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.
Healthcare Claims Processor J29, IncHealthcare Claims ProcessorMillersville, MDRemoteThe Junior Healthcare Claims Analyst/Adjudicator will complete routine claims processing activities, verify claim and member information, review claims for completeness and accuracy, apply documented processing rules, and escalate exceptions or complex issues to senior team members. FLSA Status : Non-Exempt, Full-Time Reports To: Claims Supervisor Overview: J29 is an employee centered health and human service management consulting company that specializes in processing, reviewing, and analyzing claims, records, disputes, and audits.
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.
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.
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.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistDC$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
JR101503 Operatory Surgical Charge Capture Specialist OrthoVirginiaJR101503 Operatory Surgical Charge Capture SpecialistHerndon, Virginia$27.87–$41.80 / hourOrthoVirginia 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).
Patient support specialist St. Luke's Cornwall HospitalPatient support specialistLaurel, MD$20–$24 / hourThis role emphasizes effective communication as the cornerstone of building patient engagement and ensuring the smooth flow of information between patients, caregivers/families, and the clinical team to ensure optimal care delivery and patient/caregiver satisfaction. Ensuring timely and accurate scheduling of appointments, supporting the clinical team in gathering and documenting patient data, and verifying documentation to ensure it meets all guidelines for appointment completion is essential.
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.
Office Coordinator HealthSource ChiropracticOffice CoordinatorWoodbridge, VirginiaAccess ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career. We are a fast-paced, upbeat chiropractic and progressive rehab clinic helping patients get back to doing what they love through chiropractic care, progressive rehab (PT), and other wellness services.
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.
Senior Project Finance Controller- (HYBRID) ICF International IncSenior Project Finance Controller- (HYBRID)Reston, VA$98,614–$167,644 / yearPay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position. You will be involved in overall direct project financial management, including project setup, budgeting, forecasting, revenue recognition, margin analysis, variance analysis and reporting, and have the opportunity to interface with operations, accounting, contracts and senior management to share financial results and identify future expectations.
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).
Physician Assistant - Cardiovascular & Thoracic Surgery VHC HealthPhysician Assistant - Cardiovascular & Thoracic SurgeryArlington, Virginia$59.26–$112.57 / hourFull timeLiving in Northern Virginia, one of the best places to live near D.C., you can have it all: a lucrative job at a forward-thinking company – plus access to the country’s greatest historical sites, a bustling café culture, active nightlife and concert going, a thriving wine region, seven professional sports teams, and a mild four-season climate with year-round kayaking, biking, and hiking. The Advanced Practice Provider (APP) will provide specialized care for cardiovascular and thoracic surgery patients in an inpatient-only setting, primarily supporting patients in the Cardiovascular Intensive Care Unit (CVICU) and CV Stepdown Unit.
Float Patient Service Specialist, Day Shift, Imaging Services Shady Grove Adventist HospitalFloat Patient Service Specialist, Day Shift, Imaging ServicesRockville, MD$19.64–$25.65 / hourSchedules patient appointments, test procedures using a computerized scheduling system; prepares appointment notices; schedules physician referrals, provides patient instructions verbally or in writing in order for patient to prepare for appointment. Performs pre-registration activities to gather demographic information; determines medical insurance coverage; identifies patients with delinquent accounts; confirms appointments; and registers patients into a computerized system.