NewRN, DRG Coder / Clinical Auditor Pivotal Placement ServicesRN, DRG Coder / Clinical AuditorBaton Rouge, LA$90,000–$104,841 / yearHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals—from staff to leadership—with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.
Medical Billing Office Specialist Pathology Group of LouisianaMedical Billing Office SpecialistBaton Rouge, LAFull timeAt Pathology Group of Louisiana , our mission is to provide the finest quality pathology services to patients, referring physicians, outpatient surgery centers and hospitals with the greatest accuracy in the most cost-effective manner as rapidly as possible. • Work the Demographic Queue to verify and update patient personal and payer-related information prior to claim creation and submission, ensuring accurate billing data and minimizing insurance rejections and denials.
Medical / Healthcare - CW Medical Appeals Representative MindlanceMedical / Healthcare - CW Medical Appeals RepresentativeBaton Rouge, LAIndividual contributor role with no direct reports Reports to: Supervisor, Medical Appeals Operates in a high-volume, deadline-driven environment requiring independent work and prioritization. Supports departmental workflow by organizing, distributing, and tracking appeals while ensuring compliance with PPACA, Department of Insurance (DOI), and URAC guidelines.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTBaton Rouge, LARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusBaton Rouge, LARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
NewProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTBaton Rouge, LARemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewChargemaster Revenue Cycle Specialist FMOL HealthChargemaster Revenue Cycle SpecialistBaton Rouge, LAAssists the billing personnel in resolving third party payor billing problems and works to streamline the revenue cycle in coordination with Department Managers, Business Office, HIM and Managed Care to increase charge capture, receive accurate payments from payers and minimize claim denials. The Chargemaster monitors and maintains the hospital departmental chargemasters to ensure that the coding of new and existing charge codes are within applicable coding guidelines, provides reimbursement analysis, assists with billing edit resolution and provides coverage guidelines for billable services.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Baton Rouge, LARemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Senior Clinical Documentation Integrity Specialist Blue Cross and Blue Shield of LouisianaSenior Clinical Documentation Integrity SpecialistBaton Rouge, LAPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._. The Senior Clinical Documentation Integrity Specialist ensures accurate, complete, and compliant clinical documentation that appropriately reflects severity of illness, risk of mortality, and supports correct reimbursement.
NewRevenue Cycle Specialist - Lab LED FastStartRevenue Cycle Specialist - LabBaton Rouge, LAThis position is responsible for ensuring accurate front-end processes for laboratory patients-including registration, insurance verification, and medical necessity/ABN workflows-while also supporting downstream billing, coding, reimbursement, and denial management. The role requires a strong understanding of lab operations, CPT/HCPCS and ICD-10 coding, ABN regulations, payer policies, and the communication skills necessary to collaborate with physicians and clinical staff.
Medical Assistant Humana IncMedical AssistantPrairieville, LA$43,000–$56,200 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. The Medical Assistant 2 performs clinical duties such as discussing symptoms, obtaining vital signs, medication/vaccine administration, phlebotomy, collecting specimens, performing diagnostic screening tests, sterilizing/cleaning equipment, maintaining examination rooms, and documenting information into the electronic medical records system.
Benefits Administration - CW Claims Specialist II MindlanceBenefits Administration - CW Claims Specialist IIBaton Rouge, LANecessary Contacts: To effectively fulfill this position, Claims Specialist II must be in contact with personnel in other Units: Various internal departments and staff including, but not limited to, Provider Services, Legal, Internal Audit, IT, other Benefits Operations Management and staff, Enrollment and Billing, Administrative Services, and District Offices. " High School Diploma or equivalent required Work Experience " 2 years in medical claims processing required " Coordination of Benefits (COB) processing experience preferred Skills and Abilities " Strong analytical ability, that includes strong logical, systemic, and investigates thinking.
NewHealth & Safety Specialist - South Region Air Products and Chemicals IncHealth & Safety Specialist - South RegionPrairieville, LAParticipate in planning high-risk, non-routine work such as confined space entry, excavations, complex energy isolations, crane activities, and similar activities to ensure hazards are fully identified and controlled before and during the work. When we come together - where every voice is heard and everyone knows they belong and matter - we create solutions that launch people into space, support lifesaving care in hospitals, and enable the construction of groundbreaking, world scale production facilities.
