Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistCharlotte, NCRemote$18–$22 / hourTemporaryEnsures 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.
Medical Office Insurance Representative Foot and Ankle AssociatesMedical Office Insurance RepresentativeCharlotte, NCFull timeKey Responsibilities:Verify accurate insurance information has been inputted into the practice management system on all patientsReview insurance claims for accuracy and submit to insurance carriers in a timely mannerAppeal claims that are processed incorrectly for resolution in a timely mannerContact insurance companies regarding claims that need to be adjudicated timelyFollow up on unpaid or denied claims and work toward resolutionCommunicate with patients regarding their insurance coverage, co-pays, and billing questionsCollaborate with clinical and administrative staff to ensure smooth patient flow and accurate documentationStay current on insurance policies, coding changes, and regulatory updatesQualifications:High school diploma or equivalent required; associate degree or certification in medical billing/insurance preferredMinimum of 2 years' experience in a medical office insurance or billing roleStrong understanding of medical insurance plans, coding, and billing processes (ICD-10, CPT, HCPCS)Familiarity with electronic medical records (EMR) and billing software (e.g., NextGen, Epic, etc.)Excellent attention to detail, problem-solving skills, and organizational abilitiesStrong interpersonal and communication skillsAbility to work independently and as part of a team in a fast-paced environment This individual is responsible for verifying insurance coverage, obtaining prior authorizations, assisting with claim submissions, contacting insurance companies regarding unpaid claims, filing appeals, A/R follow up, patient collections and serving as a liaison between patients, providers, and insurance companies.
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.
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.
Medical Billing Specialist destinationone ConsultingMedical Billing SpecialistCharlotte, North Carolinadestinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. Disclaimer: We're proactively building a databank for opportunities in Healthcare, Health Tech, Government, Non-Profits, Legal, and more.
Billing Specialist United Surgical Partners InternationalBilling SpecialistRock Hill, SCA diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States.
Medical Assistant/Flow Manager -Atrium Health Primary Care Cabarrus Family Medicine FT Advocate Aurora Health IncMedical Assistant/Flow Manager -Atrium Health Primary Care Cabarrus Family Medicine FTLocust, NCHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. 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.
Accounts Receivable Representative (Medical Billing)- Hybrid Schedule OrthoCarolinaAccounts Receivable Representative (Medical Billing)- Hybrid ScheduleCharlotte, 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.
Medical Coding Specialist Capital Rx, Inc.Medical Coding SpecialistCharlotte, NC$70,000–$85,000 / yearBy 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. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Medical Coding Specialist Capital Rx LLCMedical Coding SpecialistCharlotte, NC$70,000–$85,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Medical Coding Specialist Judi HealthMedical Coding SpecialistCharlotte, North CarolinaBy 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. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Lead Account Reimbursement Specialist Tryon Medical PartnersLead Account Reimbursement SpecialistCharlotte, NCLead Account Reimbursement Specialist III Job Summary: The Lead Account Reimbursement Specialist III facilitates the revenue cycle process by providing day to day operational support to billing, follow up, and customer staff. Works 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.
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.
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.
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.
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.
Account Reimbursement Specialist III Tryon Medical PartnersAccount Reimbursement Specialist IIICharlotte, NCFull timeThis role also identifies systemic reimbursement issues and denial trends, performs root-cause analysis, and partners with RCM leadership and operational teams to implement solutions that improve reimbursement, reduce preventable denials, and strengthen revenue cycle performance. The position serves as a resource and subject matter expert for Account Reimbursement Specialists and other RCM team members, providing guidance on complex reimbursement issues, payer policies, denial resolution strategies, and claim correction requirements.
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.
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.
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.