Manager of Revenue Cycle Operations and Integrity Rural Staffing ServicesManager of Revenue Cycle Operations and IntegrityWashingtonThe Manager of Revenue Cycle Operations and Integrity leads the hospitals mid and back end revenue cycle functions, ensuring accurate billing, efficient collections, and strong accounts receivable performance. For candidates with deep revenue cycle experience who enjoy building systems, solving problems, and mentoring teams, this is an opportunity to make a real impact inside a respected rural hospital.
Director, Revenue Cycle Howard UniversityDirector, Revenue CycleDC$194,000–$241,000 / yearThe Director of Revenue Cycle provides strategic and operational leadership for all revenue cycle functions across the Howard University Faculty Practice Plan (FPP) ambulatory academic practice, including patient registration, charge capture, coding, billing, accounts receivable management, denial prevention and resolution, customer service, financial assistance programs, health information management (HIM), credentialing, and revenue integrity. Direct and optimize accounts receivable operations to achieve key performance targets, including Days in Accounts Receivable, Collection Rate, Aging Accounts Receivable, and other revenue cycle benchmarks, while driving cash flow, reducing receivable balances, and improving overall financial performance.
OP Coder Cooper ThomasOP CoderRemote Home Office, DCRemoteKnowledge in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record format and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD, CPT, HCPCS). · Must be able to perform the full scope of multi-specialty OP clinic, ED, minor procedures, radiology, rehabilitation, and lab encounters utilizing ICD-10, CPT, and HCPCS codes.
NewMedical Clinical Reviewer Doctor (MD/DO) (Part-time, Remote) Integrity Management Services, Inc.Medical Clinical Reviewer Doctor (MD/DO) (Part-time, Remote)Alexandria, VARemoteThe Medical Clinical Review Consultant provides professional medical expertise in support of healthcare claim reviews by conducting independent clinical evaluations of claims and supporting documentation, including medical records, treatment plans, clinical notes, diagnostic testing, imaging, procedure documentation, and relevant claims data. Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs.
Dental Billing Specialist Howard UniversityDental Billing SpecialistWashington, DC$43,641–$48,006 / yearResearches and resolves submission issues and claim denials, acts as a liaison with third-party carrier professionals regarding reimbursement/ claim denial issues, requests and submits additional documentation/ radiographs as needed, and identifies the root cause of submission issues/denials and implements process and system or policy enhancements to limit issues and denials. MINIMUM REQUIREMENTS: Prefer an Associate's Degree or equivalent from a 2-year college or completion of a certified coding program and 2-3 years related experience - will consider applicants with relevant experience and minimum 2-3 years CPT or CDT coding experience.
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 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.
Chargemaster Analyst Remote! Virginia Hospital CenterChargemaster Analyst Remote!Arlington, VARemoteThis role involves resolving charge and coding issues, managing databases and reports, The position requires strong knowledge of billing, coding, and financial operations, along with expertise in medical terminology and healthcare billing systems. Purpose & Scope: The role of the Chargemaster Analyst has several components including routine data validation, collaboration with outside vendors, performing monthly Chargemaster maintenance and leading code update initiatives.
NewMedical Assistant Apprentice Washington University in St LouisMedical Assistant ApprenticeWashingtonPerforms 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. We typically hire Medical Assistants to work the clinic back office where they room patients, document in electronic medical record, perform clinical skills associated with the specialty, perform blood draws, phone triage, schedule tests or order lab work, provide patients with follow-up instructions.
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.
Area 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.
NewMedical Clinical Reviewer Doctor (Md/Do) (Part-Time, Remote) Integrity Management Services, Inc.Medical Clinical Reviewer Doctor (Md/Do) (Part-Time, Remote)Alexandria, VARemote$80–$145 / hourThe Medical Clinical Review Consultant provides professional medical expertise in support of healthcare claim reviews by conducting independent clinical evaluations of claims and supporting documentation, including medical records, treatment plans, clinical notes, diagnostic testing, imaging, procedure documentation, and relevant claims data. Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs.
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting GroupHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderWashington DC, District of ColumbiaRemoteOur clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations.
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.
Senior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - Remote Sentara Healthcare IncSenior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - RemoteVARemote$25.60–$42.67 / hourExperience utilizing data analytics to identify high-risk providers and claims for pre-payment review within a healthcare payer, SIU, Program Integrity, or Payment Integrity environment is strongly preferred. Experience conducting pre-pay investigations, provider risk assessments, data mining, fraud, waste and abuse (FWA) analysis, and proactive identification of billing anomalies and emerging provider trends.
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.
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.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementBaltimore, MDRemoteFull 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.
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.
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.