Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistWashington, DISTRICT OF COLUMBIARemoteEnsures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc. At TRC, we take pride in fulfilling our opportunity to add value to our client's business as their staffing partner, while working tirelessly to connect thousands of individuals each year with work opportunities where they can meet the needs of their families and have the potential to build their careers.
Medical Policy Review Nurse General Dynamics CorpMedical Policy Review NurseFalls Church, VARemote$85,093–$115,000 / yearDrive high-quality clinical and coding outcomes by performing code validations, identifying incorrect or inconsistent usage, recommending prior authorization requirements, supporting audits, and advising on emerging procedures, technologies, and regulatory changes. Collaborate with Medical Directors, Utilization Management staff, coding/compliance teams, product teams, and policy analysts to ensure coding and coverage logic remain clinically appropriate, operationally feasible, and compliant.
Field Reimbursement Manager, Market Access - Mid-Atlantic Region GE HealthCare Technologies IncField Reimbursement Manager, Market Access - Mid-Atlantic RegionVA$132,000–$198,000 / yearThe Field Reimbursement Manager (FRM) is a customer-facing access & reimbursement subject matter expert who provides education, support center integration and patient level issue resolution across the Pharmaceutical Diagnostic (PDx) portfolio. The FRM will create value through education, procedural efficiency through in supporting the determination of benefits and reimbursement and embedding GEHC's world class support center within customers' practices and/or health systems.
Medical- Front Office & Billing Specialist BirthCare & Women's Health LTDMedical- Front Office & Billing SpecialistAlexandria, VAFull timeBirthCare & Women’s Health is a freestanding birth center offering home and birth center services with a focus on safety, education, and family-centered midwifery care. Assure that initial contact information is completed in MacPractice when potential clients inquire and/or sign up for BirthCare Beginnings: Info and Tour Session.
Billing Specialist II Clearway Pain SolutionsBilling Specialist IIAnnapolis, MDRemote$25–$29 / hourReviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team.
NewBilling Specialist I Clearway Pain SolutionsBilling Specialist IAnnapolis, MDRemote$20–$24 / hourThe Billing Specialist supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. Reviews and resolves payer denials, including appeals, coding corrections, medically necessity rules and other related functions.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Washington, DC$40,736–$73,731 / yearof: a.) 3.0 or higher out of a possible 4.0 (B" or better) as recorded on their official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or b.) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum. MINIMUM QUALIFICATIONS: GS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Reviewing medical records to gather information on reasons for admission and length of stay, supporting the medical coding and health information program, and performing routine, well-defined coding and data entry tasks.
Insurance Billing Specialist BabylistInsurance Billing SpecialistSeverna Park, MD$65,604–$87,565 / yearAs a modern, AI-forward tech company, Babylist has expanded from a universal registry into a full ecosystem — the Babylist Shop, Babylist Health, Babylist Money, NYC and LA showrooms, branded content, and more — generating $750M in revenue in 2025. You own insurance billing across the full cycle — eligibility verification, prior authorizations, claim submission, denial management, appeals, and aged-account resolution — with a real track record of improving collections and reducing outstanding balances.
Healthcare Claims Processor J29, IncHealthcare Claims ProcessorMillersville, MDRemoteThe Junior Healthcare Claims Analyst/Adjudicator will complete routine claims processing activities, verify claim and member information, review claims for completeness and accuracy, apply documented processing rules, and escalate exceptions or complex issues to senior team members. FLSA Status : Non-Exempt, Full-Time Reports To: Claims Supervisor Overview: J29 is an employee centered health and human service management consulting company that specializes in processing, reviewing, and analyzing claims, records, disputes, and audits.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)DC$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Hospital Billing Analyst, Patient Accounting, Bethesda East, FT, 8A-4:30P Remote Baptist Health South Florida IncHospital Billing Analyst, Patient Accounting, Bethesda East, FT, 8A-4:30P RemoteBethesda, MDRemote$16.28–$21.16 / hourResponsible for working/editing daily download of assigned Managed Care/HOM claims, optimizing the timely transmittal of accurate and clean claims daily Billing Specialist I is responsible for identifying and obtaining invalid/missing claim data by communicating with other depts. to secure and/or correct the data which prevents claim transmission Protects payer filing deadlines by utilizing all available resources to resolve held claims assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to. Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Regional Reimbursement Director, Neuroscience, Pacific Northwest IpsenRegional Reimbursement Director, Neuroscience, Pacific NorthwestWashingtonThe Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen products within the Neuroscience therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen’s Neurology products.
Regional Reimbursement Director, Oncology, Northeast & Mid Atlantic IpsenRegional Reimbursement Director, Oncology, Northeast & Mid AtlanticWashington DC, District of ColumbiaThe Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen US portfolio products within the Oncology therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen’s Oncology products.
Senior Consultant - Clinical Documentation Specialist DeloitteSenior Consultant - Clinical Documentation SpecialistMclean, VA$95,600–$188,400 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
NewRegional Reimbursement Director, Neuroscience, Pacific Northwest ImCheck Therapeutics SASRegional Reimbursement Director, Neuroscience, Pacific NorthwestWashington, DC$161,250–$236,500 / yearJob Description: The Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen products within the Neuroscience therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen's Neurology products.
NewRegional Reimbursement Director, Oncology, Northeast & Mid Atlantic ImCheck Therapeutics SASRegional Reimbursement Director, Oncology, Northeast & Mid AtlanticWashington, DC$161,250–$236,500 / yearJob Description: The Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen US portfolio products within the Oncology therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen's Oncology products.
Health System Specialist U.S. Department of DefenseHealth System SpecialistWashington, DC$62,629–$81,423 / yearFOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. Education: Masters or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree with a major study in hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration.
CBO Billing Relations Manager MedVanta CareersCBO Billing Relations ManagerBethesda, MarylandFunctions as a floating Revenue Cycle leader by providing interim management coverage, operational support, special project leadership, and hands-on claims assistance across multiple RCM teams as organizational needs dictate. Through a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health.
CBO Billing Relations Manager MedVanta Interco, LLC.CBO Billing Relations ManagerBethesda, MDPart timeFunctions as a floating Revenue Cycle leader by providing interim management coverage, operational support, special project leadership, and hands-on claims assistance across multiple RCM teams as organizational needs dictate. Through a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health.
Insurance Billing Specialist Babylist, IncInsurance Billing SpecialistSeverna Park, MD$65,604–$87,565 / yearAs a modern, AI-forward tech company, Babylist has expanded from a universal registry into a full ecosystem - the Babylist Shop, Babylist Health, Babylist Money, NYC and LA showrooms, branded content, and more - generating $750M in revenue in 2025. You own insurance billing across the full cycle - eligibility verification, prior authorizations, claim submission, denial management, appeals, and aged-account resolution - with a real track record of improving collections and reducing outstanding balances.