Lead Account Reimbursement Specialist Tryon Medical PartnersLead Account Reimbursement SpecialistCharlotte, NCFull timeWorks closely with the Revenue Cycle teams and internal departments to resolve issues with insurance companies regarding incorrect registration information, claims processing, contract reimbursement amounts and coding issues. This role will closely monitor and analyze payor denial trends, perform claim corrections, and perform timely claim follow-up by submitting appeals and claim reconsiderations to ensure maximum payor reimbursement.
Lead Account Reimbursement Specialist Tryon MedicalLead Account Reimbursement SpecialistCharlotte, NCWorks closely with the Revenue Cycle teams and internal departments to resolve issues with insurance companies regarding incorrect registration information, claims processing, contract reimbursement amounts and coding issues. This role will closely monitor and analyze payor denial trends, perform claim corrections, and perform timely claim follow-up by submitting appeals and claim reconsiderations to ensure maximum payor reimbursement.
Revenue Cycle Specialist - Healthcare Provider - Mooresville NC Corporate Support Center Highlights HealthcareRevenue Cycle Specialist - Healthcare Provider - Mooresville NC Corporate Support CenterMooresville, NCThe Authorization / Billing Specialist supports the organization's revenue cycle by securing payer authorizations, verifying insurance coverage, maintaining accurate billing and accounts receivable records, and helping prevent denied or delayed claims. The position serves as a liaison among insurance companies, patients or families, physician offices, and internal teams while monitoring account status, identifying inconsistencies, and maintaining clear documentation in billing and electronic medical record systems.
Business Office Manager MedHQBusiness Office ManagerCharlotte, NC$58,000This role ensures accurate and timely revenue cycle performance, strong internal controls, and excellent service to patients, physicians, and payers, working closely with the ASC Administrator to support the center's overall financial health. The Business Office Manager is responsible for the day-to-day management of the surgery center's business office functions, including patient registration, insurance verification, billing, coding oversight, collections, and accounts receivable.
Director, Payment Integrity Capital Rx, Inc.Director, Payment IntegrityCharlotte, NC$206,400–$258,000 / yearPosition Summary: The Director, Payment Integrity will build and lead Judi Health's payment integrity program from inception, establishing the infrastructure, processes, and team that will ensure claims are paid correctly, compliantly, and efficiently across our commercial plan population. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Director, Payment Integrity Judi HealthDirector, Payment IntegrityCharlotte, North Carolina$206,400–$258,000 / yearThe Director, Payment Integrity will build and lead Judi Health's payment integrity program from inception, establishing the infrastructure, processes, and team that will ensure claims are paid correctly, compliantly, and efficiently across our commercial plan population. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Director, Payment Integrity Capital Rx LLCDirector, Payment IntegrityCharlotte, NC$206,400–$258,000 / yearPosition Summary: The Director, Payment Integrity will build and lead Judi Health''s payment integrity program from inception, establishing the infrastructure, processes, and team that will ensure claims are paid correctly, compliantly, and efficiently across our commercial plan population. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Lead, Medical Network Pricer Capital Rx, Inc.Lead, Medical Network PricerCharlotte, NC$128,000–$160,000 / yearApply Medicare-based pricing, Reference-Based Pricing (RBP), fee schedules, resource-based relative value methodologies, diagnosis-related groups, ambulatory payment classifications, per-diem rates, case rates, percent-of-charge arrangements, stop-loss provisions, and other approved reimbursement approaches. Advanced knowledge of procedure, revenue, diagnosis, and modifier logic; physician fee schedules; resource-based relative value methodologies; diagnosis-related groups; ambulatory payment classifications; per-diem, case-rate, percent-of-charge, and other medical reimbursement arrangements.
Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation Deloitte Touche Tohmatsu LtdForward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationCharlotte, NC$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
NewForward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteForward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationCharlotte, NC$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
Lead, Medical Network Pricer Judi HealthLead, Medical Network PricerCharlotte, North Carolina$128,000–$160,000 / yearApply Medicare-based pricing, Reference-Based Pricing (RBP), fee schedules, resource-based relative value methodologies, diagnosis-related groups, ambulatory payment classifications, per-diem rates, case rates, percent-of-charge arrangements, stop-loss provisions, and other approved reimbursement approaches. Advanced knowledge of procedure, revenue, diagnosis, and modifier logic; physician fee schedules; resource-based relative value methodologies; diagnosis-related groups; ambulatory payment classifications; per-diem, case-rate, percent-of-charge, and other medical reimbursement arrangements.
