NewDevelopmental Disabilities Specialist - Bilingual Lane County GovernmentDevelopmental Disabilities Specialist - BilingualDevelopmental Disabilities Services, ORTemporaryLane County Developmental Disabilities Services strives to provide a responsive, cooperative lifespan delivery system of support, training, care, monitoring, protection and crisis response for persons with developmental disabilities and their families. Lane County Developmental Disabilities Services is seeking compassionate, motivated individuals to join our team as Developmental Disabilities Specialists - Bilingual (Spanish).
NewDevelopmental Disabilities Specialist Lane County GovernmentDevelopmental Disabilities SpecialistDevelopmental Disabilities Services, ORTemporaryLane County Developmental Disabilities Services strives to provide a responsive, cooperative lifespan delivery system of support, training, care, monitoring, protection and crisis response for persons with developmental disabilities and their families. About the Position Lane County Developmental Disabilities Services is seeking compassionate, motivated individuals to join our team as Developmental Disabilities Specialists.
Medical Coder III, Inpatient Hospital Coding (Must reside in KPNW region) Kaiser PermanenteMedical Coder III, Inpatient Hospital Coding (Must reside in KPNW region)Portland, OR$37.59Completes medical coding by: translating clinical information into coded data to enter appropriate codes for diagnoses, procedures, and other services rendered, following coding guidelines for the most current version of the International Classification of Diseases Clinical Modification (ICD-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II for patient encounters; identifying and assigning appropriate codes for diagnoses, procedures, and other services rendered independently; resolving coding issues through partnership with clinicians, department administration, and other coding staff based on review, coding guidelines, and queries or issues with practitioner-submitted medical codes to reduce denials and improve time to submission; and assisting team members with providing consultation to staff and care providers on all coding and documentation questions. Additional Requirements: Knowledge, Skills, and Abilities (KSAs): Medical Coding; Medical Terminology; Health Care Coding; Time Management; Compliance Management; Quality Assurance and Effectiveness; Health Records; Health Information Systems; Data Quality; Data Entry; Maintain Files and Records.
Utilization Review Specialist St. Charles Health SystemUtilization Review SpecialistBend, OR$27.74–$41.61 / hourIn addition, the Utilization Review Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (i.e. Physicians, Case Managers, Social Workers, etc.) or interdependent departments (i.e. Patient Access, Billing, etc.) to avoid unnecessary delays in patient care, discharge, or billing. The UM Department supports physicians and clinical staff in identifying and improving care processes and systems for establishing and ensuring medical necessity, appropriate utilization of services, supporting denial avoidance and recovery and compliance with all local, state, and federal regulations.
NewEstimate Review Specialist Sr. (Repair Solutions) Sedgwick Claims Management Services, Inc.Estimate Review Specialist Sr. (Repair Solutions)OR$55,000–$57,000 / yearPRIMARY PURPOSE: To review all estimates and supporting documentation submitted by contractors/adjusters, using Xactimate, Symbility, and other estimating applications; to ensure estimates follow client and regulatory requirements and meet Sedgwick Repair Solutions' guidelines while replacing a field adjuster if needed, and to serve as a subject matter expert on property restoration scope. Required/Preferred Experience: Candidates should have experience in one or more of the following areas: interior and exterior property restoration, roofing, water mitigation, mold remediation, fire and smoke damage restoration.
Utilization Review Specialist Charlie HealthUtilization Review SpecialistRemote, ORRemotep> By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service. . Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota.
NewBusiness Banking Credit Review Specialist U.S. BancorpBusiness Banking Credit Review SpecialistGresham, OR$28.27–$37.69 / hourIn addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Monitors customer accounts and/or loan portfolios in order to identify potential issues and thereby maximize credit quality and minimize the company's credit risk and potential loss.
Credit Review Specialist 2 U.S. BancorpCredit Review Specialist 2Gresham, OR$25.77–$34.33 / hourIn addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Helping the customers and businesses we serve to make better and smarter financial decisions, enabling the communities we support to grow and succeed in the right ways, all more confidently and more often-that's what we call the courage to thrive.
