Description ABOUT VISANTE We are relentless in solving the most complex challenges in health system pharmacy—designing pharmacy footprints that meet our clients where they are today and position them to win tomorrow. Our work delivers measurable financial gains, operational excellence, and an elevated patient experience. We set ambitious goals, move with urgency, and create extraordinary value. Obsessed with client impact, we thrive in a collaborative, innovative culture where deep expertise turns insight into action. We’re proud of the results we deliver and the trust we earn—fueling sustained growth and exceptional client satisfaction. Our mission is to transform healthcare through pharmacy, and our vision is to reimagine pharmacy to improve lives. ABOUT THE POSITION (Remote) The Medication Access Specialist plays a vital role in Visante’s managed services team, working under the leadership team to streamline insurance processes, enhance medication access, and reduce financial burdens for patients. Acting as a liaison among pharmacies, clinic staff, and insurance providers, the specialist optimizes treatment initiation and improves patient satisfaction by handling medication authorizations, conducting benefits investigations, and identifying assistance programs. They gather prior authorization details, support coverage denial appeals, and communicate medication options and financial resources to patients while monitoring insurance status and reporting access issues to the treatment team. Emphasizing collaboration and efficiency, this position contributes to Visante’s mission of ensuring patients receive the medications they need. Principal Duties and Responsibilities - Review and process medication authorizations submitted by the client. - Conduct benefits investigations to determine patient coverage, out-of-pocket costs, and available financial assistance. - Identify and recommend patient assistance programs, copay cards, grants, or funds to reduce financial burdens. - Gather and review necessary documentation for prior authorization submissions, assisting clinics with appeals for coverage denials. - Communicate directly with clinics to obtain additional details and guidance on authorization processes. - Inform patients about medication coverage and financial assistance options, providing pharmacy recommendations. - Ensure accurate documentation in client EMR systems and Visante tracking tools for workflow efficiency. - Assist with onboarding and training of client-employed medication access specialists and contribute to process improvements. - Collaborate with Visante team members and leadership to enhance operational effectiveness and implement recommended improvements. - Support efforts to refine clinical and pharmacy workflows, strengthening communication between staff and patients. Requirements Education Required: High school diploma or equivalent Experience Required: 3 years of experience working within healthcare or with pharmacy providers on medication access Preferred: Previous consulting and/or client-facing experience; Experience with electronic medical record documentation and prior authorization workflows; Experience with performing retail pharmacy PBM adjudication; Experience in utilizing CoverMyMeds® to submit prior authorizations; Two (2) years of experience in healthcare revenue cycle that includes medication authorizations; Knowledge of CPT and ICD coding is highly desired; Knowledge of Medicare and third-party payer regulations and guidelines is highly desired; Two (2) years of experience in preadmission/precertification Licensure Required: State Board of Pharmacy Technician registration obtained within 6 months of hire Preferred: Active CPhT certification through either PTCB or NHA Skills and Abilities - Demonstrate strong judgment and decision-making, effectively managing competing demands while prioritizing tasks and meeting deadlines with urgency. - Cultivates strong client relationships, exhibiting excellent interpersonal and team collaboration skills while communicating professionally and concisely in both verbal and written forms. - Possesses extensive expertise in medication reimbursement, prior authorization, and healthcare coding, utilizing analytical and creative problem-solving abilities to diagnose and resolve issues. - Maintains confidentiality and ensures accuracy, leveraging proficiency in Office Suite (Word, Excel, PowerPoint) to analyze and disseminate critical information effectively. Compensation and Benefits: We offer competitive salary and benefits for this full-time salaried role. Equal Opportunity Statement: Visante is an equal opportunity employer. Visante’s people are its greatest asset and provide the resources that have made the company what it is today. Visante is, therefore, committed to maintaining an environment free of discrimination, harassment, and violence. This means there can be no deference because of age, religion or creed, gender, gender identity or expression, race, color, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by applicable laws and regulations

