- Wellpath (Waterbury, VT)
- …we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon ... applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws. **We are an Equal Employment Opportunity Employer** We… more
- Cognizant (Montpelier, VT)
- **Job Title:** **Sr. Product Specialist - QNXT Configuration (Remote)** **Job ID:** **66246221** **About the role** As a **Sr. Product Specialist ** , you will ... with stakeholders to design solutions, troubleshoot issues, and ensure compliance with Medicaid and Medicare requirements. **In this role, you will:** + Analyze,… more
- Highmark Health (Montpelier, VT)
- …medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation ... Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None… more
- Public Consulting Group (VT)
- …evaluating client needs, and determining appropriate courses of action. The specialist is empowered to make decisions that directly impact client eligibility ... in interpreting eligibility criteria and advising clients on complex application scenarios, ensuring alignment with regulatory guidelines. + Coordinate needs… more
- Cardinal Health (Montpelier, VT)
- …secondary insurance company when necessary. + Bills supplemental insurances including all Medicaid states on paper and online. + Oversees appeals and denials ... + Work-Life resources + Paid parental leave + Healthy lifestyle programs ** Application window anticipated to close:** 1/8/2026 *if interested in opportunity, please… more
- CVS Health (Montpelier, VT)
- …submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer… more
- Cardinal Health (Montpelier, VT)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... claim processing and denial management preferred. + Familiarity with Medicare, Medicaid , commercial insurance plans, and managed care preferred. + Proficiency in… more
- Washington County Mental Health Services (Barre, VT)
- Billing Clerk We are seeking a detail-oriented billing specialist to join our financial team. This position supports our agency's critical work by maintaining client ... with computerized billing systems. + Experience with Title XIX Medicaid regulations preferred. Knowledge and Skills + Strong oral...interviews will be contacted. WCMHS strives to make our application process accessible to all. If you need language… more
- Evolent (Montpelier, VT)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... for Initial Clinical Reviewers, offering guidance and expertise to ensure the application of best practices. + Provides clinical rationale for standard and expedited… more
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