Medical Records Specialist - Tigard, OR Coloplast CorpMedical Records Specialist - Tigard, ORTigard, ORReview each medical record for missing documentation; check physician's notes for appropriate diagnosis to justify Comfort Medical's service; verify that the correct person has signed all paperwork such as physician's orders, and other documentation requiring signature. Our attention to detail, unmatched customer service, and dedication to helping our customers live happier, healthier lives are just a few of the many reasons we are one of the fastest growing catheter and ostomy supply companies in the nation!
Medical Billing Specialist Ultimate Staffing ServicesMedical Billing SpecialistTigard, or, Oregon$27–$29 / hourThe ideal candidate will bring a strong background in medical billing and coding, along with exceptional attention to detail to ensure accurate and compliant billing processes. Collaborate with healthcare providers to clarify billing issues and ensure timely claim submission.
Medical Assistant - Heart & Lung Specialists St. Charles Health SystemMedical Assistant - Heart & Lung SpecialistsBend, OR$24.93–$31.91 / hourLICENSURE/CERTIFICATION/REGISTRATION: Required: Current MA Certification from one of the following: The American Medical Technology Association (AMT), The National Center for Competency Testing (NCCT), The American Association of Medical Assistants (AAMA), The National Association for Health Professionals (NAHP) Certification, National Healthcareer Association (NHA) or current Oregon licensure as an intermediate or paramedic level EMT, LPN, RN, or Athletic Trainer. Charles Health System encompassing practices in three Central Oregon counties and numerous specialties including orthopedic services, family care, internal medicine, obstetrics and gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, behavioral health, and sleep medicine.
Social Services Specialists - Medical Oncology St. Charles Health SystemSocial Services Specialists - Medical OncologyBend, OR$40.75–$61.14 / hourThese departments provide system-wide support including, but not limited to working with a multi-disciplinary team to assess needs of patients and families, provide supportive assessments, therapeutic interventions, counseling resource referrals, care coordination for hospice, and long-term care placement funding and services. DEPARTMENT SUMMARY: St. Charles Health System's Social Services Specialist may support any one, or a combination of the following social services departments: Emergency Room, Family Birthing, NICU, Pediatrics, Inpatient Medical Units, Inpatient Rehabilitation, Hospice, Home Health, or Behavioral Health.
NewMedical Case Manager - Clinical Services Specialist - Temporary Multnomah County (OR)Medical Case Manager - Clinical Services Specialist - TemporaryPortland, OR$41.45–$50.97 / hourProvides interventions utilizing Motivational Interviewing, Assertive Engagement, trauma-informed approaches, stages of change and psycho-education skills and knowledge to support clients to increase their motivation to address behavioral changes, improve overall health, learn problem solving skills, to improve daily living skills, and to manage emotional and behavioral crises. Evaluates areas such as alcohol and drug use, HIV prevention, mental health, suicide risk, substance use, social determinants of health, psychosocial issues, cognitive functioning, housing needs, intimate partner violence, and other issues affecting the client's participation in medical care and HIV medication adherence.
NewRN Utilization Review St. Charles Health SystemRN Utilization ReviewBend, OR$48.30–$72.45 / hourThe UM Department supports physicians and clinical staff in identifying and improving care processes and systems for establishing and ensuring medical necessity, appropriate utilization of services, supporting denial avoidance and recovery and compliance with all local, state and federal regulations. Assists in the collection and reporting of resource and financial indicators including LOS, cost per case, avoidable days, resource utilization, readmission rates, concurrent denials, and appeals.
Pharmacy Technician - Claims Review Consonus PharmacyPharmacy Technician - Claims ReviewPortland, OregonFull timeAs the Claims Review Specialis t, your responsibilities will include prior authorizations, answering questions regarding prior authorizations, apply for prior authorizations and communicate with facilities and physicians, work daily rejects, communication with internal departments. Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTSalem, ORRemote$35–$45 / hourBy joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.* 2,500 Sign on Bonus **As 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. Systems: Cerner PowerChart, 3M360.What you will bring to the table:3+ years experience coding and auditingAssociate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCSPreferred: CCS, RHIT, or RHIA credentials.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusSalem, ORRemote$35–$45 / hourWhat You Will Do:Performs inpatient facility coding audits according to scope of work, for the purpose of onboarding, focused, service level agreements or other types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. As 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, and coding workflow operations reviews.