Job Description The incumbent will use clinical and coding expertise to analyze medical records and charts in relation to provider coding. The Coding Analyst identifies physician practices with complex coding patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). What You'll Do - Analyzes necessary documentation, including medical records/charts, and applies clinical coding expertise to evaluate appropriateness of provider coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). - Uses all resources to ensure compliance and understanding of the CMS Hierarchical Condition Category (HCC) payment methodology. - Develops and maintains professional working relationships with Medical Providers and their staff necessary to facilitate onsite review of medical records. - Maintains documents for tracking audit results, status of reviews etc. What You'll Bring - High school diploma or GED - 3+ years of experience in related field - Certified Professional Coder or Certified Risk Coder Bonus Points - Minimum of one year of risk adjustment experience - Familiarity with Outlook, Excel and Coding Systems What You’ll Get - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community  - Work-life balance, flexibility, and the autonomy to do great work   - Medical, dental, and vision coverage along with numerous health and wellness programs   - Parental leave and support plus adoption and surrogacy assistance   - Career development programs and tuition reimbursement for continued education   - 401k match including an annual company contribution   - Learn more   Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $45,761.00 - $73,217.00 Skills _____________________________________________________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: - 40 Hours, Monday - Friday. This position will be remote following a orientation and training period in Woburn, MA. Essential Duties & Responsibilities including but not limited to: - Manages and scans all medical record data pertaining to the patient into the EPIC chart. - Prepare files for offsite storage as needed. - Complete the ADR process for organizing and copying for QA review and submission of documentation to the State. - Maintains and tracks all medical record queues. - Organizes and handles all medical records request from various sources. Responsible for maintaining all incoming Right Fax documents ensuring they are delegated to the correct location. - Follow up of all outstanding orders by contacting the MD offices. - Payroll data entry - Additional payroll duties as needed Organizational Requirements: - Maintain strict adherence to the Continuing Care Confidentiality policy. - Incorporate Continuing Care Standards of Behavior and Guiding Principles into daily activities. - Comply with all Continuing Care Policies. - Comply with behavioral expectations of the Continuing Care Division. - Maintain courteous and effective interactions with colleagues and patients. Demonstrate an understanding of the job description, performance expectations, and competency assessment. - Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards. - Participate in departmental and/or interdepartmental quality improvement activities. - Participate in and successfully completes Mandatory Education. - Perform all other duties as needed or directed to meet the needs of the department. Qualifications: - Education: High school graduate preferred - Experience in medical office administration preferred. - Home care experience a plus. Pay Range: $19.00 - $28.23 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

Hours of Work : 8a-430pDays Of Week : M-FWork Shift : Job Description : Location: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships: Reports to Coding Manager Certification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; COBGC preferred Skills, Credentials, Professional Qualifications High school diploma or equivalent; Associate degree is an asset A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies Independently disciplined in time management and productivity Experience in electronic medical record software, preferably Epic Microsoft Office proficient Ability to communicate written and oral coding information to healthcare professionals Job Summary: Responsible for the review of medical record documentation for accurate and compliant assignment of CPT®, HCPCS and ICD-10 codes for professional services. Engages in research and educational opportunities with the MMG healthcare provider community to advance the accuracy and payment of professional services. Primary Responsibilities: Will primarily review charges for Maternal Fetal Medicine and OB/GYN clinic Read and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services and assign accurate and complete CPT®, HCPCS and ICD-10 codes, as well as modifiers and units to the source document for claim submission. The coder will be responsive to provider questions by performing the necessary research into coding inquiries and follow through with written communication to educate the provider in correct coding and documentation. The coder will be assigned specialty specific work queue(s) to include Trauma, Orthopedics, GI/Bariatrics, Transplant, Cardiology, ENT, Radiation Oncology, or General Surgery. Charge Review work queues containing CPT®, HCPCS and ICD-10 codes from current patient encounters will be assigned for the coder’s pre-claim review. This work queues contain charges that require a coder’s astute and detailed review to determine accuracy of assigned codes, missing codes, the need for modifiers and other coding-related deficiencies. Will be responsible for specialty specific claim edit work queues to review and correct edits for timely submission to the payer. Participates in education programs and monthly department meetings. Maintains 90% or higher coding accuracy. Maintains department required production. Other duties as assigned. - #LI-NP1 Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 92 MMG ambulatory clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace: - Newsweek’s America’s Most Admired Workplaces 2026 - Glassdoor’s Best-Led Companies 2025 - Fortune’s Best Workplaces in Health Care 2025 - Great Place to Work Certified 2026-2026 - Glassdoor’s Best Places to Work 2025 - TIME’s Best Companies for Future Leaders 2025 - Military Friendly – Gold Employer 2025 - Newsweek’s America’s Greatest Workplaces for Mental Well-Being 2025 - Becker’s Healthcare Top Places to Work in Healthcare 2025 - Newsweek’s Greatest Workplaces 2025