System Manager, Coding The University of Vermont Health NetworkSystem Manager, CodingVTRemote$46.89–$70.34 / hourJob Ref:R0087725 Category:Medical Billing and Coding Employment Type:Full-Time Health Care Partner:University of Vermont Medical Center Location: Remote Department:Health Information Management Job Type:Regular Primary Shift:Day Hours:- Hours per Week: 40 Weekend Needs:None Pay Rate: $46.89 - $70.34 per hour. Acts as a content expert to ensure regulatory or operational coding issues impacting correct billing is communicated to IS analysts, Revenue Cycle, Revenue Integrity, Compliance and/or other relevant system department leaders as needed to support compliant coding and data quality.
Medical Billing Specialist Mi Familia & Summit Home Health and HospiceMedical Billing SpecialistBennington, VTRemote$58,000–$74,000The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.
Patient Account Representative Billing COPLEY HEALTH SYSTEMS INCPatient Account Representative BillingVT$18.50–$21 / hourCOLLECTIONS: Reviews posted remittance advices from assigned insurance carrier(s) within the timeframe established by department policies and procedures, appropriately following up on and resolving any rejections or other non-payments to ensure accurate posting of balances for reimbursement, deductible, co-pay, co-ins, contractual adjustment, non-covered charges, rejected claims, and any balance-billing to the patient or guarantor as appropriate. INSURANCE BILLING: Keeps self informed of billing policies and requirements of assigned insurance carrier(s) by regularly monitoring list-servs, carrier websites, maintaining open lines of communication with provider representatives, researching problem claims, and other means of staying informed that the assigned carrier(s) makes available.
Patient Account Representative - Billing Copley HospitalPatient Account Representative - BillingMorrisville, VT$18.50–$21 / hourCOLLECTIONS: Reviews posted remittance advices from assigned insurance carrier(s) within the timeframe established by department policies and procedures, appropriately following up on and resolving any rejections or other non-payments to ensure accurate posting of balances for reimbursement, deductible, co-pay, co-ins, contractual adjustment, non-covered charges, rejected claims, and any balance-billing to the patient or guarantor as appropriate. INSURANCE BILLING: Keeps self informed of billing policies and requirements of assigned insurance carrier(s) by regularly monitoring list-servs, carrier websites, maintaining open lines of communication with provider representatives, researching problem claims, and other means of staying informed that the assigned carrier(s) makes available.
Medical Biller COMMUNITY HEALTH CENTERS OF THE RUTLAND REGIONMedical BillerRutland, VTCOMMUNITY HEALTH: Community Health is a primary care network that provides nationally-recognized programs, a focus on wellness, dental, behavioral health and pediatric specialties, walk-in Express Care, a culture of community and quality health care that almost everyone, insured or uninsured, has come to depend on. Knowledge and skills in using the electronic medical record, basic computer skills and use of office equipment, customer service and phone skills, ability to establish and maintain effective working relationships with employees, patients and the public.
Medical Records Coder II - Part Time The University of Vermont Health NetworkMedical Records Coder II - Part TimeVTRemote$22.82–$34.23 / hourJob Ref:R0086034 Category:Medical Billing and Coding Employment Type:Part-Time Health Care Partner:Central Vermont Medical Center Location: Remote Department:CVMC - Medical Records Coding Job Type:Regular Primary Shift:Day Hours:- Hours per Week: 20 Weekend Needs:None Pay Rate: $22.82 - $34.23 per hour. Utilizes various electronic information systems to accomplish coding including 3M Coding and Reimbursement Systems, EPIC, and various web based tools such as Anthem and CMS for Medical Necessity and other regulatory information as deemed appropriate.
