Ready to make a difference for hospitals while working from home? Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We’re powered by people, driven by technology, and dedicated to our clients and employees. If you’re looking for a collaborative and diverse culture with a great work/life balance, look no further.
Revecore Perks: We offer paid training and incentive plans Our medical, dental, vision, and life insurance benefits are available from the first day of employment We enjoy excellent work/life balance Our Employee Resource Groups build community and foster a culture of belonging and inclusion We match 401(k) contributions We offer career growth opportunities We celebrate 12 paid holidays and generous paid time off The Role: Conduct search of multiple hospital systems for payments active on individual patients. Maintain appropriate records of actions.
As an Accounts Receivable Specialist, you will: Verify payments for different regions and clients by signing into multiple hospital systems. Enters account data using 10-key. Responsible for posting payment transactions obtained from multiple sources. Understanding and applying the rules of Coordination of Benefits. Closes and returns accounts that have been invoiced to the full extent. Keeps track of checked hospitals. Updates connection passwords and other information as needed. Assists fellow employees by training on specific systems such as payment poster as needed. Resolves issues with troubled accounts. Performs special projects as assigned. You will be successful if you have: Ability to communicate effectively verbally and in writing. Working knowledge of computer functions including the internet, 10-key, and computer software such as Microsoft Office (Outlook, Excel. Word). Knowledge of or the ability to learn AcciClaim. Proven ability to produce accurate work. Must be able to prioritize responsibilities and adapt according to situational demands. Demonstrated ability to analyze and effectively solve problems. High school diploma or equivalent required. Work at Home Requirements: A quiet, distraction-free environment to work from in your home. A secure internet connection is required. Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads. The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.
Revecore is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status.
We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.
Must reside in the United States within one of the states listed below: Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia
US-Remote | US-LA-Covington Job ID 2025-3884 Category Claims Operations Posted Date 7 days ago(3/17/2025 11:23 AM) Type Full-Time Overview Now is the time to join us!
We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.
Responsibilities Who are you?
The Stop Loss Specialist is responsible for supporting the coordination and filing of specifications, advance funding, and plan year-end closeouts. The incumbent is expected to communicate professionally and respectfully with peers, supervisors, subordinates, markets, customers, and the public. Courtesy and professionalism are key components of success in this role.
In this role you will wear many hats, but your knowledge will be essential in the following:
Prepare Stop Loss claims and applicable documents to determine Stop Loss filing eligibility applicable to the Excess Loss Policy. Files submissions of spec claimants (running reports, gathering necessary documents and email correspondence), processing all submissions within established internal timeframes. Coordinate Advanced Funding Requests, with the client and the Stop Loss carrier. Maintains database of all specific reimbursement requests. Creates initial Specific File for each claimant, files all submissions in our EDOCS platform. Coordinates the release of Over Specific, System Hold “on hold” claims. Acts as the liaison between the PBM’s and internal clients, as it pertains to our Stop Loss claimants. Keeps immediate supervisor apprised of open or disputed items. Contributes to daily workflow with regular and punctual attendance. Performs related or other assigned duties as required or directed. Monitors all reinsurance requests to ensure receipt of reimbursement. Generates weekly outstanding reimbursement report and follows up with the Stop Loss carrier. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Qualifications What you bring to the Personify Health team:
In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:
High school diploma or general education degree (GED) required. Knowledge of medical terminology, CPT, HCPCS and ICD-10 codes a plus. Knowledge of insurance database system a plus. Ability to read, analyze, and interpret common financial reports and legal documents. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Experience with claims/call center health insurance environment a plus. Experience in self-funded plan administrations a plus. You also take pride in offering the following Core Skills, Competencies, and Characteristics:
Must be computer literate and knowledgeable in Windows and Microsoft Office environment, including Word, Excel and Outlook. Strong written and verbal communication skills. Proficient in Word, Excel, and outlook. Ability to organize, prioritize, and multitask in a fast-paced/deadline driven environment. Demonstrate ability to work independently with excellent judgment. A detail-oriented, analytical, financially minded approach. Capacity to think creatively and strategically. Claims processing experience or medical background a plus. Ability to interact in a professional manner with coworkers, clients. No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!
Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.
In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $17.00 to $22.00 per hour. Note that compensation may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.
We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.
Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to [email protected]. All of our legitimate openings can be found on the Personify Health Career Site.
Application Deadline: Open until position is filled.