NewMedical Assistant CenterWellMedical AssistantPrairieville, LouisianaAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. The Medical Assistant 2 performs clinical duties such as discussing symptoms, obtaining vital signs, medication/vaccine administration, phlebotomy, collecting specimens, performing diagnostic screening tests, sterilizing/cleaning equipment, maintaining examination rooms, and documenting information into the electronic medical records system.
NewFood Service Specialist 5 State Of LouisianaFood Service Specialist 5Jackson, LA$2,432–$4,375As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program: Insurance Coverage More information can be found at https://info.groupbenefits.org/ . Day, Mardi Gras, Good Friday, Memorial Day, Independence Day, Labor Day, Veterans Day, Thanksgiving Day and Christmas Day.
Account Servicing Specialist Pelican State Credit UnionAccount Servicing SpecialistBaton Rouge, LAThrough various communication channels, including phone and text, the selected candidate will be responsible for delivering exceptional account servicing support to credit union members, various departments, and branches. This role involves handling a diverse range of specialized accounts and tasks related to deceased accounts, IRAs, credit bureau disputes, and other account-related matters.
Certified Peer Support Specialist Acadia Healthcare Co IncCertified Peer Support SpecialistBaton Rouge, LAActs as a liaison between patients, clinical team and community resources including but not limited to: Assisting patients in seeking and receiving services to meet their individual social needs and provides support to facilitate patient success to maintain recovery. Your Job as a Peer Support Specialist/Recovery Coach: Peer Support Specialist supports and assist patients in their recovery from Opioid Use Disorder to break down barriers to treatment and bridge together the varying entities that help an individual maintain productive, long-term recovery.
Store Protection Specialist Ross Stores IncStore Protection SpecialistBaton Rouge, LAThe Specialist makes eye contact, smiles, and greets all Customers in a prominent, courteous and friendly manner deterring opportunity for theft by demonstrating "command" presence in a Company issued vest/required black attire, and monitoring the Code 50 package inspection policy. Provides visible "command" presence, including prominent greetings with eye contact, at Store entrances/exits and on sales floor in a Company issued vest/required black attire, monitoring for potential safety issues.
Associate Interventional Specialist (Baton Rouge, LA) Globus Medical IncAssociate Interventional Specialist (Baton Rouge, LA)Baton Rouge, LAQualifications: 1-2 years' successful spinal cord stimulation or interventional spine sales experience preferred, may consider other healthcare related sales and or business to business sales experience. Essential Functions: Gains and consistently increases product knowledge through formal sales training; physician speaker programs, attends surgeries/procedures, and industry research.
Senior Clinical Specialist, Interventional Solutions, Baton Rouge, LA Boston Scientific CorpSenior Clinical Specialist, Interventional Solutions, Baton Rouge, LABaton Rouge, LAThe anticipated annualized base amount or range for this full time position will be $110,000, plus variable compensation governed by the Sales Incentive Compensation Plan (which includes certain annual non-discretionary incentives based on predetermined objectives) as well as the value of core and optional benefits offered at BSC, which can be reviewed at www.bscbenefitsconnect.com. About the role: As an Interventional Solutions Senior Clinical Specialist, you will play a critical role in advancing patient care through clinical expertise, customer education and procedural support across Boston Scientifics comprehensive Interventional Solutions portfolio.
Safety and Occupational Health Specialist U.S. Department of LaborSafety and Occupational Health SpecialistBaton Rouge, LA$50,460–$137,128 / yearOR Substitution of Experience: Two years of graduate education or a Masters degree in safety or occupational health fields (safety, occupational health, industrial hygiene) or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following or closely related disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology. Undergraduate and Graduate Education: Major study in safety or occupational health fields (safety, occupational health, industrial hygiene) or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following or closely related disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology.
LOGISTICS MANAGEMENT SPECIALIST (TITLE 32) United States ArmyLOGISTICS MANAGEMENT SPECIALIST (TITLE 32)Baton Rouge, LA$61,722–$80,243 / yearAREA OF CONSIDERATION: This position is in the Excepted Federal Civil Service "under the authority of 32 U.S.C. 709" and is open to Category 1: All permanent/indefinite (T32 and T5) technicians employed by the agency Category 3: All current military members of the Florida National Guard; and Category 4: All individuals who qualify for membership in the Florida National Guard and are willing to become T32 Dual Status technicians. If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires that you be registered or you are not eligible for appointment in this agency ( https://www.sss.gov/RegVer/wfRegistration.aspx ).
