Revenue Cycle Specialist District PartnersRevenue Cycle SpecialistGaithersburg, MarylandThis role is best suited for someone who understands how to work aged hospital A/R, investigate payment delays and denials, communicate effectively with insurance carriers, and determine the appropriate action needed to move an account forward. The successful candidate will be comfortable reviewing complex account histories, identifying the underlying issue, and following through until the balance is appropriately resolved.
Convergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteConvergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationRosslyn, VA$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
NewDRG 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.
Healthcare Talent Pool Anne Arundel Workforce Development Corporation (AAWDC)Healthcare Talent PoolLinthicum Heights, MDYou may be contacted regarding interviews, training, or credential opportunities By applying, you are entering our Healthcare Talent Network.
Statistician Code360StatisticianHyattsville, MarylandRemoteIdentifying data priorities in the areas of health care resources and utilization; Plan and implement sample surveys and evaluation studies to address data priorities; Develop survey methodologies that address the unique data collection requirements of national surveys of health care providers and institutions; Apply sampling theory and design to complex, multi-stage national probability surveys of health care providers and institutions; Develop data reduction methods and analysis of data from national surveys of health care providers and institutions; Apply and modify established methods, modeling techniques, and procedures in conducting analysis to improve sample surveys or experimental designs and to conduct evaluations of data collection, reduction and processing. Prepare reports, manuals and other directives necessary to convey medical coding information and improve the quality of our data; Design and develop new mathematical statistical models, methods and/or techniques such as sample and survey designs for related data collection; Evaluate data resulting from application of mathematical statistic tools, model, method and techniques to the public health area; Contribute to various project reports and presentations, including memos summarizing interim project findings; reports describing final algorithm methodology and application; and presentations to stakeholders and Federal partners; and.
Field Reimbursement Manager-Mid-Atlantic Harrow IncField Reimbursement Manager-Mid-AtlanticDCMembers of our Harrow Family often express their pride in being a part of our commitment to (1) innovation, (2) patient access to affordable medicines, and (3) our track record of having never turned down an ophthalmologist doing mission work around the world - providing free medicines in support of mission work aimed at giving or maintaining the gift of sight to those most in need. This individual will provide non-promotional, compliant education on coverage, coding, billing, and claims processes - giving customers the confidence and technical know-how to appropriately access and be reimbursed for Harrow brands.
Epic Resolute Professional Billing (PB) & Claims Analyst InterscriptsEpic Resolute Professional Billing (PB) & Claims AnalystChantilly, VirginiaThe ideal candidate will have hands-on experience in implementing, configuring, supporting, and optimizing the Epic Resolute Professional Billing (PB) module, with expertise in claims management and physician revenue cycle workflows. The candidate will collaborate with billing, coding, revenue cycle, and operational teams to enhance billing accuracy, streamline claims processing, and improve reimbursement outcomes.
Certified Asthma Educator - Pediatric Allergy & Pulmonary Medicine Washington University in St LouisCertified Asthma Educator - Pediatric Allergy & Pulmonary MedicineWashingtonThe Center for Pediatric Pulmonary Disease & Allergy (PPD&A) is seeking a Certified Asthma Educator (AE-C) to provide comprehensive, home-based asthma education and self-management support to pediatric patients and their families following emergency department (ED) visits for asthma at St. Louis Children’s Hospital (SLCH). The educator’s primary responsibilities include conducting home visits—typically within four to seven days of a child’s ED discharge —to review discharge instructions, demonstrate proper medication and inhaler use, and provide education on environmental trigger management and symptom control.
Accounts Receivable Representative - MedStar Ambulatory Services MedStar HealthAccounts Receivable Representative - MedStar Ambulatory ServicesColumbia, MD$18.70–$32.72 / hourMeets 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.
NewRemote IP Quality Reviewer Guidehouse IncRemote IP Quality ReviewerMcLean, VARemote$65,000–$108,000 / yearWhat You Will Do: The 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, Orthopedic Spine Surgery - Remote UnitedHealth Group IncMedical Director, Orthopedic Spine Surgery - RemoteBaltimore, MDRemote$248,500–$373,000 / yearCurrent board certification through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) in Orthopedic Surgery, with fellowship training and substantial clinical experience in Spine Surgery. 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.
Medical Director, General Surgery - Remote UnitedHealth Group IncMedical Director, General Surgery - RemoteBaltimore, MDRemote$248,500–$373,000 / yearWe 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Medical Director, Orthopedic Surgery - Remote UnitedHealth Group IncMedical Director, Orthopedic Surgery - RemoteBaltimore, MDRemote$248,500–$373,000 / yearWe 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Medical Director - Spine and Brain Surgery - Remote UnitedHealth Group IncMedical 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.
Accounts Receivable Representative - MedStar Ambulatory Services MedStar Health Research InstituteAccounts Receivable Representative - MedStar Ambulatory ServicesColumbia, MD$18.70–$32.72 / hourMeets 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.
Patient Account Representative - VHC Med-Metrix, LLCPatient Account Representative - VHCArlington, VAPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
Patient Account Representative - Medicare/Medicaid Exp Med-Metrix, LLCPatient Account Representative - Medicare/Medicaid ExpArlington, VAPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
Medicare/Medicaid - Patient Account Representative Med-Metrix, LLCMedicare/Medicaid - Patient Account RepresentativeArlington, VAPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
Data Platform Lead Guidehouse IncData Platform LeadTysons, VA$149,000–$248,000 / yearWhat You Will Do: Design and build scalable data pipelines for RCM use cases; Develop ingestion frameworks for structured and unstructured data (claims, remits, account notes); Implement ETL/ELT pipelines and data transformation logic; Build and maintain enterprise data lake/data fabric architectures; Integrate data across enterprise systems and APIs; Ensure data quality, lineage, and governance; Support data services for AI/ML and analytics workflows; Deploy and manage data workloads in cloud environments using modern DevOps practices. What Would Be Nice To Have: Experience in healthcare RCM data (claims, billing, AR); Experience supporting AI/ML or analytics platforms; Familiarity with data lakehouse architectures; Experience with orchestration tools (Airflow, ADF, etc.); Experience working in regulated environments.
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.