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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 ...
  • IS System Configuration Analyst II

    CareOregon - Portland, Oregon
    ... utilization committees, and payment integrity program. Maintain impartiality and upholds the ... areas: Computer applications skills (claims payment, Excel, Word, Outlook ...
  • 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 ...
  • 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 ...
  • 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 ...
  • Physician (Center for Women Veterans Health Care)- Primary Care

    Veterans Affairs, Veterans Health Administration - Portland, Oregon
    ... payment reimbursement program. You must meet specific individual eligibility requirements in accordance ... nurse care manager (R.N.), a clinical associate (Licensed Practical Nurse or Medical Assistant), and an ...
  • 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 ...
  • Auto Claims Representative

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

    Sedgwick - Portland, Oregon
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Auto Claims ... claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes auto property damage ...
  • 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 ...
  • 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 ...
  • Integrated Paid Leave Specialist- HYBRID

    UNUM - Portland, Maine
    ... and may also apply to payment and administration of corporate paid leave policies including parental ... leaves/claims, review of medical certification, and ongoing relationship management with employees ...
  • Provider Relations Specialist II

    CareOregon - Portland, Oregon
    ... Provider Relations Manager Title Provider Relations Supervisor ... integral team member. Work closely with other internal departments, including Claims ...
  • 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 ...
  • 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 ...
  • 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 ...
  • 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
    ... 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 ...
  • 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 ...
  • 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 ...
  • 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 ...
  • Nurse Audit Lead

    Elevance Health - South Portland, Maine
    ... Nurse Audit Lead **Supports the Carelon Payment Integrity line of business ... 50 miles from our Elevance Health Pulse Point locations._ Carelon Payment Integrity is a proud ...
  • 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 ...
  • 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 ...
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