NewMolecular Diagnostics Lab Manager VCU HealthMolecular Diagnostics Lab ManagerRichmond, VARequired Education: Bachelor’s Degree in Medical Laboratory Science (MLS)/Clinical Laboratory Science (BSCLS)/Medical Technology (MT) from an accredited program OR a Bachelor's Degree in a Biological Science* in addition to graduation from an NAACLS-accredited CLS/MT certificate program OR Bachelor’s Degree in a Life, Biological or Chemical Science with 15 or more years of on the job training in a hospital health care environment in a specific lab discipline performing high complexity testing in blood banking, chemistry, hematology, microbiology, immunology , clinical microscopy, histology, cytology or molecular genetics. Licensure/Certification Required: Currently certified in one of the following: Medical Technologist/Medical Laboratory Scientist/Clinical Laboratory Scientist by the American Society for Clinical Pathology or MLS/CLS by the National Credentialing Agency or equivalent ASCP categorical certification or American Medical Technologist (AMT); Histotechnician (HT); Specialist in Cytotechnology (SCT); Specialist in Molecular Biology (SMB); Pathologists’ Assistant (PA); by the National Credentialing Agency; or Equivalent ASC P categorical certification or equivalent certification.
NewStaff Accountant Vaco LLCStaff AccountantRichmond, VA$50,000–$80,000Assists in preparing annual budget templates for input by directors and uploading completed and approved budgets into accounting system Assists with updating pivot tables within business unit census reports for use in monthly reviews. Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs.
Manager Medical Coding Analysis Elevance Health IncManager Medical Coding AnalysisRichmond, VACareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewMedical Billing Specialist Westminster Canterbury RichmondMedical Billing SpecialistRichmond, VAAs one of Richmond's Top Workplaces, we offer competitive salary and benefits along with perks including an onsite gym, fitness classes, on site banking, and award-winning on-site childcare with school age virtual learning classes with a generous employee discount. If you want to work in an organization that is faith-based and mission-driven, that provides the highest level of care, holds staff accountable and makes a difference in people's lives, consider a career at Westminster Canterbury Richmond.
Medical Billing Specialist Lange RecruitingMedical Billing SpecialistRichmond, VirginiaIf you enjoy digging into denials, solving reimbursement challenges, and ensuring clean claims from submission through payment — this role offers the chance to make a direct impact on the financial health of a dynamic specialty practice. Richmond Dermatology, a thriving, patient-centered private Dermatology practice is seeking a highly organized, detail-driven Billing Specialist to join our growing team.
Benefits Coding Analyst Sentara Healthcare IncBenefits Coding AnalystRichmond, VARemotep>Note: CIC is required for advancement to Level 2 and Level 3. Experience: • 2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and /or various payment methodologies (required) • Experience in both established benefit coding environments as well as experience in determination of coding requirements for new benefits (preferred) • Experience resolving billing and claims issues related to benefit to code assignment. • Thorough knowledge of anatomy and medical terminology • Expertise with NCCI (National Correct Coding Initiative) guidelines • Knowledge or direct experience processing Government program or commercial health claims for an MCO • Experience with ICD-10 CM, CPT, HCPCS, QNXT.
Benefits Coding Analyst Sentara HospitalsBenefits Coding AnalystRichmond, VirginiaRemoteThe Benefits Coding Analyst will work closely with multiple teams across the Health Plan, including but not limited to Claims, Compliance, Program, IT, and Health Services/Medical Management to ensure benefits are compliant with state and Federal guidelines, as well as aligned with Program benefit offerings. Keywords: Talroo-Allied Health, Healthcare, Coding, CPC, CIC, Billing, Claims, Auditing, ICD-10 CM, CPT, HCPCS, QNXT and Revenue coding in a managed care setting.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerVARemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Manager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditVA$115,020–$207,216 / yearp>Anticipated End Date: 2026-05-31 Position Title: Manager of DRG Coding & Clinical Validation Audit Job Description: Manager of DRG Coding Audit-Program/Project Locations: The selected candidate must reside within a reasonable commuting distance of the designated posting location(s): Virginia, Indiana, Georgia, Ohio, Maryland; New Jersey, New York and Texas. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Physician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorVA$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorVA$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Senior Director, Health Care Disputes (Coding & Compliance) Ankura Consulting Group LLCSenior Director, Health Care Disputes (Coding & Compliance)Virginia, VAOur clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations.