NewDevelopmental Disabilities Specialist - Bilingual Lane County, ORDevelopmental Disabilities Specialist - BilingualEugene, OR$30.29–$40.43 / hourLane County Developmental Disabilities Services strives to provide a responsive, cooperative lifespan delivery system of support, training, care, monitoring, protection and crisis response for persons with developmental disabilities and their families. EXAMPLES OF DUTIES: In addition to the regular knowledge, skills, and abilities required of the employees main classification, the bilingual duties of this adjunct classification may include, but are not limited to the following: Interpreting between English speakers and LEP persons.
NewDevelopmental Disabilities Specialist Lane County, ORDevelopmental Disabilities SpecialistEugene, OR$28.79–$38.47 / hourLane County Developmental Disabilities Services strives to provide a responsive, cooperative lifespan delivery system of support, training, care, monitoring, protection and crisis response for persons with developmental disabilities and their families. The plan options and costs per month for 2026 are outlined below: If you enroll in the HDHP the County will contribute to your HSA: For eligible members of unions LCPOA, 626, Admin Pro, and AFSCME Physicians $1,700 for individual coverage and $3,400 for family coverage.
Registered Nurse/Clinical Documentation Specialist IMCS Group IncRegistered Nurse/Clinical Documentation SpecialistBeaverton, ORRemoteConsults with physicians, medical directors, or physician committees regarding requested health services, or appropriateness of services which have already been rendered, or on medical policy issues including interpretation or revision of existing documents. In addition, the position is responsible for providing medical treatment reviews, case management, and treatment interventions the promote cost effective medical care and early return to work in workers' compensation cases.
CHARGE CAPTURE SPECIALIST The Coos, Lower Umpqua and Siuslaw IndiansCHARGE CAPTURE SPECIALISTCoos Bay, ORTwo (2) years of experience in healthcare revenue cycle operations, including professional charging, claims billing, coding, Charge Master maintenance, audit support, accounts payable/receivable, and regulatory experience. Collaborates efficiently and effectively while consistently demonstrating professionalism and maintaining positive, respectful relationships with internal teams, external partners, and Tribal members.
Radiation Medicine Coder (Coding Specialist 3) Oregon Health & Science UniversityRadiation Medicine Coder (Coding Specialist 3)Portland, OregonMonitor coding and billing information from CMS guidelines, Professional licensing organizations, Internal communication memos, and transmittals from coding publishers and governmental agencies to advise facility and team of billing practice changes in CPT, ICD-10-CM, and HCPCS and ensure changes are implemented to maximize revenue and reflect medical evaluation of patient encounters. Depending on posted job need, assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or surgical coding.
PACE Health Information Management Specialist PacificSource Health PlansPACE Health Information Management SpecialistSpringfield, OR$35,542.81–$56,868.50 / yearWe are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Perform specialized health information management (HIM) tasks, including obtaining external records, processing release of information (ROI), and managing telephone/after-hours documentation.
Sr. Supply Quality Specialist Reser's Fine Foods, Inc.Sr. Supply Quality SpecialistBeaverton, ORFull timeThe role owns creating and maintaining corporate food safety procedures, food fraud reviews ingredient specifications, performing ingredient food safety approvals, food safety audits for internal, co-manufacturers, and supplier facilities and maintaining the compliance to the food safety vendor approval program. Essential Position Functions: • Critically evaluate vendor ingredient specifications and food safety practices for compliance with federal food safety requirements such as: FDA Seafood HACCP, USDA Hazard Analysis Critical Control Point Systems, and Food Safety Modernization Act, as well as review 3rd party audits such as SQF and BRC.
