Oregon
    ... ** We are excited to bring on a highly motivated Group Claims Specialist to support our ever-growing claims organization in a work from home environment. We are specifically seeking candidates who ...
  • Pharmacist (Full or Part Time)

    Walgreens - PORTLAND, Maine
    ... accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy ...
  • Lead Solutions Architect

    Humana - Portland, Maine
    ... healthcare data e.g., member, provider, claims and clinical data Experience and understanding of data ... provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home ...
  • Provider Relations Specialist Lead - Behavioral Health

    CareOregon - Portland, Oregon
    ... Direct Reports n/a Manager Title Provider Relations ... internal departments, including, but not limited to Claims, Utilization Management, Credentialing, Provider ...
  • Patient Service Representative

    Northern Light Health - Portland, Maine
    ... including surgical and ancillary service Monitors daily schedules, notifying manager or all team ... . Competencies and Skills Behaves with Integrity and Builds Trust: Acts consistently in line ...
  • Pharmacy Manager

    Walgreens - PORTLAND, Oregon
    ... claims to resolve patient issues and prevent payment rejections. Follows up with insurance companies and ... unique communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager ...
  • Patient Service Rep - Float

    Northern Light Health - Portland, Maine
    ... daily schedules, notifying manager or all team members of potential issues or access opportunities ... Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct ...
  • Patient Service Representative

    Northern Light Health - Portland, Maine
    ... manager or all team members of potential issues or access opportunities Collects co pays/patient ... Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct ...
  • Pharmacist (Full or Part Time)

    Walgreens - PORTLAND, Oregon
    ... accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy ...
  • Patient Service Representative

    Northern Light Health - Portland, Maine
    ... schedules, notifying manager or all team members of potential issues or access opportunities ... facility. Competencies and Skills Behaves with Integrity and Builds ...
  • Pharmacy Manager - Sign-On Bonus Available

    Walgreens - PORTLAND, Tennessee
    ... claims to resolve patient issues and prevent payment rejections. Follows up with insurance companies and ... unique communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager ...
  • Patient Service Representative

    Northern Light Health - Portland, Maine
    ... including surgical and ancillary service Monitors daily schedules, notifying manager or all team ... . Other Information: Competencies and Skills Behaves with Integrity ...
  • Psychiatrist (Regular Ft) PCMHI

    Veterans Affairs, Veterans Health Administration - Portland, Maine
    ... Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance ...
  • Patient Service Representative

    Northern Light Health - Portland, Maine
    ... , notifying manager or all team members of potential issues or access opportunities • Collects co pays/patient ... duties as needed.* Behaves with Integrity and Builds Trust: Acts consistently in line with the core ...
  • Senior Investigator

    Elevance Health - South Portland, Maine
    ... PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent ...
  • Business Analyst III- Overpayment Prevention

    Elevance Health - SOUTH PORTLAND, Maine
    ... in respective timezone. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover ...
  • Billing Specialist

    Northern Light Health - South Portland, Maine
    ... billing and reimbursement process of the organization. Responsibilities include accurate claims submission to all payers and submission of claims in accordance with regulatory and contractual obligations ...
  • Medical Receptionist

    Robert Half - South Portland, Maine
    ... service; establish payment plans when necessary • Schedule initial and follow-up appointments for ... operations. • Understanding and experience with insurance claims and processes related to medical services ...
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