Revenue Cycle Manager Contentnea HealthRevenue Cycle ManagerSnow Hill, NCParticipates in billing and payer trainings, payer workgroups, and professional FQHC forums; represents the organization in meetings with payers, clinically integrated networks, and Accountable Care Organizations to remain current on regulatory requirements, reimbursement models, and best practices. Manages and maintains billing configurations within the electronic health record (EHR), clearinghouse, and related revenue cycle applications; collaborates with internal IT and vendor support teams to ensure accurate setup, maintenance, and functionality of payer mappings, claim rules, and fee schedules.
Executive Care Coordinator, Bilingual Valeris IncExecutive Care Coordinator, BilingualDurham, NCBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.
Regional Clinical Reimbursement Consultant – State Veterans Homes STG International, Inc.Regional Clinical Reimbursement Consultant – State Veterans HomesCharlotte, NCFull timeWORKING CONDITIONS/PHYSICAL REQUIREMENTS: The physical demands and work environment described herein is a representative of those that generally must be met by a team member to successfully perform the essential functions of this job: • This position primarily involves sitting, standing, walking, twisting, reaching, bending/stooping, pushing and pulling (typical weight of 5 lbs. and maximum weight of 100 lbs., approximately), and lifting (minimum weight of 5 lbs. and maximum weight of 100 lbs., approximately). This role ensures accurate and compliant MDS completion, optimized reimbursement under PDPM, regulatory compliance, and consistent application of best practices while partnering with clinical, financial, and operational leaders to drive outcomes.
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.
Accounts Receivable Specialist 2 (PB) SavistaAccounts Receivable Specialist 2 (PB)North CarolinaWe partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Responsibilities: Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers.
NewRevenue Cycle Account Reimbursement Specialist Phaxis LLCRevenue Cycle Account Reimbursement SpecialistCharlotte, NCThe ideal candidate has strong medical billing knowledge, understands payer requirements, and is comfortable collaborating with clinical and revenue cycle teams to address issues affecting billing and collections. This position is responsible for resolving complex insurance claims, analyzing denial trends, submitting appeals and reconsiderations, and ensuring timely, accurate reimbursement.
RCM Manager Veradigm IncRCM ManagerRaleigh, NCIn addition to performing similar work, the Manager will oversee and ensure group productivity and performance in accordance with financial goals to ensure the health of the client's Accounts Receivable Supports RCM Management by efficiently and effectively providing oversight and review of the team, processes and workload. At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve.
Denials Specialist Vidant Medical CenterDenials SpecialistGreenville, NCRemote$24.69–$35.99 / hourConduct account history research as required, including navigating patient encounters and charts, researching charge and payment histories, determining historic account and claim status changes, and researching the payer remittance advice. Defend and appeal denied claims, including researching underlying root cause, collecting required information or documents, adjusting the account as necessary, resubmitting claims, and all appropriate follow up activities thereafter to ensure adjudication of the claim.
Advance Authorization Specialist- Atrium Health Infusion Operations Advocate Aurora Health IncAdvance Authorization Specialist- Atrium Health Infusion OperationsCharlotte, NC$21.85–$32.80 / hourAssess time sensitive Referral Work Queues to obtain highly complex authorizations including IP/OP Chemotherapy, Radiology, specifically related to Oncology treatment plans, IP/OP Surgeries, Molecular and Genetic Laboratory Testing, specialty related PT/OT and Speech Therapy, Psychiatry, Neuro/Psych Evaluations, and Rehab evaluations. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
Executive Care Coordinator, Bilingual ValerisExecutive Care Coordinator, BilingualMorrisville, North CarolinaBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.
Executive Case Manager (Remote) ValerisExecutive Case Manager (Remote)Raleigh, North CarolinaRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Personalized Case Management Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.
Collections Specialist OrthoAtlantaCollections SpecialistFayetteville, North CarolinaThe Collections Specialist is responsible for ensuring timely reimbursement for services rendered by managing insurance accounts receivable, following up on outstanding claims, resolving denials, and collecting patient balances. This role works closely with insurance carriers, patients, and internal teams to ensure accurate claim processing and timely payment while delivering exceptional customer service.
Senior Consultant - Clinical Documentation Specialist DeloitteSenior Consultant - Clinical Documentation SpecialistRaleigh, NC$95,600–$188,400 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Revenue Cycle Account Receivables Manager Tryon Medical PartnersRevenue Cycle Account Receivables ManagerCharlotte, NCThe Manager serves as a key RCM leader, partnering with the Revenue Cycle Director, Operations, Coding, Finance, and other departments to identify and resolve issues affecting reimbursement, denials, and cash collections. This position leads the AR team, oversees collection and aging performance, manages complex reimbursement issues, and implements strategies to maximize collections and reduce outstanding AR.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNC$17–$28.46 / hourPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Analyzes 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.
Field Reimbursement Manager Immunology Gastroenterology - Raleigh NC AbbVie IncField Reimbursement Manager Immunology Gastroenterology - Raleigh NCRaleigh, NCThe amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position.
Financial Coordinator Carteret Health CareFinancial CoordinatorMorehead City, NCDEFINITION OF POSITION The Financial Coordinator supports the financial operations of the practice by performing revenue cycle duties which may include medical billing or coding. Computer and keyboard skills required; type 30 wpm Healthcare reimbursement position that would indicate knowledge of technical insurance terms is desirable.
NewConvergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteConvergehealth - Forward 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.
Revenue Cycle Account Receivables Manager Tryon MedicalRevenue Cycle Account Receivables ManagerCharlotte, NCThe Manager serves as a key RCM leader, partnering with the Revenue Cycle Director, Operations, Coding, Finance, and other departments to identify and resolve issues affecting reimbursement, denials, and cash collections. This position leads the AR team, oversees collection and aging performance, manages complex reimbursement issues, and implements strategies to maximize collections and reduce outstanding AR.