Associate Clinical Specialist - Portland, OR Meta Dynamic IncAssociate Clinical Specialist - Portland, ORPortland, OR$60,000–$65,000 / yearThe Surgical Navigation Clinical Specialist provides real-time, intraoperative support to surgeons using advanced image-guided navigation technology across neurosurgery, spine, and ENT procedures. The ideal candidate thrives in high-pressure environments, demonstrates strong clinical and technical judgment, and operates as a trusted partner within the operating room.
Medical Laboratory Scientist or Technician St. Charles Health SystemMedical Laboratory Scientist or TechnicianBend, OR$37.73–$56.60 / yearDEPARTMENTAL SUMMARY: The laboratory departments provide many services to our multi-hospital organization and outreach community including: blood collection, processing, testing, and reporting of results, spanning all disciplines of laboratory medicine. Keyboard operation Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.
Medical Laboratory Scientist II (MLS) Hillsboro Tuality HealthcareMedical Laboratory Scientist II (MLS)Hillsboro, OR$40.79–$59.17 / hourParticipates in the solution of technical problems requiring a great degree of independent judgment and critical thinking, assists in the development of testing, monitors quality control, participates in training, and fulfills charge technologist duties in absence of laboratory management. The Medical Technologist II/Medical Laboratory Scientist performs a variety of routine and complex tests at a professional level and provides data used in the diagnosis, evaluation, and treatment of human illnesses and diseases in one or more sections of the laboratory.
Medical Lab Scientist or Technician - Float St. Charles Health SystemMedical Lab Scientist or Technician - FloatOR$37.73–$56.60 / hourDEPARTMENTAL SUMMARY: The laboratory departments provide many services to our multi-hospital organization and outreach community including: blood collection, processing, testing, and reporting of results, spanning all disciplines of laboratory medicine. LICENSURE/CERTIFICATION/REGISTRATION: Required: Current national certification or licensure at the Technologist/Scientist level by one or more of the following accredited credentialing agencies: ASCP, AMT, AAB, HEW and California Department of Health Services.
Forensic & Civil Commitment Administrative Coordinator-Administrative Specialist 2-Oregon State Hospital-Salem State of OregonForensic & Civil Commitment Administrative Coordinator-Administrative Specialist 2-Oregon State Hospital-SalemSalem, OR$4,312–$5,988This position assists the Director and Associate Directors of Social Work by providing high level administrative support to the Social Work Department to include responding to questions from hospital staff, community mental health providers, attorneys, district attorneys, law enforcement officers and other interested parties regarding the Civil Commit hearing process and its applicable policies and procedures as a contributing member of the Chief Medical Office Administration. 370 Ready to Place documents, and in working directly with the courts and county offices requesting and providing information, working directly with social workers and psychiatric providers by providing training to ensure compliance in Oregon Revised Statutes of civil commit regulations and explaining policies and procedures by reviewing documentation for accuracy and compliance of OARs.
Medical Director-Case Management Samaritan Health ServicesMedical Director-Case ManagementCorvallis, ORJOB SUMMARY/PURPOSEHas the overall responsibility for providing medical direction, input into policy/ procedure development, participation in performance monitoring including organization-wide quality improvements and promotes and supports educational growth from the staff and community. DEPARTMENT DESCRIPTIONThe Utilization Management team is a centralized team of physicians, nurses and specialists that perform admission and continued stay compliance reviews for all Samaritan Hospitals.
Family Support Specialist CCSWWFamily Support SpecialistPortland, Oregon$32.76–$36.44 / hourFull timeUsing clinical tools in “Practice Wise” (treatment strategies manual) plan treatment sessions for children and youth identifying evidenced based services to address behavioral health needs and provide those services directly to youth in the home and community. Bachelor's Degree in social work, psychology, human development or related field or Associate degree in social services, mental health or related degree and three years’ experience serving children and/or families (mental health, social services, education, etc.) may substitute for Bachelor's Degree.
