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.
NewSupervisor, 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.
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.
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.
NewRemote IP Quality Reviewer GuidehouseRemote IP Quality ReviewerMcLean, VirginiaRemoteThe 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.
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.
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.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)MD$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Account Follow-Up Representative I Harris Computer SystemsAccount Follow-Up Representative IAnnapolis, MDRemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
Chiropractic Assistant Makda Chiropractic HealthChiropractic AssistantAlexandria, VAFull timeManaging office operations: Answering phones and emails, managing supplies, tidying treatment rooms and waiting areas, according to Oxford Area Chamber of Commerce, and assisting with administrative tasks. A chiropractic assistant (CA) plays a vital role in the smooth functioning of a chiropractic clinic, blending administrative and clinical duties to support the chiropractor and enhance the patient experience.
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) - Heart & Vascular Center Washington University in St LouisPatient Care Associate (Trainee) - Heart & Vascular CenterWashingtonPerforms 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.
FT Employed Optometrist- Annapolis, MD- LensCrafters at the Annapolis Mall EssilorLuxottica SAFT Employed Optometrist- Annapolis, MD- LensCrafters at the Annapolis MallAnnapolis, MD$59.75–$83.77 / hourIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Employed Optometrist- Columbia, MD- LensCrafters at the Colulmbia Mall- Newly Remodeled! EssilorLuxottica SAEmployed Optometrist- Columbia, MD- LensCrafters at the Colulmbia Mall- Newly Remodeled!Columbia, MDIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Physical Therapist - Full Time Jackson Therapy PartnersPhysical Therapist - Full TimeWoodbridge, VAFull timeThanks to nationwide partnerships with clients from every setting, we help therapy professionals find the perfect job including great pay, awesome benefits, relocation assistance, and even sign-on bonuses, all at no cost to you! Jackson Therapy Partners offers a variety of career options for physical therapists including direct hire positions, temp-to-hire, and travel contracts.
Pre-Certification Coordinator I - Pediatrics Genetics Washington University in St LouisPre-Certification Coordinator I - Pediatrics GeneticsWashingtonThe 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. Performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with third-party payers.
NewHealthcare Advocate - Field-Based Position UnitedHealth Group IncHealthcare Advocate - Field-Based PositionWashington D.C., DC$72,800–$130,000 / yearThe Healthcare Advocate serves as a strategic partner to physicians, medical groups, IPAs, and hospitals, supporting accurate documentation and coding practices to ensure a complete and accurate health picture of members across government and regulated lines of business, including Medicare Advantage, Medicaid, and ACA. Travel independently across the assigned territory (approximately 80% field-based, with occasional overnight travel) to engage providers in Optum tools and programs that enhance quality of care for Medicare Advantage members.
Compliance Program Manager Johns Hopkins HospitalCompliance Program ManagerBaltimore, MD$41–$65.60 / hourDeveloping audit work plans and conducting or supervising both planned and special audits of patient medical records and bills to determine whether charges being billed are adequately supported by documentation in the record, and that documented services are being billed. The Compliance Program Manager is responsible for the development, implementation, and ongoing monitoring of the Corporate Compliance Program with a particular emphasis on federal payor billing compliance and compliance-related education for the Johns Hopkins Health System Corporation and its affiliates.
Specialist, Health Policy and Payment American Physical Therapy AssociationSpecialist, Health Policy and PaymentAlexandria, VA$75,000–$80,000 / yearSupport APTA advocacy with commercial payers, federal agencies, members, coalitions, and other industry players; Monitor, analyze and develop communication on commercial payer policies, Medicare payment policies, and other reimbursement developments affecting physical therapy practice for members and other constituents; Create content and resources for company website and other communications and presentations to educate and inform members and other audiences on efforts to support the association's health payment priorities; Collaborate with Government Affairs, Communications, and other APTA departments and external teams on issues impacting the physical therapy profession; Support outreach and communication with insurance companies, federal agencies, member leaders, coalitions, and other external; Participate in some evening virtual meetings. The position serves as a key contributor to APTA's payment strategy, supporting efforts involving commercial insurers, traditional Medicare and Medicare Advantage, CPT coding Relative Value Scale Update Committee (RUC) processes, payment valuation, value-based care, administrative burden reduction, quality initiatives, and health information technology.