Pre-Certification Coordinator II - Pediatric Endocrinology Washington University in St LouisPre-Certification Coordinator II - Pediatric EndocrinologyWashingtonCommunication, Detail-Oriented, Epic EHR, Fast-Paced Environments, Health Insurance Portability & Accountability Act (HIPAA), Insurance Claim Processing Software, Insurance Precertification, Insurance Terminology, Interpersonal Communication, Medical Coding Software, Multitasking, Organizational Savvy, Prioritization Grade . Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and non-surgical procedures, outpatient testing, and medications; notifies financial counselor for pre-payment of un-coded services.
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.
NewBusiness Analyst II - Payment Integrity Datamining Elevance HealthBusiness 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 & Collections Specialist Globus Medical Inc.Medical Billing & Collections SpecialistColumbia, MDPosition Summary: 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. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure.
Nurse Practitioner - PPV CompassusNurse Practitioner - PPVReston, VAThe Nurse Practitioner, if providing hospice care, functions as an extension of the interdisciplinary team (IDT) and hospice physician to provide routine recertification and emergency assessments, educational, and evaluative services to meet the needs of patients and their families. If providing Hospice Face to Face Visits: Performs routine and emergency assessments: Completes routine and emergency recertification visits on each patient entering their 3rd benefit period or beyond (including admissions and transfers).
DRG Clinical Validation Lead Elevance HealthDRG Clinical Validation LeadHanover, MD$89,520–$161,136 / 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. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Patient Care Associate (Trainee) - Medicine Multispecialty Center - CAM13 Washington University in St LouisPatient Care Associate (Trainee) - Medicine Multispecialty Center - CAM13WashingtonPerforms select administrative and certain clinical duties under the direction of a licensed healthcare professional; administrative duties may include scheduling appointments, maintaining medical records, patient billing, and coding medical information for insurance purposes; clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and providing medical attention as directed by physician or nursing staff. Prepares treatment rooms for patient examinations, keeping the rooms neat and clean; cleans and sterilizes equipment, instruments, rooms, etc., and appropriately disposes of contaminated supplies.
Patient Care Associate I - Ophthalmology Washington University in St LouisPatient Care Associate I - OphthalmologyWashingtonPerforms select administrative and certain clinical duties under the direction of a licensed healthcare professional; administrative duties may include scheduling appointments, maintaining medical records, patient billing, and coding medical information for insurance purposes; clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and providing medical attention as directed by physician or nursing staff. File Maintenance, Healthcare Environments, Interpersonal Communication, Medical Terminology, Microsoft Office, Office Administration, Office Procedures, Oral Communications, Patient Communications, Stenography Grade .
Patient Care Associate I (Float) - Ophthalmology Washington University in St LouisPatient Care Associate I (Float) - OphthalmologyWashingtonPerforms select administrative and certain clinical duties under the direction of a licensed healthcare professional; administrative duties may include scheduling appointments, maintaining medical records, patient billing, and coding medical information for insurance purposes; clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and providing medical attention as directed by physician or nursing staff. File Maintenance, Healthcare Environments, Interpersonal Communication, Medical Terminology, Microsoft Office, Office Administration, Office Procedures, Oral Communications, Patient Communications, Stenography Grade .
Medical Office Manager Maryland Vision Center PaMedical Office ManagerFREDERICK, MDFull timeThis role requires working directly alongside the front desk team, collaborating with our Chief Financial Officer on payroll, and partnering with the owner and clinical leadership team on employee performance reviews. A well-established, private non private equity owned ophthalmology practice in Western Maryland is seeking an experienced, hands-on Practice Office Manager to oversee daily clinic operations.
NewPatient Access Associate I (Evening Shift) MedStar HealthPatient Access Associate I (Evening Shift)Baltimore, Maryland$18.70–$32.72 / hourFull timeConfirms coverage using online electronic verification systems; selects appropriate insurance codes and may obtain authorizations by utilizing online electronic verification system or other resources such as HDX EVS or Blueline; follow up on insurance authorizations and referrals if needed. This includes greeting patients providing information answering phones registering outpatients and/or inpatients coding lab accounts and entering orders as required.
NewMedical Biller PROSPER HEALTH AND BEHAVIORAL CAREMedical BillerBaltimore, MDFull timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Remote IP Quality Reviewer GuidehouseRemote IP Quality ReviewerMcLean, VirginiaRemoteThe Coding Quality Reviewer shall report directly to the Internal Quality Control Director and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as defined in quality review policies and facility guidelines utilizing ICD-10 CM/PCS and CPT 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.
Medical Director - Spine And Brain Surgery - Remote UnitedHealth Group Inc.Medical Director - Spine And Brain Surgery - RemoteBaltimore, MDRemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting GroupHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderWashington DC, District of ColumbiaRemoteOur clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations.
Director Of Revenue Cycle Management (Chesapeake Specialty Care) University of Maryland Faculty PhysiciansDirector Of Revenue Cycle Management (Chesapeake Specialty Care)Annapolis, 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 Director of Revenue Cycle Management is responsible for overseeing all aspects of the revenue cycle, from patient registration and insurance verification through final payment collection.
NewMedical Records Administration Specialist U.S. Department of DefenseMedical Records Administration SpecialistFort Belvoir, VA$89,508–$116,362 / yearFor each relevant work experience, make sure you include the employers name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement. Through a robust healthcare delivery system, and a dedicated team of inspired professionals, the Agency ensures the worldwide delivery of medical, dental, and pharmacy programs to more than 9.5 million uniformed service members, retirees, and their families, by improving health and building readiness.
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.
Medical Coder - Remote YO AI LabsMedical Coder - RemoteWashington D.C., DCRemoteWe are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets.
Medical Biller Healthy Mind Foundation LimitedMedical BillerBaltimore, MDFull timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.