NewMedical Assistant/Triage Specialist (Gynecology) - FT/80 Springfield Medical Care Systems IncMedical Assistant/Triage Specialist (Gynecology) - FT/80Springfield, VT$19–$22 / hourKnowledge of clinical procedures, such as taking vital signs (temperature, blood pressure, pulse, and respiration rate), collecting patient specimens (blood, urine, etc.) administering medications (under the supervision of a healthcare provider), and assisting with minor surgical procedures. Possesses a thorough understanding of infection control protocols and safety measures to prevent the spread of diseases including proper hand hygiene, using personal protective equipment (PPE) correctly, maintaining a clean and sterile environment, and following safety regulations.
NewMedical Assistant (10783) Northern Tier Center for HealthMedical Assistant (10783)Fairfax, VT$17–$28 / hourSpecific duties and responsibilities include but are not limited to: Direct patient care, Room patients, Perform vital signs, Perform injections, Triages medical needs under the direct supervision and collaboration of a Provider, Updates medical data, medications, and health problems in charts, Assists medical providers during procedures and exams, Handles referrals and phone calls to other provider offices for appointments; makes "callbacks" or follow ups for medical concerns as necessary, Collects specimens for outside laboratory testing and performs basic in-house laboratory tests, May execute organization approved standing orders per written procedure, May initiate and/or execute age-appropriate preventive care measures (within scope of practice), Engage patient in self-management action planning, Assists Provider with patient education and instructions, self-management tools, and counseling on healthy behaviors, Effectively communicates with patients using techniques such as motivational interviewing when appropriate, Verifies presence of superbill and checks charts for insurance changes and patient information, Prepares prior authorizations, Transcribes telephone messages from prescription line, Maintains appropriate levels of unexpired medical supplies on crash cart and in clinic, Maintains sanitation of exam rooms and equipment (wipes down thermometers, otoscopes, exam tables, etc. Personal computer, multi-line telephone system, facsimile machine, copier, ECG, stethoscope, scales, blood pressure monitor, needles/syringes, various CLIA waived laboratory testing kits and urinalysis, glucose, and hemoglobin machines.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)VT$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
NewPatient Access Center - Referrals Specialist COMMUNITY HEALTH CENTERS OF THE RUTLAND REGIONPatient Access Center - Referrals SpecialistRutland, VTCOMMUNITY HEALTH: Community Health is a primary care network that provides nationally-recognized programs, a focus on wellness, dental, behavioral health and pediatric specialties, walk-in Express Care, a culture of community and quality health care that almost everyone, insured or uninsured, has come to depend on. Outgoing Referrals / Orders: Team members must compile and review supporting documentation needed to support referrals, provide accurate information and be able to follow refer-to-facility protocols to ensure comprehensive and timely processing.
Director of Revenue Cycle Southwestern Vermont Health CareDirector of Revenue CycleBennington, VT$120,000–$145,000 / yearThe Director of Revenue Cycle is responsible for leading the revenue cycle teams including patient accounting, physician billing office, coding, access services, community wide scheduling and CDI. Emphasis will be on the management and delivery of collections from patients and government/commercial insurance revenue and is responsible for the business analyst function related to the revenue cycle including development and evaluation of business metrics and performance reports and insurance contracts.
Field Reimbursement Manager Immunology Gastroenterology - Albany NY AbbVie IncField Reimbursement Manager Immunology Gastroenterology - Albany NYBurlington, VTThe amount and availability of any bonus, commission,incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless anduntil paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of thisposting based on the job grade for this position.
DIRECTOR OF REVENUE CYCLE Brattleboro Memorial Hospital IncDIRECTOR OF REVENUE CYCLEVT$101,920–$145,579 / yearRESPONSIBILITIES: Contributes to the achievement of excellence in health care by successfully developing and implementing both strategic and operational department goals for his/her department, including but not limited to Operational Improvement, Recruitment & Retention, Staffing, Budget, Quality & Performance Improvement, Team Building & Effective Communication. POSITION SUMMARY: Reporting directly to the Chief Financial Officer (CFO), the Director of Revenue Cycle is responsible for overseeing the development, organization, and management of the full revenue cycle, including Business Office, Coding, Registration, Prior Authorization, and Health Information Management (HIM) services.