AR Billing Specialist Sr. Pulmonary Associates Of Richmond IncAR Billing Specialist Sr.Richmond, VAThe Position: PAR seeks a dynamic and enthusiastic two full-time AR Billing Specialist Senior to perform all aspects of the revenue cycle, and other tasks related to medical billing claims for the practice. Perform other duties as assigned by provider, supervisor, or member of Administration - for example, cross trained to improve the revenue cycle.
Hospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystRichmond, VA$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorVA$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Senior Product Manager - Billing Motorola Solutions IncSenior Product Manager - BillingVAUnify the Billing Experience: Drive a consistent billing and licensing experience across Alta Access and Alta Video, eliminating friction for customers managing multi-product subscriptions and for internal teams reconciling revenue. Collaborate Cross-Functionally: Work with Finance, Sales Operations, ERP teams, and other product teams within Motorola Solutions to ensure billing changes are coordinated, launches are clean, and feedback from the field shapes the roadmap.
Senior Medical Coder JobotSenior Medical CoderGlen Allen, VA$30–$40 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewMedical Administrative Support Technology Adjunct Tidewater Community CollegeMedical Administrative Support Technology AdjunctRichmond, VA2. Aligns course activities with student learning outcomes for the course; employ a variety of active learning strategies to foster student engagement; employ appropriate technology and supporting materials that support course and/or program learning outcomes; and provide students with prompt and meaningful feedback on course activities and assignments, communicating with students in a timely and respectful manner. 3. Deliver instruction in support of stated learning outcomes; adhere to college policies and procedures for participation in student surveys of instruction; conduct meaningful and timely assessments of student learning, including at least one assessment within the first 15% of class; and analyze the previous semester's evaluation of instruction and develop and implement appropriate action plans as necessary.
Registered Nurse (RN), Clinical Research — Physician Office — Cancer Institute Medical Oncology Bon Secours Mercy HealthRegistered Nurse (RN), Clinical Research — Physician Office — Cancer Institute Medical OncologyMidlothian, VirginiaEssential Job Functions : Enroll patients in research studies, associating visits / appointments / admissions with research studies and reviewing charges via the Research Billing Report to determine which are billed to Insurance and which are billed to the research study. Obtain required medical information from patients, advise patients of visits, assign numbers to the patients as required by protocol, and ensure that all study-related documentation, forms, CRF’s, are complete.
Patient Schegistrar - Medical Call Center - Days Virginia Commonwealth University HealthPatient Schegistrar - Medical Call Center - DaysRichmond, VALicensure, Certification, or Registration Requirements for Hire: N/A Licensure, Certification, or Registration Requirements for continued employment: N/A Experience REQUIRED: Strong customer service skills and patients/customer centered focus in positive manner in all situations Experience PREFERRED: Minimum of two (2) years previous experience with third party medical insurance, HMO and managed care Previous experience with CPT and ICD-10 coding Work experience using GE/IDX, Cerner Education/training REQUIRED: High School Diploma or Equivalent Education/training PREFERRED: Associate Degree in Business Management or closely related field from an accredited program Post high school education in healthcare or medical billing coursework Independent action(s) required: Assist VCUHS Patient Revenue Cycle Department with obtaining maximum and timely reimbursement Provides patients with appropriate information regarding VCUHS policy and procedures, and directs them to appropriate nursing units or ancillary service locations. Supervisory responsibilities (if applicable): N/A Additional position requirements: May be required to work hours past normal shift hours, as necessary, to resolve backlog or to contact patients for registration data Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting less than 20 lbs.
Registered Nurse (RN), Clinical Research - Physician Office - Cancer Institute Medical Oncology Bon Secours Mercy Health IncRegistered Nurse (RN), Clinical Research - Physician Office - Cancer Institute Medical OncologyVAEssential Job Functions : Enroll patients in research studies, associating visits / appointments / admissions with research studies and reviewing charges via the Research Billing Report to determine which are billed to Insurance and which are billed to the research study. Obtain required medical information from patients, advise patients of visits, assign numbers to the patients as required by protocol, and ensure that all study-related documentation, forms, CRF's, are complete.