An Imaging Service Engineer II is responsible for performing scheduled and unscheduled service work on systems within a service area as directed by the Area Service Manager.
Company Overview
FUJIFILM Healthcare Americas Corporation is a comprehensive healthcare company that has an extensive range of technology and expertise in the detection, diagnosis, and treatment of diseases. Fujifilm’s innovative portfolio includes solutions spanning diagnostic imaging, enterprise imaging, endoscopic imaging, surgical imaging, and in-vitro diagnostics. The company is headquartered in Lexington, Massachusetts. For more information, please visit healthcaresolutions-us.fujifilm.com.
FUJIFILM Holdings Corporation, headquartered in Tokyo, leverages its depth of knowledge and proprietary core technologies to deliver innovative products and services across the globe through the four key business segments of healthcare, electronics, business innovation, and imaging with over 70,000 employees. Guided and united by our Group Purpose of “giving our world more smiles,” we address social challenges and create a positive impact on society through our products, services, and business operations. Under its medium-term management plan, VISION2030, which ends in FY2030, we aspire to continue our evolution into a company that creates value and smiles for various stakeholders as a collection of global leading businesses and achieve a global revenue of 4 trillion yen (29 billion USD at an exchange rate of 140 JPY/USD). For more information, please visit: www.fujifilmholdings.com.
For further details about our commitment to sustainability and Fujifilm’s Sustainable Value Plan 2030, click here.
Job Description
Duties and responsibilities
Performs preventative maintenance and unscheduled maintenance work as directed.
Work with a high degree of independence and able to resolve most unscheduled maintenance work without technical support.
Performs installations and de-installations of products and a wide variety of peripheral equipment as directed.
Maintains excellent working relations with field personnel, home office personnel, and management.
Must maintain timely and effective communications with management team to escalate issues and customer concerns.
Performs the administrative duties associated with the job, including electronic expense reports, weekly timecards, electronic reporting functions such as work orders, service appointments, start times, parts inventory, consumption and returns, assigned computer- based training, and QA/RA work.
Keep up to date on administrative responsibilities such as maintaining customer service orders and internal service records per Fujifilm policies.
Maintain daily communications with customers to ensure resolution and proper follow-up, leading to customer satisfaction.
Utilizing the escalation process to resolve customer service delivery issues and conducting root cause analysis that will lead to effective problem solving.
Ensures that all administrative duties and paperwork are completed neatly, accurately, and submitted promptly. Must be prepared to work odd hours and overtime hours on occasion and travel as required.
Responsible for maintaining exceptional customer relations.
Responsible for maintenance of assigned tools/test equipment and spare parts.
Responsible to return parts in the required time frame.
Responsible to promote, both internal to the company and externally, the image and reputation of HCUS.
Performs training of less experienced technicians.
Performs other duties as assigned by the Area Service Manager.
Comply with all applicable U.S. Food and Drug Administration (U.S. FDA) medical device regulatory requirements, applicable ISO 13485 standard requirements and all other applicable laws, regulations, and standards.
Comply with and pass all requirements for vendor credentialing as part of gaining access to hospitals and facilities to perform assigned job duties.
Qualifications
Associates degree in electrical engineering, electronics or computer science discipline, or equivalent experience.
Minimum three years of previous field service experience or at least two years of HCUS Service experience.
Knowledge of assigned equipment to provide timely repair and effective maintenance.
Requires active listening skills and above average customer service skills.
Requires sound organization and administrative skills, self-starter a must along with ability to maintain paperwork to FDA and company required standards.
Excellent analytical and communication skills with the ability to communicate technical issues in an easy-to-understand manner.
Capable of operating test equipment related to job (oscilloscope, meter, and diagnostic testers, etc.).
Valid driver’s license and safe driving record.
Physical requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
This position typically works in usual medical, clinical working environments, including sites under construction.
The position may require the ability to physically work in high magnetic fields of up to 3 Tesla, which could dangerously affect any implanted medical devices made of ferrous material, potentially causing serious injury and/or death.
Standing/Walking:
This activity occurs frequently and prolonged/repetitively.
Sitting:
This activity occurs frequently and prolonged/repetitively. Including when driving to customer sites and/or flying.
Lifting/Carrying:
This activity occurs infrequently and periodic with light hand tools, a tool bag, cabinet covers weighing from 1-20 lbs., diagnostic test equipment which weighs from 5-60 lbs., fluid testing container weighing 30 lbs., and replacement components which may weigh from 1-40 lbs.