NewSUPERVISORY HR SPECIALIST (MILITARY) (TITLE 32) United States Air ForceSUPERVISORY HR SPECIALIST (MILITARY) (TITLE 32)Baton Rouge, LA$74,678–$97,087 / yearAREA OF CONSIDERATION: This position is in the Excepted Federal Civil Service "under the authority of 32 U.S.C. 709" and is open to Category 1: All permanent/indefinite (T32 and T5) technicians employed by the agency Category 3: All current military members of the Florida National Guard; and Category 4: All individuals who qualify for membership in the Florida National Guard and are willing to become T32 Dual Status technicians. If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires that you be registered or you are not eligible for appointment in this agency ( https://www.sss.gov/RegVer/wfRegistration.aspx ).
Technical Support Specialist Louisiana Community & Technical College SystemTechnical Support SpecialistBaton Rouge, LANote: Any college coursework or degree used to meet qualification requirements must be earned from an institution accredited by one of the following regional accrediting organizations: the Middle States Commission on Higher Education (MSCHE), the New England Commission of Higher Education (NECHE), the Higher Learning Commission (HLC), the Northwest Commission on Colleges and Universities (NWCCU), the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC), or the WASC Senior College and University Commission (WSCUC). Benefits offered include retirement, multiple medical insurance options, supplemental insurances (dental, term life, disability, accident, vision, etc.), Tax Saver Flexible Benefits Plan (saves tax dollars on some childcare and medical expenses), holidays (14 per year, typically includes longer break at Christmas), generous annual (vacation) and sick leave benefits and Employee Assistance Program.
Technical Support Specialist Job DetailsTechnical Support SpecialistBaton Rouge, LouisianaNote: Any college coursework or degree used to meet qualification requirements must be earned from an institution accredited by one of the following regional accrediting organizations: the Middle States Commission on Higher Education (MSCHE), the New England Commission of Higher Education (NECHE), the Higher Learning Commission (HLC), the Northwest Commission on Colleges and Universities (NWCCU), the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC), or the WASC Senior College and University Commission (WSCUC). Benefits offered include retirement, multiple medical insurance options, supplemental insurances (dental, term life, disability, accident, vision, etc.), Tax Saver Flexible Benefits Plan (saves tax dollars on some childcare and medical expenses), holidays (14 per year, typically includes longer break at Christmas), generous annual (vacation) and sick leave benefits and Employee Assistance Program.
Area Health Information Specialist I DatavantArea Health Information Specialist IZachary, LouisianaGuided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
TMBC Service Specialist FT BPS Direct LLCTMBC Service Specialist FTDenham Springs, LAAssists with warranty repair authorization and related IDS work order creation, the receiving and sale of parts within the IDS dealer management system and the accepting parts and work order payments, compiling daily batch report and till reconciliation. Assists Service Manager with the creation of related IDS work order and with keeping customers informed of estimates for needed repairs and progress toward their completion.
Clinical Tech. (Medical Assistant)-Float Fast Pace HealthClinical Tech. (Medical Assistant)-FloatWatson, LouisianaAbility to maintain the overall cleanliness of the office as needed to support the team and clinic environment, which may include, but not be limited to, taking out garbage, organization and cleanliness of desk, patient and office space and assistance with other team members to achieve a strong professional appearance for our employees, patients and visitors. (Medical Assistant)-Float Overview: At Fast Pace Health, Clinical Techs provide clinical and administrative support essential for effective patient care under the direct supervision of a Provider, Nurse Practitioner or Physician Assistant.
NewParts Specialist OReilly Auto PartsParts SpecialistBaton Rouge, LAProvide excellent service to customers calling the store on the phone by answering all calls according to company policy, accurately looking up parts and quote prices, recommending premium and related items, and offering the Low-Price Guarantee. Perform various in-store services for customers (where state and local laws allow) - (i.e. install wipers, test and charge batteries, test charging system, scan vehicle trouble codes, replace headlight capsules, etc.).
