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.
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.
Medical Director, Vascular Surgery - Remote UnitedHealth Group IncMedical Director, Vascular 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.
NewMedical Director - Spine And Brain Surgery - Remote UnitedHealth Group Inc.Medical 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.
NewMedical Director, General Surgery - Remote UnitedHealth Group Inc.Medical 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 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.
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.
Patient Care Coordinator Beltone Electronics CorpPatient Care CoordinatorShrewsbury, PA$42,500–$45,000 / yearOur mission is rooted in Hearing Care for Life, where we prioritize building long-term relationships with our patients and supporting them on their journey to better hearing. We are a multi-clinic, patient-centered, hearing healthcare provider committed to improving the quality of life for our patients.
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.
Claims Analyst Lumen Solutions Group, Inc.Claims AnalystBaltimore, MDThe ideal candidate will have strong experience in claims research, data validation, data entry, and Excel, with the ability to analyze issues, maintain accurate records, and support day-to-day claims operations. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.
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.
NewRemote IP Quality Reviewer GuidehouseRemote IP Quality ReviewerMcLean, VirginiaRemote$65,000–$108,000 / yearThe 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.
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.
Patient Care Coordinator (Front Desk) Upperline HealthPatient Care Coordinator (Front Desk)Lutherville Timonium, MarylandFounded in 2017 with a bold vision to transform specialty healthcare, we have grown into a stable and rapidly expanding organization delivering consistent, high-quality care to patients living with chronic conditions. Our patient-centered, value-based care model brings together physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists to address both immediate and long-term health needs.
Field Reimbursement Manager Immunology Gastroenterology - Rockville MD AbbVie IncField Reimbursement Manager Immunology Gastroenterology - Rockville MDRockville, MDThe amount and availability of any bonus, commission,incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless anduntil paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of thisposting based on the job grade for this position.
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.
Patient Care Coordinator (Front Desk) Upperline Health IncPatient Care Coordinator (Front Desk)MDFounded in 2017 with a bold vision to transform specialty healthcare, we have grown into a stable and rapidly expanding organization delivering consistent, high-quality care to patients living with chronic conditions. Our patient-centered, value-based care model brings together physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists to address both immediate and long-term health needs.