Emergency Medicine - Medical Education Fellow - M89514 Commonwealth of VirginiaEmergency Medicine - Medical Education Fellow - M89514Richmond, VAp>• Board Certified • Board Eligible in Emergency Medicine • Active Virginia Medical license or ability to obtain • Completion of an Emergency Medicine Residency within 3 years if beyond 3 years of completing an accredited Emergency Medicine Residency program must have completed 1500 hours of clinical activity in the past 3 years in an Emergency Department of comparable size, volume, and patient acuity, and can be waived at the discretion of the Chair • Demonstrated ability to work in and foster an environment of respect, professionalism, and civility with a population of faculty, staff, and students from all backgrounds and experiences or a commitment to do so as a faculty member at VCU. The VCU Department of Emergency Medicine also provides coverage for a free-standing Emergency Department serving the rural patient community of New Kent, VA, which sees over 15,000 patients per year, and community hospitals in Tappahannock, VA, and South Hill, VA, which see 20,000 and 25,000 patients per year, respectively.
Emergency Medicine - Medical Education Fellow - M89514 Virginia Commonwealth UniversityEmergency Medicine - Medical Education Fellow - M89514Richmond, VAEmergency Medicine - Medical Education Fellow - M89514 45001413 907 Floyd Avenue, MCV Main Campus, Virginia, United States, 23284 907 Floyd Avenue, VCU Main Campus, Virginia, United States, 23284 Faculty Health Sciences Clinical Faculty MCVP School Of Medicine MBU Add to favorites View favorites Department: Emergency Medicine Department Summary: Emergency Medicine Medical Education Fellow Mission or Goal of Unit: VCU Medical Center, which is a largely underserved, Level 1 Trauma Center and tertiary referral center, sees over 100,000 patients per year. Required Qualifications: Board Certified/Board Eligible in Emergency Medicine Active Virginia Medical license or ability to obtain Completion of an Emergency Medicine Residency within 3 years (if beyond 3 years of completing an accredited Emergency Medicine Residency program, must have completed 1500 hours of clinical activity in the past 3 years in an Emergency Department of comparable size, volume and patient acuity and can be waived at the discretion of the Chair) Demonstrated ability to work in and foster an environment of respect, professionalism and civility with a population of faculty, staff, and students from all backgrounds and experiences, or a commitment to do so as a faculty member at VCU.
Referral and Insurance Specialist - Orthopedic Specialists of Midlothian Bon Secours Mercy HealthReferral and Insurance Specialist - Orthopedic Specialists of MidlothianRichmond, VirginiaBon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Days (United States of America)As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care.
Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystRichmond, VARemote$68,000–$70,000 / yearWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams.
NewReferral and Insurance Specialist - Orthopedic Specialists of Midlothian Bon Secours Mercy Health IncReferral and Insurance Specialist - Orthopedic Specialists of MidlothianVABon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care.
Trauma Surgical Profee Coder HCA Healthcare IncTrauma Surgical Profee CoderRichmond, VAReferral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceRichmond, VA$118,700–$218,600 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Experience applying International Classification of Diseases, Tenth Revision (ICD-10), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) in claims, medical record, or appeals reviews.
Emergency Department Physician Essential Healthcare Solutions LLCEmergency Department PhysicianRichmond, VA$255–$370 / hourCoastal Virginia: beaches, low cost of living, military-friendly community, easy access to Norfolk, Virginia Beach, Williamsburg, and the Outer Banks. EHS is pursuing a contract to provide board-certified or board-eligible Emergency Medicine physician coverage at the Hampton VA Medical Center in Hampton, Virginia.
Molecular Diagnostics Lab Manager Virginia Commonwealth University HealthMolecular Diagnostics Lab ManagerRichmond, VAp>Bachelor's Degree in Medical Laboratory Science (MLS)/Clinical Laboratory Science (BSCLS)/Medical Technology (MT) from an accredited program OR a Bachelor's Degree in a Biological Science in addition to graduation from an NAACLS-accredited CLS/MT certificate program OR Bachelor's Degree in a Life, Biological or Chemical Science with 15 or more years of on the job training in a hospital health care environment in a specific lab discipline performing high complexity testing in blood banking, chemistry, hematology, microbiology, immunology, clinical microscopy, histology, cytology or molecular genetics. Currently certified in one of the following: • Medical Technologist/Medical Laboratory Scientist/Clinical Laboratory Scientist by the American Society for Clinical Pathology or MLS/CLS by the National Credentialing Agency or equivalent ASCP categorical certification or American Medical Technologist (AMT); Histotechnician (HT); Specialist in Cytotechnology (SCT); Specialist in Molecular Biology (SMB); Pathologists' Assistant (PA); by the National Credentialing Agency; or Equivalent ASC P categorical certification or equivalent certification.
DRG Nurse Auditor University Health Services IncDRG Nurse AuditorRICHMOND, VAResponsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented DRG Nurse Auditor with clinical case management experience to be responsible for analyzing clinical claim denials, drafting detailed appeal letters, evaluating clinical level of care, and the review of denial trends.
