PART_TIME

FEED

HOUR

Work EDI edits including (examples): invalid member ID, subscriber mismatch, DOB/gender mismatch, payer ID/plan mapping, missing NPI/taxonomy, invalid place of service, invalid/expired authorization, referring provider data errors, rendering/billing provider mismatches, duplicate submission flags, and formatting issues. The EDI Specialist is responsible for managing daily claim submission workflows to ensure claims are transmitted accurately and accepted by clearinghouses and payers in a timely manner.

MedVanta Interco, LLC.

EDI Specialist

UNKNOWN

Ensures all pre-op orders are created and sent to the appropriate facility/facilities and/or sent to patients, including labs and/or any other testing required per physician protocol upon request of providers. The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia.

The Centers for Advanced Orthopaedics LL

Pre-Surgical Coordinator Hybrid

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. requires strong interpersonal, oral and written communication skills; the ability to interact and communicate effectively with all levels of hospital management and staff is essential.

Johns Hopkins Hospital

Sr CDM Coordinator-Charge Master

Employees engaged in these groups all have an interest in raising awareness at HUB supporting the three-pronged D&I Strategy: Talent – the attraction, recruitment, and hiring of the best diverse talent; Culture – creating a culture of Inclusion and Belonging; and. The expected salary range for this position is $80,000 to $100,000 and will be impacted by factors such as the successful candidate’s skills, experience and working location, as well as the specific position’s business line, scope and level.

YEAR

Hub International Insurance

Account Manager

ea_via_bold

Completes pre-registration for patients, schedules appointments with Patient Access Representative II, and advises patients on necessary documentation to complete the registration process, including insurance enrollment or renewal requirements. Patient Access Representative I serve primarily as the entry point for answering incoming phone calls received through our Contact Center and scheduling appointments for our clinical and mental health services.

La Clinica Del Pueblo

Patient Access Representative I

Partners with Director of Operations Physician Leadership and Finance to prepare annual budget; ensures practice is meeting monthly budget targets and works with Facility Medical Director and Director of Operations to course correct as necessary. Responsible for the financial performance of the medical office in the following key areas: Cash collection timely charge capture data entry coding/documentation bank deposits and daily weekly and monthly reporting.

MedStar Health Research Institute

Practice Manager - Cardiology (Annapolis)

Verify insurance eligibility and benefits by utilizing integrated real-time eligibility tool, payer websites, and telephone calls to payers; document payer verification responses in designated fields within the registration pathway; validate insurance referral status, if applicable, and communicate with PCP office to obtain referrals. Become a subject matter expert on payer requirements; write appeal letters to payers to obtain payment for services; Collaborate with individual departments - Compliance Department, Patient Financial Services, Case Management, and Centers of Excellence to reduce first pass denials.

Children's National Hospital

Payor Clearance Associate

Payor Clearance Associates

Clinicians work alongside nursing, behavioral health, case management, health education, and community services to deliver whole person care that addresses medical needs and social drivers of health. La Clínica del Pueblo (LCDP) is a community based Federally Qualified Health Center committed to advancing health equity through culturally responsive, integrated care for communities disproportionately impacted by structural barriers to care.

Certified Nurse Midwife

La Clínica del Pueblo (LCDP) is a community based Federally Qualified Health Center committed to advancing health equity through culturally responsive, integrated care for communities disproportionately impacted by structural barriers to care. Clinicians work alongside nursing, behavioral health, case management, health education, and community services to deliver whole person care that addresses medical needs and social drivers of health.

Per Diem Physician

You'll be part of a team committed to promoting quality services, strengthening compliance practices, and supporting individuals with intellectual and developmental disabilities. Minimum of four (4) years of professional experience in behavioral health, healthcare compliance, quality assurance, clinical documentation, auditing, or a related field.

The Chimes, Inc

Behavioral Health Specialist

Primary care clinicians work alongside nursing, behavioral health, case management, health education, and community services to deliver whole-person care that addresses both medical needs and social drivers of health. Working in close collaboration with interdisciplinary clinical teams, the Per Diem NP delivers high-quality, evidence-based care while contributing to a culture of continuous improvement, collaboration, and equity.

