NewRegional Reimbursement Director, Oncology, Northeast & Mid Atlantic Ipsen SARegional Reimbursement Director, Oncology, Northeast & Mid AtlanticWashington$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.
NewRegional Reimbursement Director, Neuroscience, Pacific Northwest Ipsen SARegional 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.
PAR I & II TRC Talent SolutionsPAR I & IIWashington, DISTRICT OF COLUMBIAEnsures 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. Responsibilities: Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to: Performing account follow-up activities on high-dollar accounts receivable.
Customer Service Representative TRC Talent SolutionsCustomer Service RepresentativeWashington, DCTemporaryEnsures 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. Responsibilities: Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to: Performing account follow-up activities on high-dollar accounts receivable .
Patient Billing/Services Representative II - Department of Medicine Washington University in St LouisPatient Billing/Services Representative II - Department of MedicineWashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . The Patient Billing/Services Representative (PSR) is a patient-facing role that obtains insurance information and referral forms as well as counsels patients on financial assistance when seen in department for services.
NewSenior Healthcare Claims Processor J29, IncSenior Healthcare Claims ProcessorMillersville, MDRemote$32,000–$42,000 / yearPreferred Experience Experience supporting a limited health benefit program, specialty benefit program, occupational health program, workers compensation program, or other program in which coverage is tied to defined eligibility and covered conditions. 3-5+ years of experience leading claims supervisors, examiners, analysts, operational teams, or claims quality programs, including responsibility for productivity, performance, and accountability initiatives.
Patient Billing/Services Representative II - Orthopedic Surgery Washington University in St LouisPatient Billing/Services Representative II - Orthopedic SurgeryWashingtonThis role involves ensuring all check-in and registration is complete and accurate, verifies insurance and referral needs, handles patient inquiries, checks patients out upon completion of their visit and schedules appointments as needed. Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade .
Insurance Billing and Collections Assistant II (Hybrid) - Pediatrics Central Administration Washington University in St LouisInsurance Billing and Collections Assistant II (Hybrid) - Pediatrics Central AdministrationWashingtonClaims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications Grade . Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemoteCaliforniaRemoteWe are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects.
Patient Billing/Services Representative II - WUCA WUCare Washington University Clinical AssociatesPatient Billing/Services Representative II - WUCA WUCareWashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . The 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.
NewBilling Specialist I KureSmart Pain Management LLCBilling Specialist IAnnapolis, MDRemote$20–$24 / hourEssential Duties and Responsibilities: Reviews and resolves payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Holidays: 7 (New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Day After Thanksgiving, Christmas Day).
Billing Specialist II KureSmart Pain Management LLCBilling Specialist IIAnnapolis, MDRemote$25–$29 / hourEssential Duties and Responsibilities: Reviews 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.
NewWorkforce Development Instructors Academy of Hope Adult Public Charter SchoolWorkforce Development InstructorsWashington, DC$30–$75 / hourAoH is hiring for multiple part-time instructional and instructional-support positions across our Adult Education and Workforce Academy programs, including subject-area instructors, industry-credential instructors, teaching assistants, and tutors. Qualifications: current CompTIA Security+ certification required; Network+ certification or equivalent networking experience strongly preferred; minimum 3 years of experience in cybersecurity, networking, or systems administration.
Medical Coder - Remote YO AI LabsMedical Coder - RemoteWashington D.C., DCRemoteWe are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets.
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).
NewRevenue Integrity Specialist Seattle Children's HospitalRevenue Integrity SpecialistWashingtonTogether, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country. Certified Coding Specialist (CCS) certification by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC).
NewHealth Physicist I/Training Administrator - Radiation Safety Washington University in St LouisHealth Physicist I/Training Administrator - Radiation SafetyWashingtonSpecific technical assignment assessment categories indicative of this skill and experience level for Human-Use Radioactive Materials (HU-RAM) program support may include: patient room preparation; patient room release surveys; HU-RAM area dose evaluation; HU-RAM audits and inspections; HU-RAM inventory and sealed-source leak tests; inpatient control; patient release evaluation; HU-RAM incident and medical event investigation; xenon airborne and trap measurements; fumehood testing and evaluations; dose calibrator QA and calibrations; ALARA program, personnel exposure, and declared pregnant worker investigation; internal dose evaluation; skin dose calculation; shielding calculation and design; surveys of HU-radiation producing equipment, including radiographic, fluoroscopic, DXA, or CT equipment for human use; human-use authorized user preparation; clinical participation in Y-90 Microsphere procedures, specifically procedure management in the EPIC system, package receipt and assay, post-procedure surveys, and waste management. Administrative & Clinical Medical Assistant - Certified Health Professionals (CHP), Administrative Medical Assistant - Certified Health Professionals (CHP), Certified Nuclear Medicine Technology (CNMT) - Nuclear Medicine Technology Certification Board (NMTCB), Clinical Medical Assistant - Certified Health Professionals (CHP), Computed Tomography Certification (CT) - Nuclear Medicine Technology Certification Board (NMTCB), Diagnostic Medical Physics - American Board of Radiology, Diagnostic Radiology-Neuroradiology - American Board of Radiology, EKG Technician - Certified Health Professionals (CHP), Medical Billing and Coding Professional - Certified Health Professionals (CHP), Nuclear Cardiology Technologist Certification (NCT) - Nuclear Medicine Technology Certification Board (NMTCB), Patient Care Technician - Certified Health Professionals (CHP), Phlebotomy Technician - Certified Health Professionals (CHP), Positron Emission Technology Certification (PET) - Nuclear Medicine Technology Certification Board (NMTCB), Qualified Expert (QE) in Radiation Safety (MRCP) - Missouri Department of Health & Senior Services, Radiation Safety Certification (RS) - Nuclear Medicine Technology Certification Board (NMTCB) .
Director, Revenue Cycle Howard UniversityDirector, Revenue CycleDC$194,000–$241,000 / yearThe Director of Revenue Cycle provides strategic and operational leadership for all revenue cycle functions across the Howard University Faculty Practice Plan (FPP) ambulatory academic practice, including patient registration, charge capture, coding, billing, accounts receivable management, denial prevention and resolution, customer service, financial assistance programs, health information management (HIM), credentialing, and revenue integrity. Direct and optimize accounts receivable operations to achieve key performance targets, including Days in Accounts Receivable, Collection Rate, Aging Accounts Receivable, and other revenue cycle benchmarks, while driving cash flow, reducing receivable balances, and improving overall financial performance.
Manager of Revenue Cycle Operations and Integrity Rural Staffing ServicesManager of Revenue Cycle Operations and IntegrityWashingtonThe Manager of Revenue Cycle Operations and Integrity leads the hospitals mid and back end revenue cycle functions, ensuring accurate billing, efficient collections, and strong accounts receivable performance. For candidates with deep revenue cycle experience who enjoy building systems, solving problems, and mentoring teams, this is an opportunity to make a real impact inside a respected rural hospital.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar Health Research InstituteCompliance Audit/Investigator - CCS / CPC / or CCADC$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).