Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementCharlotte, NCRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Medical Assistant I - Atrium Health Monroe Internal Medicine Full-Time Advocate Health and Hospitals CorporationMedical Assistant I - Atrium Health Monroe Internal Medicine Full-TimeMonroe, North CarolinaProviding 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. Headquartered 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.
Medical Assistant I - Atrium Health Monroe Internal Medicine Full-Time Advocate Aurora Health IncMedical Assistant I - Atrium Health Monroe Internal Medicine Full-TimeMonroe, NC$21.85–$32.80 / hourProviding 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. Headquartered 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.
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.
Lead, Medical Network Claims Pricer Judi HealthLead, Medical Network Claims PricerCharlotte, North CarolinaApply 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.
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 Capital Rx LLCLead, 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.
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.
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.
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.
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.
Lead Account Reimbursement Specialist Tryon Medical PartnersLead 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.
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.
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 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.
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 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.
Coding Instructor Cognito LLCCoding InstructorIndian Trail, NC$10–$13 / hourThis role is perfect for a recent graduate or college student who enjoys technology, loves working with children, and wants to develop teaching and leadership skills. At our center, children ages 5-14 learn coding, robotics and technology skills by building games and solving fun challenges in a supportive environment.
Coding Instructor Code NinjasCoding InstructorIndian Trail, North Carolina$10–$13 / hourCode Ninjas – Indian Trail 6405 Old Monroe Road, Suite CIndian Trail, NC 28079 We encourage applicants with a positive attitude, a passion for working with kids, and an eagerness to learn—even if you don't have previous teaching experience. This role is perfect for a recent graduate or college student who enjoys technology, loves working with children, and wants to develop teaching and leadership skills.