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Forensic Investigator Jobs in Bethesda, MD

Jobs

Transcription & Data Entry Supervisor Quest Diagnostics Inc

White Plains, NY

$58,656–$104,700 / year

Skills: Excellent leadership, interpersonal and communication skills (oral and written) necessary to effectively interact with customers and co-workers. Leads with metrics and tools - uses data, metrics and operational tools to assess performance, prioritize work, and improve team goals and results.

30+ days ago

Revenue Cycle Supervisor (Self Pay and Specialty) Job Details

Fort Lee, New Jersey

Demonstrated skills in A/R management, Customer Service, problem assessment, and resolution, and collaborative problem-solving in complex and interdisciplinary settings, including strong proficiency in healthcare and payer guidelines as it pertains to billing and reimbursement. The Revenue Cycle Supervisor (Self Pay and Specialty) will also be responsible for day-to-day operations of the payment posting process, the International Business Line, Specialty billing, and the oversight of guarantor work queues.

30+ days ago

Medical Office Manager - Fully Remote Mercor

New York, New York

Remote

$40–$50 / hour

Direct experience with payer portals (Availity, Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna). Evaluate and improve administrative workflows in healthcare settings, focusing on patient access and front-end operations .

30+ days ago

Contracting & Credentialing Manager Agility Billing Services

Melville, NY

$85,000–$115,000 / year

Payer Contracting - Lead negotiation, renewal, and management of managed care and commercial payer contracts (BCBS, UnitedHealthcare, Aetna, Cigna, Medicare/Medicaid MCOs, No-Fault/Workers’ Comp payers) across NY, NJ, and CT- Analyze fee schedules and contract terms to identify underpayment risk and negotiation opportunities- Track in-network status, contract renewal/termination windows, and payer relationships across multiple client accounts- Advise on No Surprises Act/IDR exposure tied to contracting gaps- Stay current on state-specific managed care regulations (NY DFS, NJ C.32/Maximus, CT DOI). Required- 5+ years of experience in healthcare payer contracting and/or provider credentialing- Working knowledge of the NY/NJ/CT managed care landscape and No Surprises Act/IDR framework- Hands-on experience with CAQH, PECOS/NPPES, and payer credentialing portals- Strong contract review and negotiation skills- Excellent organizational skills — comfortable managing multiple concurrent contracts and provider files- Proficiency in Excel and practice management/credentialing software.

21 days ago

Associate, Payment Integrity IBR Oscar Health Inc

New York, NY

$91,908–$120,629 / year

This is accomplished by leveraging a deep understanding of Oscar''s claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.

30+ days ago

AI Engineer Joyful Health Inc

New York City, NY

$150,000–$275,000 / year

The healthcare payment system is a complex and inefficient maze - healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. Were looking for a talented and ambitious machine learning engineer with 5+ years of experience building production AI systems whos excited to solve one of the toughest challenges in healthcare - automatically resolving claim denials.

19 days ago

Auditor Clinical Validation DRG Cotiviti Holdings Inc. (Inactive)

Remote

Experience (required): 5 to 7+ years of working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria and coding terminology. This position is responsible for auditing inpatient claims and documenting the results of those audits, with a focus on clinical review, coding accuracy, and the appropriateness of treatment setting and services delivered.

30+ days ago

Team Lead, Market Operations - Garden City/Long Island Carvana

Garden City, NY

Our Customer Advocates will then either deliver the purchased vehicle to our customer's driveway using one of our kick-ass one car haulers, or they will meet our customers at one of our amazing coin-operated Vending Machines. We expect bright people who are willing to roll up their sleeves, step in wherever needed, mentor and develop team members, and assume additional responsibilities as needed while juggling multiple projects.

30+ days ago

Customer Strategy & Ops - New Grad Candid Health

New York, NY

$90,000–$110,000 / year

To be effective at Candid, you have to be willing and able to operate at the lowest tactical level - hand-migrating SQL queries, iterating on prompts for agent phone calls, debugging EDI rejections with a clearinghouse, mapping hundreds of fields between a legacy system and ours - and then zoom out to shape the strategic direction of an account. Computer Science, Economics, Pre-Med (Human Biology, Biology, Neuroscience), Healthcare Management, Public Policy, Global Health, Finance, Mechanical Engineering, Biomedical Engineering, Statistics, Applied Math, Systems Engineering, Data Science, Finance, Entrepreneurship.

30+ days ago

Medical Coding Specialist Therapymatch, Inc.

$60,520–$89,000 / year

A notice to Headway applicants: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications through our official careers page at https://headway.co/careers . Determine whether a flagged finding is accurate - confirming genuine documentation and coding errors, and identifying findings that were flagged incorrectly so they can be corrected and escalated.

30+ days ago

Medical Secretary, FGP - Urology - Garden City NYU Langone Health

Garden City, NY

$56,873.24–$56,873.25
Full time

Demonstrates communication skills: using appropriate vocabulary and grammar when obtaining and conveying information to patients, physicians, nurses, and staff at various levels; in person, over the phone, in writing, and in electronically sent messages. Exercises skill in prioritizing assignments in order to complete work in a timely manner when there are changes in workload, assignments, pressures of deadlines, competitive requirements, and/or a heavy workload.

