Medical Secretary Full Time Ackerly Mcbride GroupMedical Secretary Full TimeWashingtonNew Patient Care Coordination: Facilitate enrollment of new patients by explaining the practice, the membership options/tiers, the relationship with insurance/Medicare, billing, the patient portal, on call services—and answering any questions. Medical Assistant experience or willingness to learn and be trained: Perform EKGs, blood draws, and point-of-care laboratory testing as needed; process testing and entering results into the EMR.
Medical Assistant Ackerly Mcbride GroupMedical AssistantWashingtonAckerly McBride Group is seeking a reliable and friendly Medical Assistant and Secretary to support our doctors and secretaries with patient care and administrative work. Responsibilities: Medical Assistant Perform EKGs, blood draws, and point-of-care laboratory testing as needed; process testing and enter results into the EMR.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Baltimore, MDRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Insurance Authorization Specialist/ Medical Assistant Lifeline Vascular CareInsurance Authorization Specialist/ Medical AssistantColmar Manor, MarylandThe Insurance Authorization Specialist will verify patient insurance coverage, obtain pre-authorizations and Primary Care Provider referrals, schedule patient appointments, coordinate the patient intake process and provide administrative support to the center. Serves as liaison between physicians and referring facilities ensuring medical procedure results are forwarded to dialysis facility and or referring physician.
Patient Financial Advocate Firstsource SolutionsPatient Financial AdvocateEdgewood, MDThe Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Pharmacy Reimbursement Coordinator II Johns Hopkins HospitalPharmacy Reimbursement Coordinator IIBaltimore, MDWe are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. This role is responsible for accurate and timely billing to government payors, international and domestic third-party payors, patients, and Johns Hopkins programs to ensure optimal reimbursement.
NewPatient Care Coordinator (Front Desk) Upperline HealthPatient Care Coordinator (Front Desk)Columbia, MarylandFounded in 2017 with a bold vision to transform specialty healthcare, we have grown into a stable and rapidly expanding organization delivering consistent, high-quality care to patients living with chronic conditions. Our patient-centered, value-based care model brings together physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists to address both immediate and long-term health needs.
Medical Reviewer, Registered Nurse J29, IncMedical Reviewer, Registered NurseMillersville, MDRemote$70,000–$85,000 / yearRVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.
Medical Reviewer, RN Coder J29, IncMedical Reviewer, RN CoderMillersville, MD$70,000–$85,000 / yearRVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.
Patient Financial Services Lead MedVanta CareersPatient Financial Services LeadBethesda, MarylandThrough a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health. MedVanta is the nation's largest physician-owned musculoskeletal (MSK) platform, dedicated to helping individuals prevent injuries, improve movement, recover from musculoskeletal conditions, and access high-quality MSK care.
Patient Financial Services Lead MedVanta Interco, LLC.Patient Financial Services LeadBethesda, MD$25 / hourPart timeThrough a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health. MedVanta is the nation's largest physician-owned musculoskeletal (MSK) platform, dedicated to helping individuals prevent injuries, improve movement, recover from musculoskeletal conditions, and access high-quality MSK care.
Marketing Physician Liaison Prism Vision GroupMarketing Physician LiaisonGreenbelt, Maryland$58,203.22–$120,883.61 / yearThe Marketing Specialist (Practice Liaison) is a key growth driver responsible for generating new business, expanding referral pipelines, and strengthening high-value partnerships with Physicians, Office Managers, community leaders, and other referral sources. With a focus on building strong connections, uncovering new opportunities, and delivering measurable results, the Marketing Specialist plays a critical role in practice growth and revenue expansion.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistDC$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
NewRegistered Nurse I Greenlife Healthcare StaffingRegistered Nurse IWashington, DCProvides medical case management for the Public Sector Workers’ Compensation Program and Return-to-Work Program, including clinical assessment, care coordination, utilization review, medical documentation, and return-to-work planning. Impactful Work: Contribute to a mission-driven organization dedicated to improving outcomes for injured workers through comprehensive medical case management and return-to-work planning.
Field Reimbursement Manager, Market Access - Mid-Atlantic Region GE HealthCare Technologies IncField Reimbursement Manager, Market Access - Mid-Atlantic RegionDC$132,000–$198,000 / yearThe Field Reimbursement Manager (FRM) is a customer-facing access & reimbursement subject matter expert who provides education, support center integration and patient level issue resolution across the Pharmaceutical Diagnostic (PDx) portfolio. The FRM will create value through education, procedural efficiency through in supporting the determination of benefits and reimbursement and embedding GEHC's world class support center within customers' practices and/or health systems.
Patient Access Representative I La Clinica Del PuebloPatient Access Representative IHyattsville, MDCompletes pre-registration for patients, schedules appointments with Patient Access Representative II, and advises patients on necessary documentation to complete the registration process, including insurance enrollment or renewal requirements. Patient Access Representative I serve primarily as the entry point for answering incoming phone calls received through our Contact Center and scheduling appointments for our clinical and mental health services.
Lead Medical Records Technician (Coder) US Department of Health and Human ServicesLead Medical Records Technician (Coder)fort meade, MD$64,564–$83,938 / yearGS-09 MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Assign and sequence medical codes for diagnoses, procedures, and services; review and assign accurate current procedural terminology codes; analyze medical documentation to ensure the appropriate evaluation and management levels are being assigned; apply ICD-10, CPT, and HCPCS codes to visits; assign correct codes in reimbursements and medical records; correct coding irregularities in third-party claims, denials, and coding changes; and identify and correct errors. SELECTIVE PLACEMENT FACTOR: Incumbent must possess Certification by the American Health Information Management Association (AHIMA) as a Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Coding Associate (CCA); or by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC); and must demonstrate proficiency in these necessary skills in assigning and sequencing ICD-9-CM (ICD-10-CM)/CPT/HCPCS codes to medical data and procedures.
Business Process Re-Engineering Specialist - Junior Level CredenceBusiness Process Re-Engineering Specialist - Junior LevelMcLean, VACredence is seeking a Business Process Re-engineering Specialist – Junior Level to provide facilitation, training, methodology development and evaluation, process reengineering across all phases, identifying best practices, change management, business management techniques, organizational development, activity and data modeling, or information system development methods and practices, and supervision of business process reengineering. Computer Science, Engineering, or Information Systems/Technology) and a specific logistics function (e.g., finance, supply, contract administration, transportation and operations research) and first-hand knowledge of the following: DoD/Component policies.
Medical Equipment Customer Service Representative (Lanham) Rotech Healthcare Inc.Medical Equipment Customer Service Representative (Lanham)Glen Burnie, MarylandWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.
Patient Accounts Representative II Howard University HospitalPatient Accounts Representative IIWashington, DC$19–$30.40 / hourReporting to the Manager of Patient Accounts, you will manage hospital accounts from claim creation through final adjudication, working third-party payers, government programs, and managed care plans to resolve unpaid balances and protect Hospital revenue. With a legacy dating back to 1862 — when it operated as Freedmen’s Hospital, providing care and refuge to those who had been denied it elsewhere — HUH has grown into one of the most comprehensive healthcare facilities in the Washington, D.C. metropolitan area and is a designated DC Level 1 Trauma Center.