Patient Accounts Specialist Jewish Social ServicesPatient Accounts SpecialistRockville, MDResponsibilities: Import Electronic Remittance Advices into the EHR and ensure they properly post to the client's accountReview Remittance Advices for any denials or deductions and post any necessary adjustmentsPost client self-pay payments to client accountsMake necessary corrections to process claim denials and/or rejections for paymentProvide updates on third party payer changes to billing requirementsUpdate the EHR with new insurance and demographic information on current clients as necessaryIdentify consistent reasons for third party claim denials. Notify the Director of Patient Accounts and suggest procedural changes, which would avoid future denialsNotify other Patient Accounts staff if an insurance policy is no longer activeCreate finance entries as needed in the EHR to document client/staff/insurance communications.
Experienced Medical Biller – Pediatrics & Women’s Health | In-Person Potomac Pediatrics PCExperienced Medical Biller – Pediatrics & Women’s Health | In-PersonRockville, MDIn return, you will have the opportunity to work alongside experienced healthcare leaders who understand the complexities of medical billing and are invested in helping their team continue to learn and develop. This is an excellent opportunity for a biller with a minimum of 3 years experience who is ready to expand their revenue cycle knowledge, take ownership of their work, and grow professionally in a collaborative healthcare environment.
Customer Engagement Specialist GeneDX LLCCustomer Engagement SpecialistGaithersburg, MD$21–$26 / hourGenomics will radically transform therapeutic development, bringing better therapies to patients faster, and patients should control and can direct the use of their genomic information to benefit both themselves and advance scientific understanding that helps others. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world's largest rare disease data sets.
Customer Engagement Specialist GeneDx Holdings Corp.Customer Engagement SpecialistGaithersburg, MD$21–$26 / hourGenomics will radically transform therapeutic development, bringing better therapies to patients faster, and patients should control and can direct the use of their genomic information to benefit both themselves and advance scientific understanding that helps others. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world's largest rare disease data sets.
NewCentralized Services Specialist I Maxim Healthcare Services IncCentralized Services Specialist IColumbia, MDThe Centralized Service Specialist I reviews and processes Insurance Verification Forms, Physician Licensure requests, Authorizations and Orders and provides customer support to the Billing Teams and offices. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.
Healthcare Customer Service Team Lead (Remote) GetixHealthHealthcare Customer Service Team Lead (Remote)WashingtonRemoteAs a Customer Service Team Lead at GetixHealth, you will oversee a team of Customer Service Representatives who manage high-volume patient inquiries related to billing, payments, medical claims, insurance coverage, and benefits. We’re hiring a Customer Service Team Lead to oversee a high-performing team supporting our healthcare clients with early-out account services, patient inquiries, and billing support.
NewOperatory Surgical Coding Specialist West End Orthopaedic Clinic IncOperatory Surgical Coding SpecialistHerndon, VA$27.87–$41.80 / hourWith more than 159 physicians in over 35 locations-including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads-OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. In this role, you will ensure accurate posting of surgical cases, proper billing of supplies and implants, and correct CPT/HCPCS coding in collaboration with surgeons, clinical staff, and the Operatory Director.
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.
Vendor Management Analyst II Allegis GroupVendor Management Analyst IIHanover, Maryland$55,700–$83,500 / yearFull timeWorking within established frameworks, the Analyst applies analytical and problem-solving skills to monitor performance, identify and communicate issues, and support continuous improvement initiatives that drive business value for Allegis Group. Execute vendor management activities for assigned vendors, including monitoring performance, escalating complex issues, and tracking delivery against committed service levels.
Compliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearFull timePerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar HealthCompliance Audit/Investigator - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Case Review Specialist/Medical Assistant STG International, Inc.Case Review Specialist/Medical AssistantRockville, MDFull timeProvides direct support to the mission of Federal Occupational Health (FOH), a component of the Program Support Center (PSC), to improve the health, safety, and productivity of the Federal workforce by performing fulfillment of case review activities (review of service and provider fulfillment), interacting with internal and external customers regarding questions and clarification of services or other communication essential to the maintenance of the agreement and coordinating service delivery with FOH Business Operations team. Other duties may include reaching out to clinics to retrieve missing exam items, working with Occupational Health Clinics (OHC) to ensure all portions of exam completed are billed for appropriately, collaborating with FOH team members to ensure workflow facilitates that customer needs are met, and relay any concerns raised by customers to Program Manager (PM).
Claims Specialist- Liab Crawford & CoClaims Specialist- LiabFairfax, VATo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves within designed authority, as necessary, during the processing of the claim.
Client Support Specialist QTS Realty Trust, Inc.Client Support SpecialistAshburn, VALead the Renewal Review process by coordinating cross-functional audits and physical site reviews with the Critical Operations Team (COT), Operations Support, and Facilities teams; validating customer services and data; identifying risks and discrepancies; and providing accurate information to support contract renewals, upgrades, customer growth opportunities, and revenue retention efforts. Partner with internal teams to maintain data integrity and ensure the accuracy and consistency of customer records across Salesforce, ServiceNow, contracts, reporting tools, and other operational systems, proactively identifying and resolving discrepancies that impact customer service, reporting, and business operations.
Local Hire (Logistics Specialist) U.S. Department of Homeland SecurityLocal Hire (Logistics Specialist)Washington, DCThis may include a credit check after initial job qualifications are determined, a review of financial issues, such as delinquency in the payment of debts, child support and/or tax obligations, as well as certain criminal offenses and illegal use or possession of drugs (please visit: Mythbuster on Federal Hiring Policies for additional information). Local Hire employees help FEMA respond to, recover from and mitigate hazards by performing a variety of emergency management functions which are not limited to disaster survivor assistance, conducting and verifying damage assessments, and providing administrative, financial and logistical support.
Medical Secretary Full Time Ackerly Mcbride GroupMedical Secretary Full TimeWashingtonNew Patient Care Coordination: Facilitate enrollment of new patients by explaining the practice, the membership options/tiers, the relationship with insurance/Medicare, billing, the patient portal, on call services—and answering any questions. Medical Assistant experience or willingness to learn and be trained: Perform EKGs, blood draws, and point-of-care laboratory testing as needed; process testing and entering results into the EMR.
Medical Assistant Ackerly Mcbride GroupMedical AssistantWashingtonAckerly McBride Group is seeking a reliable and friendly Medical Assistant and Secretary to support our doctors and secretaries with patient care and administrative work. Responsibilities: Medical Assistant Perform EKGs, blood draws, and point-of-care laboratory testing as needed; process testing and enter results into the EMR.
Coding Auditor (Hybrid), Day Shift, Revenue Integrity Adventist HealthCareCoding Auditor (Hybrid), Day Shift, Revenue IntegrityGaithersburg, MD$26.91–$39.03 / hourProvide support to the Director, Manager, and Coordinators in their efforts to collaborate with AHC entities, physicians, physician practices, CMOs, CDI, and other stakeholders in understanding the impact of coding on care quality, documentation, and reimbursement. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).
DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health IncDRG Coding Auditor - MS-DRG and APR-DRGHanover, MD$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Medical Office Coordinator Mirror Mental HealthMedical Office CoordinatorCrofton, MDPart timePromptly answer phone calls, voicemails, company email, receive in-person guests, and coordinate all incoming and outgoing mail services (USPS, FedEx, UPS, etc.). The role of the Office Coordinator will perform general administrative tasks, create and enforce processes that drive efficiency, guide and motivate clinical and administrative staff, and coordinate communication between departments.