30+ days ago

Medical Secretary, FGP - Gastro - Lake Success NYU Langone Health

Lake Success, NY

$56,873.24–$56,873.25
Full time

19 days ago

Medical Secretary, FGP - Cardiology - Mineola NYU Langone Health

Mineola, NY

$56,873.24–$56,873.25
Full time

29 days ago

Medical Call Center Lead Nurture Specialist Allcare Pt

Brooklyn, New York

You must be able to easily handle a high volume of outbound and inbound telephone calls and work under a front desk manager to keep an organized front desk reception area flowing (without long breaks) * You must feel super comfortable using technology for text messaging, call tracking systems, email, and billing software for collection of copays and credit card systems. We Are a Unique Physical Therapy Consulting Company With Offices In Brooklyn and Miami And Our Brand Has Established Itself As The Only Non-Surgical Pain Elimination Specialists In Brooklyn This is a perfect opportunity for you, only if you have prior experience and skill working specifically with phone tele sales, phone lead nurturing, or a call center using a CRM system and or lead qualification process.

26 days ago

Clinic Manager, Bureau of Public Health Clinics City of New York

Bronx, NY

A baccalaureate degree from an accredited college and five years of full-time professional satisfactory experience acquired within the last fifteen years, in a health services setting such as a laboratory, hospital, or other patient care facility, or in a public health, environmental health, or mental hygiene program, at least 18 months of which must have been in a managerial capacity, consisting of managerial experience clearly demonstrating the ability to perform difficult and responsible managerial work, requiring independent decision-making concerning program management, planning, allocation of resources, and the scheduling and assignment of work. DUTIES WILL INCLUDE BUT NOT BE LIMITED TO: Responsible for the overall administrative operation of the center, including but not limited to:- Continuity of chest center services, general oversight for all staff, Bi data collection:- Inventory control; - Requisitioning and resource; management; - MIS/IT needs; - Payroll and personnel matters.

13 days ago

Clinical Trials Manager-B Stamford Health

Stamford, CT

The department manager manages staff including clinical trials coordinators, data specialists, finance analysts, regulatory coordinators and research assistants, and any other staff deemed necessary for the successful operation of clinical trials. Works closely with department''s billing supervisor and department administrator to insure that research billing meets government and institutional guidelines, is billed timely and correctly.

30+ days ago

Clinical Trials Manager-B The Stamford Hospital

Stamford, CT

The department manager manages staff including clinical trials coordinators, data specialists, finance analysts, regulatory coordinators and research assistants, and any other staff deemed necessary for the successful operation of clinical trials. Works closely with department's billing supervisor and department administrator to insure that research billing meets government and institutional guidelines, is billed timely and correctly.

30+ days ago

Client Performance Senior Specialist - Performance Clients Yahoo Inc

$72,750–$151,250 / year

Lead the end-to-end operational oversight of campaign and creative setup and billing in our Native platform, partnering with internal entities such as Yahoo Brand Studios, Legal, and Financial Operations to ensure quality execution. The material job duties and responsibilities of this role include those listed above as well as adhering to Yahoo policies; exercising sound judgment; working effectively, safely and inclusively with others; exhibiting trustworthiness and meeting expectations; and safeguarding business operations and brand integrity.

30+ days ago

Certified Medical Assistant (Entry-Level) 1Life Healthcare Inc

Darien, CT

$24–$26 / hour

What you'll likely work on: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. As a Certified Medical Assistant at One Medical (internally referred to as Lab Services Specialist/Member Support Specialist) at our office in Darien, CT, you'll provide an exceptional experience for our patients and help them accomplish an important part of their care journey by providing venipuncture as well as other clinical support services.

15 days ago

Certified Medical Assistant (Float) 1Life Healthcare Inc

Englewood, NJ

$25.75–$27.75 / hour

What you'll likely work on: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. What you'll need: An active Medical Assistant certification from the National Healthcareer Association (NHA), the American Association of Medical Assistants (AAMA), the National Center for Competency Testing (NCCT), the American Medical Certification Association (AMCA), the National Association for Health Professionals (NAHP), the National Certification Medical Association (NCMA), or registration from the American Medical Technologists (AMT), or any other recognized certifying body approved by the Board.

3 days ago

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Forensic Investigator Jobs in Bethesda, MD

Transcription & Data Entry Supervisor Quest Diagnostics Inc

Revenue Cycle Supervisor (Self Pay and Specialty) Job Details

Medical Office Manager - Fully Remote Mercor

Contracting & Credentialing Manager Agility Billing Services

Associate, Payment Integrity IBR Oscar Health Inc

AI Engineer Joyful Health Inc

Auditor Clinical Validation DRG Cotiviti Holdings Inc. (Inactive)

Team Lead, Market Operations - Garden City/Long Island Carvana

Customer Strategy & Ops - New Grad Candid Health

Medical Coding Specialist Therapymatch, Inc.

Medical Secretary, FGP - Urology - Garden City NYU Langone Health

Medical Secretary, FGP - Gastro - Lake Success NYU Langone Health

Medical Secretary, FGP - Cardiology - Mineola NYU Langone Health

Medical Call Center Lead Nurture Specialist Allcare Pt

Clinic Manager, Bureau of Public Health Clinics City of New York

Clinical Trials Manager-B Stamford Health

Clinical Trials Manager-B The Stamford Hospital

Client Performance Senior Specialist - Performance Clients Yahoo Inc

Certified Medical Assistant (Entry-Level) 1Life Healthcare Inc

Certified Medical Assistant (Float) 1Life Healthcare Inc

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