Pushing/Pulling:
This activity occurs rarely and periodic. It occurs primarily with the pushing of the 1000 lbs. patient tables and 600-6000 lbs. MRI cabinets. There is an estimated manual force to overcome inertia of 30 lbs. Pushing distances are typically 1 inch to 18 inches.
Bending:
This activity occurs occasionally and period/prolonged in the low back. It occurs with a variety of the tasks.
Reaching:
This activity occurs rarely and periodic above the shoulders when the worker must access components and cupboards that are on top of the 6-foot-high MRI machine. This activity occurs occasionally and periodic below shoulder level with a variety of tasks.
Kneeling/Crawling/Crouching
This activity occurs occasionally and periodic/prolonged. It occurs primarily in the wiring process as well as accessing the lower panels of the MRI machine.
Climbing:
This activity occurs rarely and periodic when the worker must climb up to 3 steps of a 6-foot ladder to access the upper access panels of the MRI machine in order to perform diagnostic testing.
Balancing:
This activity occurs rarely and periodic and occurs when the worker is standing on the ladder as mentioned above.
Twisting:
This activity occurs rarely and periodic in the low back. It may occur with some of the tasks performed.
Additional requirements
Must have valid driver’s license with a safe driving record.
Must possess good interpersonal skills.
Must be reliable and able to work independently.
Must project a professional image.
Travel
Up to 100% based on business needs. May include overnight and air travel.
In the event that COVID-19 vaccine mandates issued by the federal government, or by state or local government become effective and enforceable, the Company will require that the successful candidate hired for positions covered under relevant government vaccine mandate(s) be fully vaccinated against COVID-19, absent being granted an accommodation due to medical or sincerely held religious belief or other legally required exemption.
Applicants to positions where vendor credentialing or other similar requirements exist to enter facilities will be required to comply with the credentialing requirements of the facilities, including complying with vaccine requirements.
For all positions, the Company encourages vaccination against COVID-19 and requires that the successful candidate hired be willing to test for the COVID-19 virus periodically and wear a face covering indoors as required, absent being granted an accommodation due to medical or sincerely held religious belief or other legally required exemption.
EEO Information
Fujifilm is committed to providing equal opportunities in hiring, promotion and advancement, compensation, benefits, and training regardless of nationality, age, gender, sexual orientation or gender identity, race, ethnicity, religion, political creed, ideology, national, or social origin, disability, veteran status, etc.
ADA Information
If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to our HR Department ([email protected] or (330) 425-1313).
Occasional lifting up to 15 pounds; sitting for extended periods of time.
Shift
Primarily days Monday – Friday 8:00 a.m. – 5:00 p.m. Additional hours when needed to meet department needs
Job Summary
The Department of Biostatistics seeks a Biomedical Data Scientist with experience in collaborative research and analysis of biomedical data including clinical and observational data. The candidate will work with faculty and staff in the Biostatistics Consulting and Interdisciplinary Research Collaboration Lab (Biostat CIRCL) to collaborate with research partners across campus to translate research ideas into well-designed studies, implement appropriate statistical methodologies to answer research questions, and interpret findings.Day-to-day tasks include: consulting with research partners executing data management and analytic plans statistical programming data visualization automated report generation scientific writingAs a member of the Biostat CIRCL, the position will support the team science mission of the unit and build infrastructure for effective data science practices on interdisciplinary research teams. This position may be on campus or fully remote.
Skills / Knowledge / Abilities
Statistical programming experience in R or SAS required
Does this position have supervisory responsibilities?
No
Preferred Education/Experience
MS in Biostatistics, Data Science, or Statistics preferred
Deadline to Apply
04/02/2025
Our University Community
We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.
Posting Specific Questions
Required fields are indicated with an asterisk (*).
* Please briefly describe your experience working on collaborative research teams.(Open Ended Question)
* Where did you first see this position advertised other than on UK’s online employment system?
HigherEdJobs.com
Diverseeducation.com (Diverse Issues in Higher Education)
American Specialty Health Incorporated is seeking a Manager-EDI to join our Information Technology (ITD) department. This position will manage, direct and support a team of programmers and analysts to design, develop and implement transactions, mappings and reports to ensure compliance with HIPAA transaction set processing; design solutions to problems; direct and develop testing procedures for HIPAA transaction set processing; perform gap analyses and suggest resolution; direct and support and perform systems analysis and design solutions for timely loading of Health Plan eligibility, benefit and group information and streamlining reporting processes; manage and direct the timely Trading Partner submission of claims and claim encounter data. Also responsible for managing reporting functions, including performance standards, provider reporting, GEOACCESS, and accurate capitation exception reports. Responsible for standardizing and streamlining reporting processes and developing a solid reporting architecture that will support current and future needs.
