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Carle Health

Remote Job Openings at Carle Health (25)

RN - Carle Direct

United States 0-2 yrs exp Healthcare

The Transfer Center RN Specialist facilitates patient transfers between facilities, ensuring appropriate medical necessity and level of care. They manage communication between referring and receiving physicians while monitoring patient flow and documentation throughout the transfer process.

HIM Cert Coder OP- Same Day Surgery

United States $23.58 - $39.38 per hour 2-5 yrs exp Software Development

The HIM Certified Coder is responsible for the accurate and timely coding of hospital inpatient and outpatient encounters using ICD-10, CPT, and HCPCS systems. They also serve as an expert resource for coding compliance, billing edits, and interdepartmental assistance to ensure revenue optimization.

RN - Carle Direct

United States $33.11 - $53.88 per hour 0-2 yrs exp Healthcare

The Transfer Center RN Specialist facilitates patient transfers into and out of the hospital by coordinating with physicians and managing bed placement. They are responsible for overseeing the entire transfer episode, ensuring effective communication, and maintaining continuity of care for patients.

OP Care Management RN

United States $33.11 - $53.88 per hour 2-5 yrs exp Healthcare

The OP Care Management RN provides population health services and coordinates care for patients with chronic diseases or high vulnerability during transitions. They facilitate medication management, conduct holistic health assessments, and use data-driven approaches to improve clinical outcomes.

Accounts Receivable Insurance Specialist- Must have Hospital Billing, Medicare, Denials and Dual Systems experience

United States $17.26 - $27.96 per hour 2-5 yrs exp Finance

The specialist manages accounts receivable by validating insurance coverage, resolving billing edits, and submitting accurate claims to various health plans. They are also responsible for researching and resolving denied or rejected claims and performing account follow-up to ensure timely reimbursement.

Medical Billing Specialist & Certified Coder- Laboratory

United States $23.58 - $39.38 per hour 2-5 yrs exp Software Development

The Laboratory Billing & Coding Representative is responsible for accurate and timely billing of laboratory services, including resolving charge review edits and claim edits. They also facilitate revenue maximization by applying correct coding initiatives and payer-specific guidelines while collaborating with various departments.

RN Wknd -UM/Clinical Denial Mgmt

United States $35.87 - $58.37 per hour 2-5 yrs exp Healthcare

The RN is responsible for managing utilization review, ensuring medical necessity for hospital admissions, and coordinating with physicians to optimize resource utilization. They also handle clinical documentation for insurance companies and actively participate in the appeal process for denied services.

Scheduler - BMC Pt Access

United States $17.67 - $28.63 per hour 0-2 yrs exp Healthcare

The Scheduler is responsible for managing patient inquiries via telephone and work queues, including scheduling and pre-registration tasks. They facilitate communication between patients and providers while accurately documenting medical information and insurance details.

Finance Business Analyst

United States $26.41 - $44.1 per hour 2-5 yrs exp Software Development

The Finance Business Analyst supports accounting operations by managing financial reporting, process improvement initiatives, and system-related activities. They collaborate with cross-functional teams to validate data, enhance workflows, and ensure effective project documentation and stakeholder communication.

HIM Cert Coder Pro Fee - 5k Sign on Bonus

United States 2-5 yrs exp Software Development

The HIM Certified Coder is responsible for the accurate and timely coding of hospital and professional fee encounters using ICD-10, CPT, and HCPCS systems. They also serve as an expert resource for coding guidelines, facilitate revenue optimization, and perform internal audits to ensure regulatory compliance.

Senior Cyber Resiliency Engineer w/ Experience with Microsoft Defender, Sentinel and Purview

United States $43.07 - $74.08 per hour 5-10 yrs exp Software Development

The Senior Cyber Resiliency Engineer monitors alerts, investigates cybersecurity incidents, and coordinates technical responses across the enterprise. They also develop and maintain security procedures, playbooks, and tools to strengthen detection and recovery capabilities.

HIM Cert Coder IP - 5 K Sign on Bonus

United States $23.58 - $39.38 per hour 2-5 yrs exp Software Development

The HIM Certified Coder is responsible for the accurate and timely coding of hospital inpatient, outpatient, and professional fee encounters to ensure compliant billing. They also serve as an expert resource for coding guidelines and facilitate revenue optimization through auditing, monitoring, and interdepartmental assistance.