Optical Front Office Assistant COMMUNITY HEALTH CENTERS OF THE RUTLAND REGIONOptical Front Office AssistantRUTLAND, VTCOMMUNITY HEALTH: Community Health is a primary care network that provides nationally-recognized programs, a focus on wellness, dental, behavioral health and pediatric specialties, walk-in Express Care, a culture of community and quality health care that almost everyone, insured or uninsured, has come to depend on. ESSENTIAL FUNCTIONS: Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job's purpose and objectives.
Associate Optometrist - LensCrafters - South Burlington, VT EssilorLuxottica SAAssociate Optometrist - LensCrafters - South Burlington, VTSouth Burlington, VTIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Patient Accounts Rep I Rutland Regional Medical CenterPatient Accounts Rep IRutland, VT$19.97–$29.09 / hourRequired Skills, Knowledge, and Abilities • Customer service skills • Attention to detail • Good verbal and written communication skills • Moderate knowledge in Excel, Word and Outlook • Demonstrated moderate knowledge of Basic Computer Skills. The Patient Account Representative is responsible for all or part of the following: invoicing for services, following up with insurance companies, coding, posting of charges, collections, referrals and other duties to assure timely reimbursement to the medical provider.
Field Reimbursement Manager - Kidney (New England - ME, VT, NH, MA, RI, CT) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (New England - ME, VT, NH, MA, RI, CT)VT$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Senior Security Engineer Mach7 TechnologiesSenior Security EngineerBurlington, VermontOur enterprise imaging solutions, including a vendor-neutral archive (VNA), enterprise PACS, the eUnity enterprise diagnostic viewer, and teleradiology workflows, consolidate imaging from across the enterprise into a single, accessible source of truth. About the Role: We're looking for a Senior Security Engineer to lead application security efforts across our product portfolio, spanning web applications, APIs, mobile, embedded software, and shipped product deliverables.
NewSoftware Engineer (Salesforce) (US REMOTE) Motorola Solutions IncSoftware Engineer (Salesforce) (US REMOTE)VTRemote$100,000–$110,000 / yearRequired Skills & Qualifications: Salesforce Certifications (preferred): Salesforce Certified Application Architect, Salesforce Certified Advanced Developer, Salesforce Revenue Cloud Consultant, Salesforce CPQ Specialist, or equivalent. Integration & Maintenance: Design and develop integrations between Salesforce and other enterprise systems (ERP, marketing automation, etc.) using tools like MuleSoft, REST/SOAP APIs, and middleware platforms.
Manager, Healthcare Revenue Cycle KPMG International CooperativeManager, Healthcare Revenue CycleBurlington, VTEpic) Bachelor's degree in a relevant field (e.g., Business Administration, Engineering, Computer Science) Exceptional organizational and time management abilities Strong analytical and problem-solving skills Excellent verbal and written communication skills Proficient in project management software and tools Ability to travel every other week to client site Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Required Qualifications: Minimum of 6 years of experience in Healthcare provider revenue cycle and has served in a Manager capacity Experience in Front End RCM (Insurance Verification, Authorizations, Patient Collections), Coding, CFB/DNFB End-to-end Revenue Cycle experience and knowledge and experience with healthcare provider EHR and revenue cycle management systems (e.g.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)VT$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Salesforce CPQ/Revenue Cloud - Senior Associate PricewaterhouseCoopers LLPSalesforce CPQ/Revenue Cloud - Senior AssociateMontpelier, VT$77,000–$202,000 / yearThese individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
HV Project Manager SOLV Energy LLCHV Project ManagerVTRemote$110,837–$138,547 / yearIn addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting. SOLV Energy is a leading provider of infrastructure services to the power industry, designing, building and maintaining utility scale solar, battery storage and high voltage substation projects nationwide.