Area Health Information Specialist I Datavant LLCArea Health Information Specialist IZachary, LAGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
Parts Specialist O'Reilly Automotive IncParts SpecialistZachary, LASKILLS/EDUCATION/KNOWLEDGE/EXPERIENCE/ABILITIESRequired: Ability to quickly match alphanumeric sequencesAbility to provide outstanding, friendly and professional customer serviceMust be able to multitask, handling customers on the phone and in the store at the same timeDesired: Familiar with automotive parts, cataloging, weatherly index system, and automotive sales or serviceASE certificationFluency in multiple languages (Spanish is highly desired)O'Reilly Auto Parts has a proven track record of growth and stability. Provide excellent service to customers calling the store on the phone by answering all calls according to company policy, accurately looking up parts and quote prices, recommending premium and related items, and offering the Low-Price Guarantee.
Parts Specialist-2 O'Reilly Automotive IncParts Specialist-2Baton Rouge, LAProvide excellent service to customers calling the store on the phone by answering all calls according to company policy, accurately looking up parts and quote prices, recommending premium and related items, and offering the Low-Price Guarantee. Perform various in-store services for customers (where state and local laws allow) - (i.e. install wipers, test and charge batteries, test charging system, scan vehicle trouble codes, replace headlight capsules, etc.).
Product Support Specialist II (MicroGrid, Power Gen, Switchgear, PLC) PowerSecure, Inc.Product Support Specialist II (MicroGrid, Power Gen, Switchgear, PLC)LAIf travel is necessary then work environment will include exposure to weather, extreme heat or cold, noise intensity level, atmospheric conditions, exposure to electrical shock, exposure to toxic or caustic chemicals, wet and/or humid, vibration, proximity to moving mechanical parts, working high exposed places. Dedicated to being customer focused by meeting the required expectations, maintaining high decision quality by using work experience, systematic analysis, and engineering support to make valuable and safe decisions, while excelling at problem solving by using logic and time proven methods to effectively resolve any problem.
Product Support Specialist II (MicroGrid, Power Gen, Switchgear, PLC) Southern CoProduct Support Specialist II (MicroGrid, Power Gen, Switchgear, PLC)Baton Rouge, LAIf travel is necessary then work environment will include exposure to weather, extreme heat or cold, noise intensity level, atmospheric conditions, exposure to electrical shock, exposure to toxic or caustic chemicals, wet and/or humid, vibration, proximity to moving mechanical parts, working high exposed places. Dedicated to being customer focused by meeting the required expectations, maintaining high decision quality by using work experience, systematic analysis, and engineering support to make valuable and safe decisions, while excelling at problem solving by using logic and time proven methods to effectively resolve any problem.
Reporting Specialist MaximusReporting SpecialistBaton Rouge, LAFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
Coder 3 - Hospital FMOL HealthCoder 3 - HospitalBaton Rouge, LAExperience - RHIT/RHIA plus 5 years of acute care coding experience, or RHIT/RHIA with ICD-10 curriculum plus 3 years of acute care coding experience, or 7 years acute care coding experience; CCS substitutes for 1 year of acute care coding experience. The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerBaton Rouge, LARemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Oncology Claims Analyst 1 FMOL HealthOncology Claims Analyst 1Baton Rouge, LAReviews and audits codes (CPT, ICD 10, HCPC, Level II, and modifier coding, etc.) and is expert on prior authorization using FDA, National Comprehensive Cancer Network (NCCN), and American Society of Clinical Oncology (ASCO) for specialty practices like inpatient chemotherapy hospitalizations, outpatient oncology visits, hospital based outpatient infusion centers for both oncology and non-oncology patients. Works closely and consistently with major pharmaceutical companies on new drug treatment guidelines/pathways, drug replacement programs, and Southern Oncology Association of Practices (SOAP) to determine business best practices and clinical education opportunities for physicians/providers.
Supervisor, Provider Disputes Blue Cross and Blue Shield AssociationSupervisor, Provider DisputesBaton Rouge, LAPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Necessary Contacts: In order to effectively fulfill this position, this position must be in contact with: Various internal and external entities including, but not limited to, all levels of BCBSLA personnel, attorneys, group leaders, members, hospitals, physician offices, and DOI.
Supervisor, Provider Disputes Blue Cross and Blue Shield of LouisianaSupervisor, Provider DisputesBaton Rouge, LouisianaPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Necessary Contacts: In order to effectively fulfill this position, this position must be in contact with: Various internal and external entities including, but not limited to, all levels of BCBSLA personnel, attorneys, group leaders, members, hospitals, physician offices, and DOI.