Epic Denials Manager DeloitteEpic Denials ManagerRichmond, VARemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Workers'''' Compensation EDI Specialist I CorVel CorpWorkers'''' Compensation EDI Specialist Iglen allen, VARemote$16.54–$24.95 / hourThe ideal candidate will possess strong analytical and problem-solving skills, the ability to interpret state-specific EDI implementation guides and reporting matrices, and experience researching claim information to determine appropriate filing actions. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Board-Certified Pulmonology Dane StreetBoard-Certified PulmonologyVADane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations. We are seeking a skilled and board-certified Pulmonology in North Chesterfield, VA to join our team for Independent Medical Examinations (IMEs).
Board-Certified Pulmonologist Dane StreetBoard-Certified PulmonologistRichmond, VADane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations. We are seeking a skilled and board-certified Pulmonologist in Richmond, VA, to join our team for Independent Medical Examinations (IMEs).
Project Manager - Healthcare Domain Experience HCL Global Systems Inc.Project Manager - Healthcare Domain ExperienceRichmond, VAProject Manager - Healthcare Domain Experience: 10-15 Years Location: Onsite / Hybrid Domain: Healthcare (Payer / Provider / Insurance) Role Overview We are seeking an experienced Project Manager with strong healthcare domain expertise to lead and manage complex technology and business transformation initiatives. The ideal candidate will have proven experience delivering large scale healthcare programs, working closely with cross functional teams, and ensuring projects are delivered on time, within scope, and with high quality.
Benefits Coding Analyst Sentara HospitalsBenefits Coding AnalystRichmond, VirginiaRemote2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and /or various payment methodologies (required)• Experience in both established benefit coding environments as well as experience in determination of coding requirements for new benefits (preferred)• Experience resolving billing and claims issues related to benefit to code assignment.•Thorough knowledge of anatomy and medical terminology• Expertise with NCCI (National Correct Coding Initiative) guidelines• Knowledge or direct experience processing Government program or commercial health claims for an MCO• Experience with ICD-10 CM, CPT, HCPCS, QNXT. • Certified Professional Coder certification (CPC) (required)• Certified Inpatient Coder (CIC) (preferred)• Medical Assistant Certification (preferred)Note: CIC is required for advancement to Level 2 and Level 3. Experience:
Board-Certified Pulmonology Dane Street, LLCBoard-Certified PulmonologyNORTH CHESTERFIELD, VADane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations. Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal.
SCB - C# Developer/Programmer Analyst 3 Nleague Services IncSCB - C# Developer/Programmer Analyst 3Richmond, Virginia$80.96 / hourContractorThe candidate will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. SCB - C# Developer/Programmer Analyst 3. Max Vendor Rate - 80.96 Hybrid Role, Candidate must be able to work on site as needed.
Referral Coordinator Quadrant IncReferral CoordinatorMidlothian, VAReferral Coordinator will be responsible for but not limited to the following: Obtain required insurance authorizations and approvals for specialty care, diagnostic testing, and other medical services in accordance with payer guidelines. Monitor referral status and utilize tracking systems and follow-up reminders to ensure referrals are completed promptly.
Disability Clinical Specialist Sedgwick Claims Management Services, Inc.Disability Clinical SpecialistVAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation).
Manager, Major Case Unit FCCI Insurance GroupManager, Major Case UnitGlen Allen, VA$114,640–$176,546 / yearWe are currently seeking a Major Case Unit (MCU) Manager to oversee the daily operations of the commercial major case unit team handling complex commercial claims. At FCCI, it is the personal touch of our local presence and expertise, combined with the knowledge and relationships of our agency partners, that creates a winning combination which sets us apart.
Workers' Compensation EDI Specialist I CorVel Healthcare CorporationWorkers' Compensation EDI Specialist IGlen Allen, VARemote$16.54–$24.95 / hourPart timeThe ideal candidate will possess strong analytical and problem-solving skills, the ability to interpret state-specific EDI implementation guides and reporting matrices, and experience researching claim information to determine appropriate filing actions. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Insurance Underpayments Analyst University Health Services IncInsurance Underpayments AnalystRICHMOND, VAResponsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Tax Law Specialist Reviewer NTE 1 YR MBE 4 YR MBMP Department of the Treasury, USTax Law Specialist Reviewer NTE 1 YR MBE 4 YR MBMPRichmond, VA$125,776–$187,093 / yearYou must also meet the following requirement(s): TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. If applying for a higher grade and you met time-in-grade (TIG) at another agency, it is recommended that you provide an SF-50(s) (Notification of Personnel Action) (or equivalent) which demonstrates you meet the 52-week TIG requirement (e.g., Promotion with an effective date more than one (1) year old, Within-Grade-Increase at the highest grade held).
Insurance Follow Up Specialist University Health Services IncInsurance Follow Up SpecialistRICHMOND, VAQualifications Position Requirements: Minimum 1 year of experience in an office setting highly preferred Knowledge of managed care payers and medical terminology is preferred Ability to learn quickly, build and maintain long term relationships and work with minimal supervision Detail-oriented with the ability to work on multiple, competing, priorities Proficient in Microsoft Office and Windows products. Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.
Insurance Follow Up Specialist - East University Health Services IncInsurance Follow Up Specialist - EastRichmond, VAQualifications Position Requirements: Minimum 1 year of experience in an office setting highly preferred Knowledge of managed care payers and medical terminology is preferred Ability to learn quickly, build and maintain long term relationships and work with minimal supervision Detail-oriented with the ability to work on multiple, competing, priorities Proficient in Microsoft Office and Windows products. Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.
Pharmacy Technician Actalent IncPharmacy TechnicianMechanicsville, VAIn this fast-paced, production-focused environment, you use a fulfillment system to prepare prescription drug products, support insurance claim processing, and assist members and prescribers, helping ensure that patients receive their medications quickly and correctly. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.
Pharmacy Technician Trainee Actalent IncPharmacy Technician TraineeMechanicsville, VAIn this fast-paced, production-focused environment, you use a fulfillment system to prepare prescription drug products, support insurance claim processing, and assist members and prescribers, helping ensure that patients receive their medications quickly and correctly. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.
AR & Salesforce Case Representative (Virginia) Privia Health Group, IncAR & Salesforce Case Representative (Virginia)VA$23–$26 / hourThe Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Additionally, the Senior AR Manager is responsible for overseeing functions within Accounts Receivable in accordance with compliant best practices, such as Claims Worklists, Zero Pay, Unapplied, and Denials, to ensure that all are reviewed, reconciled and resolved in a timely matter.
Automotive Warranty Administrator – Ford Dealership Richmond Ford LincolnAutomotive Warranty Administrator – Ford DealershipRichmond, VirginiaAs an Automotive Warranty Administrator , you'll play a pivotal role in our service department, ensuring all warranty claims are processed accurately and efficiently. Community Engagement: Active involvement in local initiatives and charities, including partnerships with organizations like the Alzheimer's Association and Susan G.