Mental Health Therapist THE PSYCHOLOGICAL WELLNESS CLINICMental Health TherapistRandolph, VTRemoteWe are a good match for someone who wants the freedom provided by private practice with the benefits of working for a clinic, such as admin staff, W2, regular pay checks not dependent on when insurance companies reimburse, no hassle of billing insurances and more. The ideal candidate will possess a strong background in mental health counseling and be committed to providing high-quality therapeutic services to individuals facing various mental health challenges.
PATIENT ACCESS REPRESENTATIVE Brattleboro Memorial Hospital IncPATIENT ACCESS REPRESENTATIVEVTSome of the job duties include but are not limited to processing all incoming calls on a multiline phone system, provide information regarding hospital services and events, handles all hospital codes; monitors and responds to all alarm panels. This department is split into two different locations; the Main Building which houses the Switchboard, ED and Main Registration areas and the Richards Building which houses outpatient/lab registration.
NewLPN/Triage Specialist (Gynecology) - FT/80 Springfield Medical Care Systems IncLPN/Triage Specialist (Gynecology) - FT/80Springfield, VT$25.78–$30.51 / hourKnowledge of clinical procedures, such as taking vital signs (temperature, blood pressure, pulse, and respiration rate), collecting patient specimens (blood, urine, etc.) administering medications (under the supervision of a healthcare provider), and assisting with minor surgical procedures. Possesses a thorough understanding of infection control protocols and safety measures to prevent the spread of diseases including proper hand hygiene, using personal protective equipment (PPE) correctly, maintaining a clean and sterile environment, and following safety regulations.
NewLNA/Triage Specialist (Gynecology) - FT/80 Springfield Medical Care Systems IncLNA/Triage Specialist (Gynecology) - FT/80Springfield, VT$20.40–$24.75 / hourKnowledge of clinical procedures, such as taking vital signs (temperature, blood pressure, pulse, and respiration rate), collecting patient specimens (blood, urine, etc.) administering medications (under the supervision of a healthcare provider), and assisting with minor surgical procedures. Possesses a thorough understanding of infection control protocols and safety measures to prevent the spread of diseases including proper hand hygiene, using personal protective equipment (PPE) correctly, maintaining a clean and sterile environment, and following safety regulations.
Clinic Access Specialist Rutland Regional Medical CenterClinic Access SpecialistRutland, VT$19.97–$29.09 / hourRequired Licenses/Certifications PACS (Prior Authorization Certification Specialist) Preferred Required Skills, Knowledge, and Abilities Basic Microsoft Windows desktop application and navigation skills. This position supports new patients attempting to navigate medical insurance benefits and financial assistance opportunities in regard to their treatment plan/services as well as adding expertise, research and problem solving to those involved in the billing process.
NewFinancial Manager II State of VermontFinancial Manager IIWaterbury, VTBachelor''s degree in accounting or a bachelor''s degree in any discipline that includes or is supplemented by 20 credit hours in accounting AND two (2) years or more of professional level accounting, budgeting, fiscal auditing, fiscal analysis, federal program fiscal administration or other professional level fiscal operations experience which has included experience managing programs, funding sources or staff. Bachelor''s degree in any discipline AND four (4) years or more of professional level accounting, budgeting, fiscal auditing, fiscal analysis, federal program fiscal administration or other professional level fiscal operations experience which has included experience managing programs, funding sources or staff.
Senior Renewal Plan Build CVS Health CorpSenior Renewal Plan BuildMontpelier, VT$46,988–$122,400 / yearContributes to the success of the team and individual team members by sharing knowledge, information, experience, skill, and creative ideas within and across teams; build relationships, give and seek input from others, cross-trains to other departments, ability to assist others in complex builds, quality reports and projects to achieve goals. Executes system setup and mapping of client level benefits to align with industry coding (ICD 10, Place of service, Healthcare Reform, etc.), this is similar to entry level IT programming.