Medical Office Assistant II (Family Medicine - Front Desk) MedStar HealthMedical Office Assistant II (Family Medicine - Front Desk)Washington, DC$22.22–$33.79 / hourFull timeCompletes preliminary registration for new patients and updates information on existing patients (inpatients and/or outpatients); obtains necessary recertification/verification/ referrals signatures copies of insurance cards etc. Enters physician charges into billing system ensuring appropriate insurance coverage and providing Patient Billing Services with appropriate referrals authorizations and operative reports.
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Hanover, MD$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
NewLead Charges And Claims Specialist (Chesapeake Specialty Care) University of Maryland Faculty PhysiciansLead Charges And Claims Specialist (Chesapeake Specialty Care)Annapolis, MDThis position is responsible for overseeing daily charge and claim activities, ensuring the timely and accurate submission of claims, resolving complex billing issues, monitoring team performance, and providing training and support to Charges and Claims Specialists. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications.
NewCharges And Claims Specialist (Chesapeake Specialty Care) University of Maryland Faculty PhysiciansCharges And Claims Specialist (Chesapeake Specialty Care)Baltimore, MDExact salary will ultimately depend on multiple factors, which may include the successful candidate's geographical location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/ training and other qualifications. The referenced base salary range represents the low and high end of Specialty Care Networks' salary range for this position.
Medical Pro Fee Coder III Cardiac Cath/EP (Cardiology experience require) SavistaMedical Pro Fee Coder III Cardiac Cath/EP (Cardiology experience require)District of ColumbiaWe 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). Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results.
Medical Practice Representative III - Dept Of Medicine Reisterstown University of Maryland Faculty PhysiciansMedical Practice Representative III - Dept Of Medicine ReisterstownReisterstown, MDExhibits advanced level of skill in managing provider schedules and scheduling appointments accurately and effectively, including communicating patient responsibilities (obtaining a referral, bringing a co-pay, presenting identification and an insurance card at check in) and other events as part of the practice pre-visit activities. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications.
Medical Practice Representative Iii- Dermatology University of Maryland Faculty PhysiciansMedical Practice Representative Iii- DermatologyBaltimore, MDExact salary will ultimately depend on multiple factors, which may include the successful candidate's geographical location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/ training and other qualifications. May oversee and troubleshoot scheduling and/or patient service issues; serves as lead worker and trainer for junior level staff; and other duties as assigned.
Medical Practice Representative III - Ob/Gyn University of Maryland Faculty PhysiciansMedical Practice Representative III - Ob/GynBaltimore, MDExhibits advanced level of skill in managing provider schedules and scheduling appointments accurately and effectively, including communicating patient responsibilities (obtaining a referral, bringing a co-pay, presenting identification and an insurance card at check in) and other events as part of the practice pre-visit activities. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications.
Medical Practice Representative Iii- Orthopaedics University of Maryland Faculty PhysiciansMedical Practice Representative Iii- OrthopaedicsBaltimore, MDExact salary will ultimately depend on multiple factors, which may include the successful candidate's geographical location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/ training and other qualifications. May oversee and troubleshoot scheduling and/or patient service issues; serves as lead worker and trainer for junior level staff; and other duties as assigned.
Medical Practice Representative Iii-Medicine (Reisterstown) University of Maryland Faculty PhysiciansMedical Practice Representative Iii-Medicine (Reisterstown)Reisterstown, MDExhibits advanced level of skill in managing provider schedules and scheduling appointments accurately and effectively, including communicating patient responsibilities (obtaining a referral, bringing a co-pay, presenting identification and an insurance card at check in) and other events as part of the practice pre-visit activities. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications.
Certified Medical Director HealthDriveCertified Medical DirectorBaltimore, MarylandPart timeOverview: HealthDrive is looking for a Certified Medical Director to collaborate with Nurse Practitioners that are attending to skilled nursing residents in both the sub-acute rehab and long-term care units. The Medical Director will participate in quality improvement initiatives, provide guidance to facility staff, oversee clinical care plans, compliance with state and federal regulations, and supervise facility clinical staff.
Medical Director HealthDriveMedical DirectorBaltimore, MarylandPart timeOverview: HealthDrive is looking for a Medical Director to collaborate with Nurse Practitioners that are attending to skilled nursing residents in both the sub-acute rehab and long-term care units. The Medical Director will participate in quality improvement initiatives, provide guidance to facility staff, oversee clinical care plans, compliance with state and federal regulations, and supervise facility clinical staff.
NewLead Benefits And Authorization Specialist (Chesapeake Specialty Care) University of Maryland Faculty PhysiciansLead Benefits And Authorization Specialist (Chesapeake Specialty Care)Annapolis, MDExact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. The Lead Benefits and Authorization Specialist works closely with Scheduling, Clinical Operations, Surgical Coordinators, Billing, and Revenue Cycle Leadership to improve authorization accuracy, reduce denials, and support revenue cycle performance.
On-Site ROI Specialist (Medical Records) - Newport News, VA (Hybrid/Remote) SharecareOn-Site ROI Specialist (Medical Records) - Newport News, VA (Hybrid/Remote)COS - Warwick Conference Center Newport News, VARemote$19–$20 / hourThrough its data-driven AI insights, evidence-based resources, and comprehensive platform - including benefits navigation, care management, home care resources, health information management, and more - Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs.
Manager of Revenue Cycle Operations and Integrity Rural Staffing ServicesManager of Revenue Cycle Operations and IntegrityWashingtonThe Manager of Revenue Cycle Operations and Integrity leads the hospitals mid and back end revenue cycle functions, ensuring accurate billing, efficient collections, and strong accounts receivable performance. For candidates with deep revenue cycle experience who enjoy building systems, solving problems, and mentoring teams, this is an opportunity to make a real impact inside a respected rural hospital.
NewPayments And Refund Specialist (Chesapeake Specialty Care) University of Maryland Faculty PhysiciansPayments And Refund Specialist (Chesapeake Specialty Care)Owings Mills, MDExact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. The Payment and Refund Specialist is responsible for posting all payor funds, tracking all income and managing patient refunds.
Revenue Cycle Management Manager Psych Associates Group LLCRevenue Cycle Management ManagerTimonium, MD$65,000–$75,000 / yearThe Revenue Cycle Management Manager will have the opportunity to directly influence revenue cycle performance, develop and support a billing team, improve operational processes, and collaborate with organizational leadership on initiatives that support the continued growth of Bloom Health Centers. This position plays a critical role in ensuring accurate and timely billing, optimizing revenue cycle performance, maintaining regulatory compliance, and supporting strong relationships with patients, providers, payers, and internal teams.
Customer Service Representative TRC Talent SolutionsCustomer Service RepresentativeWashington, DCTemporaryEnsures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc. Responsibilities: Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to: Performing account follow-up activities on high-dollar accounts receivable .
PAR I & II TRC Talent SolutionsPAR I & IIWashington, DISTRICT OF COLUMBIAEnsures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc. Responsibilities: Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to: Performing account follow-up activities on high-dollar accounts receivable.
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).