American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $89,300 to $115,000 Full-Time Annual Salary Range
Remote Worker Considerations:
Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).
Responsibilities
Manage transactional database programming and development.
Implement and manage EDI projects.
Manage and design the development of EDI tools to facilitate electronic exchange of transactional data between trading partners by creating standard formats for transmitting electronic HIPAA compliant transactions such as claims/encounters and enrollment.
Promote efficient and effective HIPAA compliance approaches and solutions.
Identify/document plans and implementation planning; create/update plans related to EDI implementation.
Promote efficient and effective HIPAA compliance approaches and solutions.
Design the implementation of EDI data transfers into organization’s operational systems.
Manage the development of EDI solutions to help reduce manual data entry.
Manage accurate standardized EDI, performance and provider reports for use by end-users.
Identify opportunities to specifically increase business efficiency through EDI.
Serve as an EDI/HIPAA expert for the organization.
Testing and implementation.
Redesign manage internal clearinghouse.
Work with implementation team to obtain electronic files from health plans and clients.
Work with client’s software development representatives to test and implement EDI transactions.
Ensure the quality and accuracy of inbound and outbound data.
Conduct timely annual performance reviews.
Attend scheduled operations, development, and other meetings to discuss issues and foster teamwork among department and operations personnel.
Qualifications
Bachelor’s degree or equivalent. High school diploma required.
5 years of progressive experience performing computer programming using Visual Basic and SQL in a network environment.
Solid, hands-on experience with multiple reporting tools.
Process oriented focused on standardization, streamlining, and implementation of best practices.
Experience with healthcare standard formats, X12, HIPAA Implementation Guides, etc.
Strong verbal and written communication skills.
Ability to translate business requirements to technical specifications.
Knowledge of business operations, database structures, transactional data processing and reporting solutions to meet business needs.
Core Competencies
Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
Ability to effectively organize, prioritize, multi-task and manage time.
Demonstrated accuracy and productivity in a changing environment with constant interruptions.
Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
Ability to exercise strict confidentiality in all matters.
Mobility
Primarily sedentary, able to sit for long periods of time.
Physical Requirements
Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility or work from home environment. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.
Environmental Conditions
Work-from-home (WFH) environment.
American Specialty Health is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.
Please view Equal Employment Opportunity Posters provided by OFCCP here.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.
ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.
At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.
Job SummaryResponsible for overseeing and coordinating clinical coding audits within a healthcare organization. This position plays a vital role in ensuring the accuracy and compliance of medical coding practices to support proper reimbursement, data quality, and regulatory requirements.
Does this position require Patient Care? No
Essential Functions -Develop and implement a coding audit plan to assess the accuracy and compliance of clinical coding practices. -Identify priority areas for audit based on risk analysis, regulatory changes, and coding performance data. -Coordinate and conduct coding audits for inpatient, outpatient, and specialty services to evaluate coding accuracy and completeness. -Review medical records, encounter documentation, and coding assignments to verify proper code assignment. -Ensure coding practices align with relevant coding guidelines, including ICD-10-CM, CPT, HCPCS, and other coding systems. -Monitor coding compliance with coding regulations and payer requirements.
Qualifications
Education
Bachelor’s Degree
Can this role accept experience in lieu of a degree? Yes
Licenses and Credentials
Certified Risk Adjustment Coder – American Academy of Professional Coders (AAPC) required
Experience
At least 5-7 years of coding audits experience in a healthcare setting
Knowledge, Skills, and Abilities
Significant experience in clinical coding and coding audits in a healthcare setting.
In-depth knowledge of ICD-10-CM, CPT, HCPCS, and other coding systems and guidelines.
Familiarity with coding compliance and regulatory requirements.
Strong analytical and problem-solving skills.
Excellent communication and interpersonal abilities.
Attention to detail and accuracy in coding audit processes.
Proficiency in using coding software and electronic health record (EHR) systems.
Ability to work independently and as part of a team.
Additional Job Details (if applicable)
Working Conditions:
This is aremote role that can be done from most US states. Local employees attend meetings 1x/month in the office.
EEO Statement:Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
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