The role involves contacting providers, pharmacies, and patients to confirm mailings and resolve inquiries via phone, email, or fax. It also requires analyzing claim data to determine validity and updating accounts receivable systems.
Remote Medical Terminology Jobs (162)
Tags = medical-terminology
Review account claims and documentation to verify payment liability for Medicare claims paid in error. Communicate with insurance carriers and legal representatives to recapture payments and update client systems with accurate account status.
The role involves reviewing and processing insurance claims accurately while ensuring compliance with company and regulatory policies. It also requires communicating with clients and insurance companies to resolve discrepancies and analyzing data for process improvements.
Radiology Scheduler - Work from Home | $16.00/hr | Starts 8/13/26
Carenet Health
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Full Time
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5 hours ago
Carenet Health
The Radiology Scheduler manages the scheduling, confirmation, and cancellation of appointments across various imaging modalities in a high-volume contact center. They serve as the primary point of contact for patients, providing information on procedures and ensuring accurate documentation in CRM systems.
Certified Medical Assistant | Remote | $17/hour | Starts 08/20/2026
Carenet Health
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Full Time
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5 hours ago
Carenet Health
The role involves receiving and processing prescription refill requests via phone, email, and fax while ensuring regulatory compliance. It also requires analyzing performance data and collaborating with clinical teams to optimize patient care outcomes.
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The specialist ensures the accuracy and timeliness of medical claim submissions while monitoring statuses and investigating denials. They are responsible for processing appeals, managing refunds, and maintaining patient confidentiality in accordance with regulations.
The role involves investigating and settling complex, high-exposure workers' compensation claims while managing reserves and litigation. Additionally, the specialist performs supervisory functions, including auditing files, training staff, and guiding adjusters.
Responsible for ensuring prompt and correct payment to the hospital from insurers and patients by managing claims, payments, and adjustments. The role involves identifying procedural deficiencies, resolving payment discrepancies, and mentoring staff on revenue cycle processes.
Centralized Scheduler
St. Francis Medical Center
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Full Time
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6 hours ago
St. Francis Medical Center
Responsible for scheduling surgeries, appointments, and procedures while managing patient registration and insurance verification. Maintains medical records by transcribing orders and coordinating with physicians to ensure compliance and reimbursement.
Intake Admissions Specialist
Alternate Solutions Health Network
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Full Time
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7 hours ago
Alternate Solutions Health Network
Responsible for processing daily patient referrals and intake operations to transition patients to home care services. This includes coordinating care with physicians, inputting patient data accurately, and maintaining relationships with referral sources.
Intake Admissions Specialist
Alternate Solutions Health Network
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Full Time
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7 hours ago
Alternate Solutions Health Network
Responsible for processing daily patient referrals and intake operations to transition patients to home care services. This includes coordinating care with physicians and maintaining positive relationships with community referral sources.
The Patient Access Specialist III is responsible for scheduling outpatient procedures and gathering patient demographic and insurance information. They also manage financial evaluations, collect self-pay balances, and serve as a mentor and preceptor for new team members.
Contracting and Credentialing Coordinator
The Auctus Group
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Full Time
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7 hours ago
The Auctus Group
Manage provider enrollment, credentialing, and contracting processes with commercial and government payers to ensure accurate provider maintenance. Act as a liaison between providers, insurance carriers, and internal teams while maintaining records in CAQH and other payer portals.
Deliver high-quality, member-centered clinical advocacy by managing inbound calls and providing guidance on healthcare issues. Coordinate care by researching providers, facilitating communication between physicians and insurance carriers, and managing case documentation.
Responsible for scheduling outpatient procedures, gathering patient and insurance information, and entering data into the health information system. The role also involves financial counseling, collecting self-pay balances, and mentoring new team members.
Call Center Representative
Genesis Orthopedics & Sports Medicine
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Full Time
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9 hours ago
Genesis Orthopedics & Sports Medicine
The Site Director manages overall clinical site operations, including identification, start-up, monitoring, and close-out of Phase I-IV studies. They ensure patient safety, data accuracy, and compliance with ICH-GCP guidelines and regulatory requirements.
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Customer Advocate I
Health Care Service Corporation
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Full Time
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10 hours ago
Health Care Service Corporation
Responsible for assisting members and physicians via telephone and written inquiries in a call center environment. The role involves conducting research and spending approximately 85-90% of scheduled time on the phone.
The coordinator provides non-clinical administrative support for utilization management by handling provider calls and preparing authorization requests. They are responsible for documenting clinical information in medical records and collaborating across departments to ensure quality care.
Provide technical, educational, and operational support for Cardiac Rhythm Management (CRM) products to meet sales and customer service objectives. This includes performing device interrogations, supporting implants, and training healthcare professionals on product solutions.
Reviews medical encounters and documentation to determine correct coding and identify missing information. Acts as a liaison to clear edits and notifies management of documentation delays.
Support primary care providers by documenting patient encounters in real-time and assigning appropriate medical codes. Assist with clinical documentation improvement and administrative tasks to close care gaps in a value-based care model.
Supervises day-to-day transfer and referral activities, including implementing protocols and managing complex escalations. Oversees team workload and maintains relationships with high-value referring clinicians and organizations.
Cardiac Rhythm Management Technical Field Engineer - Seattle, WA
Medtronic
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Full Time
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13 hours ago
Medtronic
Lead regional education and training for Cardiac Rhythm Management procedures and product launches for internal teams and external customers. Serve as the primary technical and clinical expert to resolve complex issues and maintain high-trust relationships with key healthcare accounts.
Act as the primary contact for member inquiries regarding Durable Medical Equipment and facilitate orders between members and vendors. Ensure all financial transactions and documentation comply with Medicare and other regulatory requirements.
Responsible for verifying patient insurance, confirming benefits eligibility, and performing authorizations and pre-certifications. The role involves reviewing medical records to submit requests for surgery, testing, or treatment to ensure accurate payment for services.
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Represent clients by managing inbound and outbound communications for medical research trials, patient support programs, and pharmaceutical product inquiries. Responsibilities include documenting adverse events, triaging medical requests, and ensuring compliance with regulatory requirements.
Perform primary diagnosis and procedural coding for major surgical specialty areas using ICD-10-CM and CPT conventions. Act as a liaison to providers to optimize clinical documentation and ensure compliance and revenue accuracy.
The Medical Records Coder II is responsible for accurately coding medical records using ICD-10-CM and CPT-4 conventions to ensure optimal reimbursement. They also coordinate the work of subordinate employees and assist in the development of continuing education programs.
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