Care Management Associate, Engagement Hub - Work From Home CVS Health CorpCare Management Associate, Engagement Hub - Work From HomeWork At Home-Virginia, VA$18.50–$38.82 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
Senior Revenue Integrity Clin Charge Spec HCA Healthcare IncSenior Revenue Integrity Clin Charge SpecRichmond, VAWhat you will do in this role: Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines Coordinates with facility/departments to obtain missing medical record documentation as needed Coordinates with department leaders to identify trends and address issues related to charge capture Ability to understand/apply National and Local Coverage Determination and educate facility departments routinely Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance Provides focused education to clinical and coding stakeholders as needed Participates to ensure CDM/system updates result in appropriate reimbursement Monitors any applicable Key Performance Indicators (KPIs) to identify new RI initiatives that are applicable to their assigned facility Qualifications: Registered nursing Associates, Bachelors or Diploma required or Licensed Radiologic Technologist (ARRT) certification Minimum 1 year healthcare experience in an acute care hospital Minimum 1 year coding/HIM experience Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.) Must possess an active Registered Nurse/other advanced nursing license (compact license for all states accepted) or active Radiologic Technologist certification (ARRT) RHIA or RHIT or CPC or COC or CCS, or CIRCC certifications required (must obtain certification within one year of start date) Benefits Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Job Summary and Qualifications The Senior Revenue Integrity Clinical Charge Specialist (RN or ARRT) plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly.
Compliance Auditor Sr Virginia Commonwealth University HealthCompliance Auditor SrRichmond, VATo be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia. Physical Requirements: Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to high pitched noises, Gaseous risk exposure.
LPN, Occupational Health - Richmond, VA Marathon Health LLCLPN, Occupational Health - Richmond, VARichmond, VA$26–$35 / hourp>Support medical providers and perform clinical duties such as welcoming visitors and patients, taking medical histories, assisting providers during exams, phlebotomy, collecting lab specimens, basic lab testing, prepare and administer injections and vaccinations, and medical supplies organization and stocking. With nationwide onsite, nearsite, and network health centers, and virtual primary care, Marathon delivers a value-based model that enhances the healthcare experience for members and providers, while driving meaningful cost savings for plan sponsors.
LPN, Occupational Health - Richmond, VA MH Health Care Services PCLPN, Occupational Health - Richmond, VARichmond, VirginiaSupport medical providers and perform clinical duties such as welcoming visitors and patients, taking medical histories, assisting providers during exams, phlebotomy, collecting lab specimens, basic lab testing, prepare and administer injections and vaccinations, and medical supplies organization and stocking. With nationwide onsite, nearsite, and network health centers, and virtual primary care, Marathon delivers a value-based model that enhances the healthcare experience for members and providers, while driving meaningful cost savings for plan sponsors.
Certified Coder University Health Services IncCertified CoderRICHMOND, VAReviews APC edits and add modifiers or delete charges as needed Consult with hospital staff when necessary to secure sufficient information to clarify data for proper coding and resolve discrepancies in the documentation and information contained in the medical record Works all daily facility reports as assigned to assure accurate and timely billing of accounts. Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office (ARCBO) or (CBO) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.
Provider Reimbursement Manager Elevance Health IncProvider Reimbursement ManagerRichmond, VA$80,940–$153,360 / yearServes as the primary point of contact for assigned Medicaid markets, building strong, working relationships with market leaders and operational teams to drive alignment on prepay editing strategy. Required Qualifications: Requires a BA/BS degree in a related field and a minimum of 7 years reimbursement experience including performing detailed financial modeling and economic analyses; or any combination of education and experience, which would provide an equivalent background.
Cardiovascular Data Administrator, Marin Heart Institute, Full-Time, Days MarinHealth Medical CenterCardiovascular Data Administrator, Marin Heart Institute, Full-Time, DaysBon Air, CaliforniaMarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Knowledge of clinical paths or guidelines for cardiac diagnoses to include: congestive heart failure, acute myocardial infarction, open-heart surgery, cardiac catheterization, PCI procedures and CRM (cardiac rhythm management).
Reimbursement & Health Economics Manager - Southeast US Region HistoSonics IncReimbursement & Health Economics Manager - Southeast US RegionVARemote$140,000–$200,000 / yearIn addition to its current liver tumor indication, HistoSonics is pursuing future indications across multiple applications including kidney, pancreas, prostate, neuro, women's health, and other significant underserved human health areas, to realize the broader potential histotripsy across multiple disease states and medical specialties. Demonstrated field reimbursement management experience, including hospital capital equipment, Category III CPT codes, revenue cycle management, physician payment, and Medicare and private payer models; oncology experience a plus.
