Medical Billing & Collections Specialist Globus MedicalMedical Billing & Collections SpecialistColumbia, MarylandAs 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.
NewPatient Access Associate I (PRN) MedStar HealthPatient Access Associate I (PRN)Baltimore, MD$18.70–$32.72 / hourConfirms 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.
NewPatient Access Associate I (Night Shift) MedStar HealthPatient Access Associate I (Night 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.
Patient 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.
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.
NewPatient Access Associate I (PRN) MedStar Health Research InstitutePatient Access Associate I (PRN)Baltimore, MD$18.70–$32.72 / hourConfirms 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.
NewPatient Access Associate I (Night Shift) MedStar Health Research InstitutePatient Access Associate I (Night Shift)Baltimore, MD$18.70–$32.72 / hourConfirms 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.
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.
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.
Medical Billing Specialist Erickson Senior LivingMedical Billing SpecialistBaltimore, MarylandAs 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- 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 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.
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.
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.
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.
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.
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.
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).