Sr Claims Specialist Mecklenburg CountySr Claims SpecialistCharlotte, NC$63,080–$82,792.50 / yearThe Finance Department is a team of professionals that are tasked with functions including capital and debt planning, investments, accounting, payroll, procurement, grant management and payables along with providing additional fiscal support to departments across the County. This role serves as the team lead level authority within the revenue cycle function, overseeing the execution of complex claims and collection activities while guiding and developing the Claims team.
Lead, Medical Network Pricer Capital Rx LLCLead, Medical Network PricerCharlotte, NC$128,000–$160,000 / yearApply Medicare-based pricing, Reference-Based Pricing (RBP), fee schedules, resource-based relative value methodologies, diagnosis-related groups, ambulatory payment classifications, per-diem rates, case rates, percent-of-charge arrangements, stop-loss provisions, and other approved reimbursement approaches. Advanced knowledge of procedure, revenue, diagnosis, and modifier logic; physician fee schedules; resource-based relative value methodologies; diagnosis-related groups; ambulatory payment classifications; per-diem, case-rate, percent-of-charge, and other medical reimbursement arrangements.
Medicaid Eligibility Analyst- Duke Lake Norman Duke UniversityMedicaid Eligibility Analyst- Duke Lake NormanMooresville, NCGather and provide necessary verifications to establish Medicaid eligibility via direct contact with patient and/or patients family, employer, financial institution, vital statistics and other collaterals to the County Department of Social Services Income Maintenance Caseworker in the county of patient residency. Prepare hearing briefs, assemble documentary evidence and exhibits to represent the patient at local agency, State and Chief Hearing Officer hearings for the purpose of reversing a negative decision with or without the patients assistance.
Registered Nurse UnitedHealth Group IncRegistered NurseHickory, NCClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. As members of the Optum family of businesses we are dedicated to helping people feel their best including our team members who create meaningful connections with patients their families each other and the communities we serve.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerCharlotte, NC$150,000–$160,000 / year5+ years’ experience pharmaceutical and/or biotech experience and 2+ years’ relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement. Provide information to HCP on how the products are covered under the benefit design and educate key private and public payer coverage and changes that impact the products access for patients.
Accounts Receivable Representative OrthoCarolinaAccounts Receivable RepresentativeCharlotte, NCThe role of Accounts Receivable (AR) Representative with our team, you will be responsible for reviewing aging medical insurance account balances and resolving claim issues with insurance and/or patient. We are currently searching for an Accounts Receivable Representative (Medical Billing) to join our Revenue Cycle team in the OrthoCarolina Business Office in Charlotte.
Advanced Inpatient Coder Specialist (REMOTE) BayCare Health SystemAdvanced Inpatient Coder Specialist (REMOTE)Charlotte, NCRemoteResponsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and MSDRG assignments as well as PSI/HAC reviews.
Registered Nurse/MDS Coordinator IMCS Group IncRegistered Nurse/MDS CoordinatorCharlotte, NCProcesses Skills REQUIRED: Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, Clinical Documentation Improvemen, Determine Medical Necessity per Evidence-Based Guidelines, Discharge Planning, Needs Assessment/ Order DME, Needs Assessment/Home Health, Needs Assessment/Hospice, Needs Assessment/Skilled Nursing, Physician Advisor, Plan of Care, Pre-Cert Review, Prior Authorizations, QI/ CASPER Review & Retrospective Review. -MDS is an integral part of the unit and is responsible for MDS completion, baseline care plan completion and presentation to residents, care plan meeting, carpe plan development and CAA completion, submission and validation of assessments, oversite of cert/recert process, properly dx code for new admissions, education MDS changes and triple check/ utilization review ensuring UB04 is properly completed and validated for release.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNCharlotte, North CarolinaOther: Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.