Radiology Scheduling Specialist Curry Health NetworkRadiology Scheduling SpecialistBrookings, OregonThis job requires exposure to the following environmental conditions: None of the time: Extreme heat/cold; Wet/humid; fumes/airborne particles; work with explosives; vibration; outdoor weather; Working near moving mechanical parts; Toxic or caustic chemicals; Risk of electrical shock . Under the general supervision of the Patient Contact Center Supervisor, the Radiology Scheduling Specialist’s primary function is to utilize communication and management skills to coordinate seamless care delivery for patients.
Family Support Specialist CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTONFamily Support SpecialistPortland, OR$31.50–$35.04 / hourUsing clinical tools in "Practice Wise" (treatment strategies manual) plan treatment sessions for children and youth identifying evidenced based services to address behavioral health needs and provide those services directly to youth in the home and community. Bachelor''s Degree in social work, psychology, human development or related field or Associate degree in social services, mental health or related degree and three years' experience serving children and/or families (mental health, social services, education, etc.) may substitute for Bachelor''s Degree.
Inpatient Coder (Coding Specialist 3) Oregon Health & Science UniversityInpatient Coder (Coding Specialist 3)Portland, ORRemoteCoding certification from AAPC or AHIMA: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in ICD-10.
Family Medicine Coder (Coding Specialist 2) Oregon Health & Science UniversityFamily Medicine Coder (Coding Specialist 2)Portland, OregonAssign correct CPT, ICD-10-CM, and HCPCS codes for professional charges, which could include all E&M services including outpatient and inpatient; diagnostic services; procedural services; and/or Charge Routers and Charge entry. Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned professional services at OHSU.
Contract Specialist US Department of EnergyContract SpecialistThe Dalles, OR$89,508–$130,786 / yearTo apply for this position, you MUST provide a complete application package which includes: Your two (2) page RESUMEshowing all relevant work experience (paid and unpaid) including: duties performed; full name and address of each employer; start and end dates (month/day/year); work schedule (part-time, full-time, number of hours if intermittent); salary; and any completed education and training (program title, subject area, number of hours completed, and completion date). Specialized experience for this position is defined as: 1) administering contracts requiring special handling provisions or specialized terms and conditions that may include technical equipment; 2) analyzing work requirements in order to draft, make amendments, or modifications to solicitations or executed contracts; and 3) negotiating with potential contractors or business partners to award contracts in the most effective manner.
Payroll Specialist with F.D. Thomas, Inc. ASRC IndustrialPayroll Specialist with F.D. Thomas, Inc.Medford, ORFull timeValidates payroll liabilities by approving the calculation of employee federal and state income and social security taxes, and employer's social security, unemployment, and workers compensation payments. Surrounded by vineyards, scenic valleys, and iconic destinations like Crater Lake, this region is ideal for those who enjoy both professional growth and an active lifestyle.
Care Coordinator (Medical Receptionist/PSR) ProActive Physical Therapy SpecialistsCare Coordinator (Medical Receptionist/PSR)Bend, OregonFull timeThis is a fast-paced, multi-tasking role where no two days look the same, and where your ability to stay calm, follow through, and take ownership makes a direct impact on patients and the clinical team. Overview: ProActive Physical Therapy Specialists a member of the Confluent Health family, is looking for a Full Time Front Desk Medical Receptionist to join our North Bend team!
Intracept Clinical Specialist - Portland, OR Boston Scientific CorpIntracept Clinical Specialist - Portland, ORPortland, ORThe anticipated annualized base amount or range for this full time position will be $90,000, 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. Code § 2.2-4312 (2000), Boston Scientific is providing notification that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and that violations will result in disciplinary action up to and including termination.
Longevity Medical Provider Skin by LovelyLongevity Medical ProviderLake Oswego, ORThe Longevity Medical Provider will play a key leadership role in advancing and overseeing our longevity services, including peptide therapy programs, the launch and management of hormone replacement therapy (HRT), and the delivery of advanced facial injectables. Through our sister company, InjectionU, and the support of other educational providers, we are also able to act as an educational center by providing comprehensive, hands-on training, for health care providers new to medical aesthetics, including newly hired Skin by Lovely Injection Specialists.