Per-Diem Nurse Practitioner

FULL_TIME

Living in Northern Virginia, one of the best places to live near D.C., you can have it all: a lucrative job at a forward-thinking company – plus access to the country’s greatest historical sites, a bustling café culture, active nightlife and concert going, a thriving wine region, seven professional sports teams, and a mild four-season climate with year-round kayaking, biking, and hiking. A Division Director with works closely with physicians and executive leadership to develop high-performing clinical programs, optimize financial and operational performance, improve patient access, and implement scalable growth strategies across multi-site healthcare networks.

VHC Health

Division Director, Hospital Division

[AW]-iCims

Organizes a case file, accurately and thoroughly documents all steps taken; Works independently or at times as part of a team, provides ongoing progress reports and updates on audit status; Presents issues of concern, verified through data, citing regulatory violations, proving schemes or scams to defraud the Government; Compose correspondence, reports, and referral summary letters; Works under general supervision and as a member of a team delivering high-quality work; Ensures that projects are timely, complete and accurate. This is a remote position, candidates must reside within the Northeast Jurisdiction which include the states of Maine, Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, Pennsylvania, New Jersey, Delaware, Maryland, District of Columbia, and Virginia.

Peraton Inc

Medicaid Auditor/Investigator

OTHER

Processes Provider contracts, run reports, and responds to inquiries regarding contract compliance issues; images and indexes contracts and return images to network subcontractors; conducts quality assurance activities to ensure image quality and completion of image activities. Technical Skills: Proficient with key databases, including Claims System, Medical Management System, Authorization/Referral Systems, and Provider Information Management System(s); working knowledge of claims reimbursement methodology and medical coding; healthcare or managed care experience.

TriWest Healthcare Alliance

Provider Data Resolution Spec

equestftpin

Children's Hospital

Serves as a hospital liaison for specialized departments, service providers, physician offices, government agencies, noninsured, and underinsured patients. Sets payment arrangements with uninsured and/or underinsured patients and physicians' offices, scheduling payments as required.

AdventHealth

Financial Coordinator

Total Rewards - Full-Time Employees (30 Hours per Week) At Chimes, we value our employees and offer a comprehensive benefits package designed to support your health, financial well-being, and professional growth. You'll be part of a team committed to promoting quality services, strengthening compliance practices, and supporting individuals with intellectual and developmental disabilities.

Chimes International Limited

Founded 50+ years ago with a mission to provide the highest quality and full spectrum of medical, surgical, and esthetic skin care services to each and every one of its patients, Anne Arundel Dermatology has assembled the finest group of dermatologists in the Mid-Atlantic and Southeastern states. Ideal candidates will have experience working insurance denials, identifying denial trends, analyzing EOBs and remits, and communicating directly with commercial and government payers to maximize reimbursement.

Anne Arundel Dermatology

AR Specialist (remote)

JOB SUMMARY: The Financial Eligibility Specialist determines applicant eligibility for third party reimbursement, processes data necessary for admission of new patients into health services, ensures proper coding for insurance billing, and handles inquiries from prospective applicants and patients. Cultural competence and the ability to work with providing individualized care that respects and empowers patients of all ages, races, gender identities, religions, sexual orientations, ethnicities, and socioeconomic statuses.

Medical Billing And Coding Jobs in Baltimore, MD

EDI Specialist MedVanta Interco, LLC.

Pre-Surgical Coordinator Hybrid The Centers for Advanced Orthopaedics LL

Sr CDM Coordinator-Charge Master Johns Hopkins Hospital

Account Manager Hub International Insurance

Patient Access Representative I La Clinica Del Pueblo

Practice Manager - Cardiology (Annapolis) MedStar Health Research Institute

Payor Clearance Associate Children's National Hospital

Payor Clearance Associates Children's National Hospital

Certified Nurse Midwife La Clinica Del Pueblo

Per Diem Physician La Clinica Del Pueblo

Behavioral Health Specialist The Chimes, Inc

Per-Diem Nurse Practitioner La Clinica Del Pueblo

Division Director, Hospital Division VHC Health

Medicaid Auditor/Investigator Peraton Inc

Provider Data Resolution Spec TriWest Healthcare Alliance

Payor Clearance Associate Children's Hospital

Financial Coordinator AdventHealth

Behavioral Health Specialist Chimes International Limited

AR Specialist (remote) Anne Arundel Dermatology

Financial Eligibility Specialist Chase Brexton Health Services Inc

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