Registered Nurse (RN) Clinical Denials and Appeals
Fairfax or Maryland or District of Columbia or Delaware or Florida or Georgia or North Carolina or Ohio or Pennsylvania or South Carolina or Tennessee or Texas or West Virginia
RemoteFull Time
Inova: Operates a network of hospitals and outpatient healthcare facilities.
3+ YOERN license and three years of licensed RN experience in a clinical or hospital setting; strong communication, clinical assessment, documentation, and collaborative skills required.
Healthcare Legal Solutions: Recovers denied and underpaid insurance claims for hospitals.
3+ YOE3+ years medical coding experience with ICD-10, CPT, HCPCS; CPC required; strong knowledge of payer rules, denial/appeals workflows, and documentation review.
Northwestern Community Services Board: Public provider of behavioral health and disability services.
Experience with billing/accounts receivable, preparing reports, processing payments, following up on unpaid claims and denials; valid driver’s license and ability to provide transportation required.
Globus MedicalNYSE: GMED: Sells medical devices and surgical services for musculoskeletal disorders
1+ YOECollecting open billings, addressing denials, maintaining billing compliance, strong attention to detail, MS Office proficiency, HIPAA/PHI knowledge, and 1+ years related experience.
Human Touch Home Health: Provides professional in-home healthcare and rehabilitation therapy services.
2+ YOE2–3 years home health billing experience, knowledge of Medicare/Medicaid/commercial billing, payment posting, denial management, accounts receivable, EVV verification, and Excel proficiency.
Electronic Visit Verification (EVV), WellSky Home Health, Microsoft Excel
Lifetime Dental Care: Provides comprehensive family and pediatric dental care services.
3+ YOEBilingual English/Spanish with 3+ years dental billing and front office experience, PPO insurance and CDT code knowledge, claim submission and denial/appeal handling, scheduling and patient-facing duties.
Children's National Hospital: Provides comprehensive pediatric medical care and hospital services.
1+ YOE1+ year hospital/physician collections experience, knowledge of third-party billing, denial management, appeals, CPT/HCPCS and ICD coding, intermediate Microsoft Excel, strong communication and analytical skills.
Children's National Hospital: Provides comprehensive pediatric medical care and hospital services.
5+ YOEHigh school diploma/GED and 5 years related patient accounting experience required; denial mitigation, root cause analysis, LOC reconciliation, strong written/verbal communication and attention to detail.
University of Maryland Medical System: Operates hospitals and clinics providing comprehensive medical healthcare services.
1+ YOEHigh school or GED, 1 year collections/accounts receivable or customer service experience; familiarity with EPIC HB module, insurance billing/collections, CPT/ICD-10/HCPCS, and denials/appeals.
Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation
Boston or Chicago or New York City or Washington or Nashville or United States
$250k-$350k/yrRemoteFull Time
Chartis: Strategic consulting and data analytics for the healthcare sector.
10+ YOEBachelor's required (advanced preferred), 10+ years in CDI/care management/utilization management or healthcare consulting, deep knowledge of DRGs/denial prevention, EHR workflows, AI-enabled solutions, and strong executive communication.
Director Patient Financial Services - Full-time with Benefits
Frederick, Maryland, United States
$126k-$190k/yrOnsiteFull Time
Frederick Health: Provides comprehensive medical care and hospital services in Maryland.
5+ YOE3+ MgmtBachelor's degree required; 5+ years hospital revenue cycle experience and 3+ years progressive leadership in revenue cycle or patient financial services; knowledge of billing, denial management, AR, reporting, and revenue cycle systems.
University of Maryland Medical System: Operates hospitals and clinics providing comprehensive medical healthcare services.
1+ YOE1 year collections/accounts receivable or customer service experience; knowledge of insurance billing, denials, CPT/ICD-10 coding; proficiency with EPIC HB, Microsoft Excel/Word/PowerPoint; strong communication and analytical skills.
EPIC HB module, Microsoft Excel, Microsoft Word, PowerPoint, Microsoft Access, SAS, Tableau
Northwestern Community Services Board: Public provider of behavioral health and disability services.
Perform third-party and client billing, maintain AR reports, process payments, follow up on denials, must have valid driver’s license and own transportation, ability to lift 25 lbs and travel within service area.
Reimbursement Specialist (Hybrid), Day Shift, Patient Financial Services
Gaithersburg or United States
$21-$27/hrHybridFull Time
Adventist HealthCare: Provides integrated hospital, rehabilitation, and home health services.
3+ YOEHigh school diploma required (some college preferred). Minimum 3 years healthcare experience. Strong customer service, payer follow-up, claims denial resolution, PC/office proficiency, and ability to work under time pressure.
Howard University: Private research university providing undergraduate and graduate degree programs.
2+ YOEAnalyze clinical information and assign dental procedure codes, review axiUm claims for accuracy, manage claim submission and denials, reconcile payments, and maintain knowledge of ADA/CDT/CMS rules; Microsoft Word/Excel and coding experience required.
Aim Point Innovation: Provides intelligence analysis and program management to federal agencies.
12+ YOERequires Top Secret/SCI clearance, 12 years of related experience, advanced intelligence analysis expertise, IC and DoD classification knowledge, analytic methodology mastery, and ability to lead research teams.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint