Business Analyst II - Payment Integrity Datamining Elevance Health IncBusiness Analyst II - Payment Integrity DataminingHanover, MD$64,764–$97,146 / yearFor URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position¿ work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions.
Medical Billing Specialist Erickson Senior LivingMedical Billing SpecialistBaltimore, Maryland$23–$25 / hourAs an Medical Billing Specialist, your drive for accuracy directly supports our ability to deliver high quality care to residents and maintain strong relationships with payers and families. We help people live better lives by fulfilling our promises of a vibrant lifestyle, financial stability, and focused health and well-being services for those who live and work with us.
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- 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 Billing & Collections Specialist NuVasive Clinical ServicesMedical Billing & Collections SpecialistColumbia, MarylandNuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities, through the acquisitions of Impulse Monitoring, Biotronic NeuroNetwork, Safe Passage, and others. As a Medical Billing and Collections Specialist with NuVasive Clinical Services, you will provide administrative support in the billing and collections function of the medical revenue cycle process.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNBaltimore, MarylandOther: • 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.
NewArea Manager Healthcare Reimbursement Operations TalentBridgeArea Manager Healthcare Reimbursement OperationsBethesda, MDRemote$25–$34 / hourCandidates with leadership experience in one or more of the following environments are especially encouraged to apply: Pharmaceutical Hub Services | Specialty Pharmacy | Patient Access | Benefits Verification | Benefits Investigation | Reimbursement Services | Patient Assistance Programs | Financial Assistance Programs | Prior Authorization | Healthcare Contact Centers | Medical Insurance Operations . The ideal candidate has a strong background in healthcare reimbursement, benefits verification/investigation, patient access, specialty pharmacy, pharmaceutical hub services, or patient assistance programs , along with proven experience managing teams in a fast-paced environment.
Inpatient Coder Omm IT SolutionsInpatient CoderBaltimore, MarylandRemoteMinimum of 3 years ICS-10-CM/ICD-10-PCS coding and abstracting experience with a Level 1 trauma and rehab hospital or 4 years of experience with coding inpatient hospital medical records required . The Inpatient Coder is responsible for reviewing inpatient medical records and assigning accurate ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines, regulatory requirements, and Clint policies.
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.
Inpatient Medical Coder- FULL TIME Sierra7Inpatient Medical Coder- FULL TIMEMcLean, VAFull timeThe medical coder will access the Veteran Affairs VistA/CPRS system to read and code medical records identified by the Veteran Affairs and enter codes into the approved encoder or other package. The full time Inpatient Medical Coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the Veteran Affairs Health Care System (VAHCS).
Outpatient Medical Coder-FULL TIME Sierra7Outpatient Medical Coder-FULL TIMEMcLean, VAFull timeThe medical coder will access the Veteran Affairs VistA/CPRS system to read and code medical records identified by the Veteran Affairs and enter codes into the approved encoder or other package. The full-time Outpatient Medical Coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the Veteran Affairs Health Care System (VAHCS).
Remote Pro Fee Quality Reviewer GuidehouseRemote Pro Fee Quality ReviewerDistrict of ColumbiaRemoteThe Coding Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification systems. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Nocturnist Hospitalist Physician - MedStar Southern Maryland Hospital Center MedStar HealthNocturnist Hospitalist Physician - MedStar Southern Maryland Hospital CenterClinton, Maryland$306,840–$336,840 / yearFull timeProvides internal medicine care 24 hours per day 7 days per week in all areas of the hospital including but not limited to management of inpatient referrals from primary care physicians (PCP) and the Primary Care Center (PCC) Emergency Department (ED) admissions and consultations inpatient internal medicine care and inpatient medical consultation on other adult patients. Provides internal medicine care within the inpatient setting to include but not limited to history and physical exams consultative services daily rounding services and discharge planning.
PRN Daytime Hospitalist - MedStar Georgetown University Hospital MedStar HealthPRN Daytime Hospitalist - MedStar Georgetown University HospitalWashington, DC$165–$185 / hourPer diemProvides adult hospital medicine care 24 hours per day 7 days per week in all areas of the hospital including but not limited to management of inpatient referrals from primary care physicians (PCP) and the Primary Care Center (PCC) Emergency Department (ED) admissions and consultations inpatient internal medicine care and inpatient medical consultation on other adult patients. Provides internal medicine care within the inpatient setting to include but not limited to history and physical exams consultative services daily rounding services and discharge planning.
Patient Relations Coordinator/Receptionist Jeffrey P Haggquist Do PLLCPatient Relations Coordinator/ReceptionistWashington, DC$19–$22 / hourFull timeThe Patient Relations and Billing Coordinator provides excellent communication with our patients, coordinates revenue cycle and medical insurance billing, delivers administrative support to clinic leadership, and assists with clinic operations. We would create your schedule (typically an 8-hour shift) in coordination with the schedules of other administrative staff members.
NewMedical Biller Quadrant IncMedical BillerAnnapolis, MDEnsure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately. Responsible for obtaining from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
Healthcare Talent Pool Anne Arundel Workforce Development Corporation (AAWDC)Healthcare Talent PoolLinthicum Heights, MDYou may be contacted regarding interviews, training, or credential opportunities By applying, you are entering our Healthcare Talent Network.
Physician Liaison & Records Integrity Analyst Johns Hopkins HospitalPhysician Liaison & Records Integrity AnalystBaltimore, MDJHHS is an academically based health system consisting of: The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital, The Johns Hopkins All Children's Health System, Johns Hopkins Community Physicians, The Johns Hopkins Medical Services Corporation and Johns Hopkins Medical Management Corporation. Summary: The Physician Liaison/Record Integrity Analyst, under the leadership of the HIM Supervisor/Manager, performs detailed qualitative and quantitative analysis of hospital medical records to ensure completion and compliance with hospital policy and state and federal regulatory agencies and to ensure timely documentation if available for coding and billing purposes.
NewHealthcare Claims Payment Policy Managing Consultant GuidehouseHealthcare Claims Payment Policy Managing ConsultantTysons Corner, VirginiaExperience supporting third-party administrator or claims operations implementation, including translating policy into business requirements, clarifying reimbursement logic, supporting testing, resolving operational questions, and tracking implementation issues. Experience leading a team or workstream, including setting priorities, assigning work, reviewing deliverables, coordinating subject matter experts, tracking deadlines, and communicating status, risks, and decisions to leadership.