Financial Operations Analyst Lead - Payment Integrity Datamining Elevance Health IncFinancial Operations Analyst Lead - Payment Integrity DataminingRichmond, VAp>Minimum Requirements: Requires a BA/BS in accounting or finance and a minimum of 5 years' experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Specialist (Tissue Inventory), Surgery, Part-Time, (32 Hour Week), Days MarinHealth Medical CenterSpecialist (Tissue Inventory), Surgery, Part-Time, (32 Hour Week), DaysBon Air, CaliforniaMarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Serves as a subject matter expert for Champion Tissue Tracking system; participates in perioperative committees such as Value Analysis Team and the Sustainability Purchasing Revenue committee; and, assists Director of Supply Chain and Executive Director of Perioperative Services with contract compliance and negotiating pricing for perioperative tissue/implants.
Field Reimbursement Manager - Kidney (Capitol - WV, VA, MD) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (Capitol - WV, VA, MD)VA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Field Reimbursement Manager - Kidney (North Carolina-Virginia) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (North Carolina-Virginia)VA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Patient Surgery Scheduling Coordinator Virginia Commonwealth University HealthPatient Surgery Scheduling CoordinatorRichmond, VAp>The Pt Surgery Scheduling Coordinator coordinates and schedule appointments for surgeries and follow-up appointments for multiple physicians at multiple sites (VCUHS ACC, Main OR, Stony Point and Southside Regional). Experience REQUIRED: Minimum of two (2) years experience in a medical office/acute care setting to include the use of medical terminology, customer service and appointment scheduling.
Referral & Insurance Specialist - Physician Office - Pediatric Dental PT Bon Secours Mercy Health IncReferral & Insurance Specialist - Physician Office - Pediatric Dental PTRichmond, VABon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care.
NewService Center Clerical Support-FT Ward Trucking, LLCService Center Clerical Support-FTChester, VA$20–$22 / hourAll linehaul driver envelopes are to include: trailer number, Pro number of one shipment on the trailer, road driver’s name, tractor number, seal number, weight, driving (route) instructions and any hazardous placards that may be required (if applicable). Direct calls on O S & D issues from customers and / or P & D drivers to the service center’s O S & D Specialist or assigned back up person using guidelines provided by Customer Service Manager.
Claims Specialist Argo Group International Holdings IncClaims SpecialistRichmond, VA$52,122–$82,926 / yearp>Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. The Specialist manages moderate to high‑complexity PIP and Med Pay claims and collaborates closely with internal partners, medical providers, vendors, and defense counsel as needed.
Litigation Management Support Specialist Argo Group International Holdings IncLitigation Management Support SpecialistRichmond, VA$29.37–$34.18 / hourPanel management liaison - manage outside panel counsel, including but not limited to inclusion of firm on panel, addition or removal of panel counsel, and in collaboration with claims leaders, appropriately assign panels to appropriate panel lists. This involves aggregating, analyzing, extrapolating, and manipulating data and in order to identify trends to understand where there are gaps or identify exceptional firms to be used more broadly in areas where they are particularly effective.
Insurance Follow Up Specialist - East University Health Services IncInsurance Follow Up Specialist - EastRICHMOND, VAKey Responsibilities include: • Perform follow up activities on accounts to ensure prompt payment • Identify coding or billing errors from EOBs and work to correct them • Update the patient account record to identify actions taken • Adhere to all HIPAA guidelines as well as various policies and guidelines • Identify trends, and carrier issues relating to billing and reimbursements • Report findings to Team Lead and/or Supervisor • Pursue and participate in education to remain current with changes in the Healthcare industry • Organize and prioritize tasks to meet deadlines • Contribute to team effort by accomplishing related results as needed • Assist with increasing cash flow by decreasing our Account Receivables aging account • Promote effective working relations and work effectively as part of a team to facilitate the department's ability to meet its goals and objectives. Qualifications: Position Requirements: • Minimum 1 year of experience in an office setting highly preferred • Knowledge of managed care payers and medical terminology is preferred • Ability to learn quickly, build and maintain long term relationships and work with minimal supervision • Detail-oriented with the ability to work on multiple, competing, priorities • Proficient in Microsoft Office and Windows products • Strong written and verbal communication skills; strong analytical, organizational and time management skills required.