NewInsurance Billing/Collection Assistant III (Hybrid) - Anesthesiology Washington University in St LouisInsurance Billing/Collection Assistant III (Hybrid) - AnesthesiologyWashingtonClaims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone Communications Grade . Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records, and claims, contacts insurance companies and/or collection agencies as well as other related duties to expedite payments from various payers for physician services.
Compliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearFull timePerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
NewBilling Specialist I KureSmart Pain Management LLCBilling Specialist IAnnapolis, MDRemote$20–$24 / hourEssential Duties and Responsibilities: Reviews and resolves payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Holidays: 7 (New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Day After Thanksgiving, Christmas Day).
PAR I & II TRC Talent SolutionsPAR I & IIWashington, DISTRICT OF COLUMBIAEnsures 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.
Customer Service Representative TRC Talent SolutionsCustomer Service RepresentativeWashington, DCTemporaryEnsures 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 .
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Hanover, MD$86,560–$155,808 / 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. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Benefits And Authorization Specialist (Chesapeake (Specialty Care) University of Maryland Faculty PhysiciansBenefits And Authorization Specialist (Chesapeake (Specialty Care)Baltimore, 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 Benefits Coordinator/Authorization Specialist plays a key role in the revenue cycle by ensuring accurate benefit information is captured upfront to minimize claim denials and patient billing surprises.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerWashington, DC$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.
CBO Billing Relations Manager MedVanta CareersCBO Billing Relations ManagerBethesda, MarylandFunctions as a floating Revenue Cycle leader by providing interim management coverage, operational support, special project leadership, and hands-on claims assistance across multiple RCM teams as organizational needs dictate. Through a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health.
CBO Billing Relations Manager MedVanta Interco, LLC.CBO Billing Relations ManagerBethesda, MDPart timeFunctions as a floating Revenue Cycle leader by providing interim management coverage, operational support, special project leadership, and hands-on claims assistance across multiple RCM teams as organizational needs dictate. Through a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health.
Senior Consultant, Supplemental Health Sun Life FinancialSenior Consultant, Supplemental HealthBaltimore, MD$71,100–$106,700 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Charges And Claims Specialist (Chesapeake Specialty Care) University of Maryland Faculty PhysiciansCharges And Claims Specialist (Chesapeake Specialty Care)Baltimore, 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 referenced base salary range represents the low and high end of Specialty Care Networks' salary range for this position.
Coding Instructor Code NinjasCoding InstructorBurke, VirginiaWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Accounts Receivable Claims Specialist (Chesapeake Specialty Care) University of Maryland Faculty PhysiciansAccounts Receivable Claims Specialist (Chesapeake Specialty Care)Baltimore, 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 referenced base salary range represents the low and high end of Specialty Care Networks' salary range for this position.
NewLead Accounts Receivable Claims Specialist (Chesapeake Specialty Care) University of Maryland Faculty PhysiciansLead Accounts Receivable Claims Specialist (Chesapeake Specialty Care)Annapolis, MDThe Lead Accounts Receivable Claims Specialist provides guidance and support to team members, monitors department performance, identifies denial trends, and collaborates with providers, payers, and leadership to maximize reimbursement and improve revenue cycle performance. 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.
Patient Billing/Services Representative II - Obstetrics and Gynecology Washington University in St LouisPatient Billing/Services Representative II - Obstetrics and GynecologyWashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Specialist Billing Projects (Hybrid) - Anesthesiology Washington University in St LouisSpecialist Billing Projects (Hybrid) - AnesthesiologyWashingtonThe screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. It includes but is not exclusive to the following: Maintains documentation on procedures and processes and assists staff and clinicians as needed, with daily operations including pre-certification.
Patient Billing/Services Representative II - Department of Medicine Washington University in St LouisPatient Billing/Services Representative II - Department of MedicineWashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . The Patient Billing/Services Representative (PSR) is a patient-facing role that obtains insurance information and referral forms as well as counsels patients on financial assistance when seen in department for services.
NewAccounts Receivable Representative - MedStar Ambulatory Services MedStar HealthAccounts Receivable Representative - MedStar Ambulatory ServicesColumbia, Maryland$18.70–$32.72 / hourFull timeMeets monthly departmental key performance indicators (KPIs) as it applies to days in A/R, open receivables, aged A/R, cash collections, credit balances and high dollar accounts. Under the supervision of the Reimbursement Manager the representative will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting.
NewLead Benefits And Authorization Specialist (Chesapeake Specialty Care) University of Maryland Faculty PhysiciansLead Benefits And Authorization Specialist (Chesapeake Specialty Care)Annapolis, MDExact 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. The Lead Benefits and Authorization Specialist works closely with Scheduling, Clinical Operations, Surgical Coordinators, Billing, and Revenue Cycle Leadership to improve authorization accuracy, reduce denials, and support revenue cycle performance.