NewSenior Manager, Insurance and Claims Advocacy Sun LifeSenior Manager, Insurance and Claims AdvocacyBaltimore, Maryland$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. You will set the vision, drive operational excellence, build scalable processes, and deliver measurable financial and experience outcomes—serving as the final escalation point for sensitive cases and establishing best practices across the organization.
Case Review Specialist/Medical Assistant STG International, Inc.Case Review Specialist/Medical AssistantRockville, MDFull timeProvides direct support to the mission of Federal Occupational Health (FOH), a component of the Program Support Center (PSC), to improve the health, safety, and productivity of the Federal workforce by performing fulfillment of case review activities (review of service and provider fulfillment), interacting with internal and external customers regarding questions and clarification of services or other communication essential to the maintenance of the agreement and coordinating service delivery with FOH Business Operations team. Other duties may include reaching out to clinics to retrieve missing exam items, working with Occupational Health Clinics (OHC) to ensure all portions of exam completed are billed for appropriately, collaborating with FOH team members to ensure workflow facilitates that customer needs are met, and relay any concerns raised by customers to Program Manager (PM).
Lab Services Specialist/ Member Support Specialist 1Life Healthcare IncLab Services Specialist/ Member Support SpecialistWashington, DCWhat you'll likely work on: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. Continue to care for our members beyond the lab room by answering patient messages, following up on lab cases and assisting our providers and virtual medical team with clerical duties such as, but not limited to biometric screening forms, medical record and consult review, billing inquiries, and DOH reporting.
Medical Office Coordinator Mirror Mental HealthMedical Office CoordinatorCrofton, MDPart timePromptly answer phone calls, voicemails, company email, receive in-person guests, and coordinate all incoming and outgoing mail services (USPS, FedEx, UPS, etc.). The role of the Office Coordinator will perform general administrative tasks, create and enforce processes that drive efficiency, guide and motivate clinical and administrative staff, and coordinate communication between departments.
Specialist, Health Policy and Payment American Physical Therapy AssociationSpecialist, Health Policy and PaymentAlexandria, VA$75,000–$80,000 / yearSupport APTA advocacy with commercial payers, federal agencies, members, coalitions, and other industry players; Monitor, analyze and develop communication on commercial payer policies, Medicare payment policies, and other reimbursement developments affecting physical therapy practice for members and other constituents; Create content and resources for company website and other communications and presentations to educate and inform members and other audiences on efforts to support the association's health payment priorities; Collaborate with Government Affairs, Communications, and other APTA departments and external teams on issues impacting the physical therapy profession; Support outreach and communication with insurance companies, federal agencies, member leaders, coalitions, and other external; Participate in some evening virtual meetings. The position serves as a key contributor to APTA's payment strategy, supporting efforts involving commercial insurers, traditional Medicare and Medicare Advantage, CPT coding Relative Value Scale Update Committee (RUC) processes, payment valuation, value-based care, administrative burden reduction, quality initiatives, and health information technology.
Senior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyBaltimore, MD$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Senior Manager, Insurance And Claims Advocacy Sun Life FinancialSenior Manager, Insurance And Claims AdvocacyBaltimore, MD$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. You will set the vision, drive operational excellence, build scalable processes, and deliver measurable financial and experience outcomes-serving as the final escalation point for sensitive cases and establishing best practices across the organization.
Patient Accounts Specialist Jewish Social Services AgencyPatient Accounts SpecialistRockville, MDJSSA provides services and support to nearly 31,000 individuals a year through our wide range of counseling, educational, specialized employment, in-home support, hospice and nursing care, and social services. Responsibilities include, but are not limited to, posting payments from both third-party billing and client payments to the proper account, client/third-party billing and collection activities.
JR101503 Operatory Surgical Charge Capture Specialist OrthoVirginiaJR101503 Operatory Surgical Charge Capture SpecialistHerndon, VirginiaOrthoVirginia is seeking an Operatory Surgical Charge Capture Specialist who understands what happens during a surgical case—from the procedure performed to the implants, instruments, and supplies used—and can translate that activity into accurate charges, coding, and reimbursement. With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy.
Compliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearFull timePerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar HealthCompliance Audit/Investigator - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Director, Order to Cash Homecare Software Solutions LLCDirector, Order to CashWashington, DC$141,000–$175,000 / yearOwn all customer contract transactions end-to-end - including renewals, closed-won new business, upsells, downsells, and terminations - partnering with Customer Success and Sales to ensure each is executed accurately and flows cleanly into downstream transaction setup and billing. This leader will develop a high-performing team, ensure accurate and timely execution across the entire order-to-cash flow, drive collections performance, and provide executive-level reporting that supports leadership decision-making.
Operatory Surgical Coding Specialist West End Orthopaedic Clinic IncOperatory Surgical Coding SpecialistHerndon, VA$27.87–$41.80 / hourWith more than 159 physicians in over 35 locations-including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads-OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. In this role, you will ensure accurate posting of surgical cases, proper billing of supplies and implants, and correct CPT/HCPCS coding in collaboration with surgeons, clinical staff, and the Operatory Director.
Data Platform Lead Guidehouse IncData Platform LeadTysons, VA$149,000–$248,000 / yearWhat You Will Do: Design and build scalable data pipelines for RCM use cases; Develop ingestion frameworks for structured and unstructured data (claims, remits, account notes); Implement ETL/ELT pipelines and data transformation logic; Build and maintain enterprise data lake/data fabric architectures; Integrate data across enterprise systems and APIs; Ensure data quality, lineage, and governance; Support data services for AI/ML and analytics workflows; Deploy and manage data workloads in cloud environments using modern DevOps practices. What Would Be Nice To Have: Experience in healthcare RCM data (claims, billing, AR); Experience supporting AI/ML or analytics platforms; Familiarity with data lakehouse architectures; Experience with orchestration tools (Airflow, ADF, etc.); Experience working in regulated environments.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar Health Research InstituteCompliance Audit/Investigator - CCS / CPC / or CCADC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Physical Therapist MedVanta CareersPhysical TherapistWashington, District of ColumbiaThe Physical Therapist administers necessary physical therapy treatment as determined through a comprehensive evaluation process, for patients suffering from injuries or dysfunction of systems including but not limited to the musculoskeletal, neuromuscular, central nervous system, cardiovascular and integumentary systems. The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, West Virginia, and the District of Columbia.
Physical Therapist Assistant MedVanta CareersPhysical Therapist AssistantColumbia, MarylandA generous continuing education budget for personalized courses and contentThe Physical Therapy Assistant administers necessary physical therapy treatment as directed and determined by the Physical Therapist after the Physical Therapist has performed a comprehensive evaluation and established a plan of care. Documents treatments, responses, progress, and outcomes in the chart of the patient according to federal and state regulations and CAO requirementsDocuments and selects appropriate CPT codes, which correlate to treatment administered and directed by the supervising Physical Therapist.
PRP Specialist K&I HEALTHCARE SERVICES LLCPRP SpecialistWaldorf, MD$70,000–$90,000 / yearFull timePosition Purpose: The Psychiatric Rehabilitation Program (PRP) Director is responsible for the day-to-day oversight and administration of the PRP in accordance with Maryland’s COMAR 10.63 and other relevant regulatory frameworks, including guidelines from the Behavioral Health Administration (BHA), Medicaid, and accreditation bodies. · Collaborate with internal and external treatment team providers and maintain a multi-systemic approach to ensuring the dissemination of quality care of each individual being served.
Occupational Therapist The Centers for Advanced Orthopaedics LLOccupational TherapistRockville, MDPart timeThe Staff Occupational Therapist administers necessary occupational therapy treatments as determined through an evaluation process for patients who suffer from injuries or dysfunction of systems including but not limited to the musculoskeletal, neuromuscular, central nervous system, cardiovascular and integumentary systems, or other physical, mental, or learning disability. The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia.
Physical Therapist The Centers for Advanced Orthopaedics LLPhysical TherapistGlen Burnie, MDPart timeThe Physical Therapist administers necessary physical therapy treatment as determined through a comprehensive evaluation process, for patients suffering from injuries or dysfunction of systems including but not limited to the musculoskeletal, neuromuscular, central nervous system, cardiovascular and integumentary systems. The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, West Virginia, and the District of Columbia.