Medical Laboratory Scientist CommonSpirit HealthMedical Laboratory ScientistPendleton, ORCHI St. Anthony is a member of CommonSpirit Health, the largest not-for-profit health care system in the nation, boasting an integrated network of top quality hospitals, with physicians from the most prestigious medical schools, and comprehensive outpatient services-all recognized for quality, safety and service. Provides excellent patient care through clinical correlation of results, identification of patterns of bias, rapid notification of appropriate caregivers of critical values, and completion of testing within established turn-around-time limits.
Coding Compliance Specialist Virginia Garcia Memorial Health CenterCoding Compliance SpecialistHillsboro, ORMonitoring billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special emphasis on seasonal and migrant farm workers and others with barriers to receiving healthcare.
Clinical Specialist Opportunities for National Sales Network Career Event - Aug. 12-14, Washington DC Medtronic PlcClinical Specialist Opportunities for National Sales Network Career Event - Aug. 12-14, Washington DCORThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). Peripheral & Endovenous: Peripheral and Superficial Venous Interventions (SVI) therapies are a critical part of the Medtronic vascular portfolio, treating patients with a broad range of conditions, including Peripheral and Carotid Disease, End Stage Renal Disease, Peripheral Embolization, and Superficial and Deep Venous Disease.
Revenue Cycle AR Claims Specialist Corvallis Clinic Business OfficeRevenue Cycle AR Claims SpecialistCorvallis, Oregon2. Researches and resolves claims based on assignment, which could include contacting payers via phone or website, contacting practices, working across departments, writing appeals, and facilitating their submission, and all other activities that lead to the successful adjudication of eligible claims including but not limited to: Provides medical record documentation to insurance companies as requested. The responsibility of the Revenue Cycle Claims Specialist is to maintains current knowledge of insurance carriers’ rules, regulations, and contracts; acts as a liaison for patients with the insurance carrier for internal/external customers; and is responsible for posting payments, adjustments, status, and reason codes.
Provider Credentialing Specialist TriWest Healthcare AllianceProvider Credentialing SpecialistPortland, ORRemoteFull timeTechnical Skills: Proficient with key databases, including credentialing software systems, Provider Data Management Systems, and Provider Information Management Systems; working knowledge of Provider credentialing policies and procedures, healthcare or managed care experience. Performs credentialing activities including primary source verifications, communicating with Providers to request missing information supporting the integrity of Provider data in all downstream systems, and key-entering initial data of potential network Providers into the credentialing system.
NewEligibility Worker (Public Benefit Specialist) Astoria - Bilingual English/Spanish Preferred State of OregonEligibility Worker (Public Benefit Specialist) Astoria - Bilingual English/Spanish PreferredAstoria, OR$4,519–$5,988We encourage applications from members of historically underrepresented racial/ethnic groups, women, individuals with disabilities, veterans, LGBTQIA2S+ community members, and others to help us achieve our vision of a diverse and inclusive community. Veterans' and Oregon National Guard preference: Eligible Veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference.
Sr. Contract Specialist The Copper River Family of CompaniesSr. Contract SpecialistClackamas, ORReporting to the Director of Contracts, this position is responsible for administering complex government and commercial contracts, negotiating agreements, supporting acquisition planning, ensuring regulatory compliance, and providing contractual guidance to program managers and company leadership throughout the contract lifecycle. The income generated from our companies helps the Native Village of Eyak fund health and social services, economic development, natural resource/environmental education, jobs, job training, and other benefits to the NVE in a manner that is consistent with Alaskan Native cultural values and traditions.
Safety and Occupational Health Specialist U.S. Department of LaborSafety and Occupational Health SpecialistPortland, OR$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.
Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncClaims Specialist, Workers Compensation - West RegionLake Oswego, ORRemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.
Medical Records Technician US Department of Health and Human ServicesMedical Records TechnicianOR$37,193–$44,780 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."