Healthcare Billing Jobs in Richmond

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..

Job Information Humana Associate Director, Site Reliability Engineering in Glen Allen Virginia Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, ..

... is looking for an experienced Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares investigative and audit ... areas Bachelor's degree or significant..

Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..

... 5 or more years of healthcare revenue cycle management experience may ... experience may suffice (to include, billing, coding, collections for Medicare and ... with Auditing and monitoring of..

Very successful and growing concierge group is looking to add Primary Care physicians in Richmond, Virginia. The company remains at the forefront of the fast-growing concierge medicine model. They deliver a ..

Job Information Humana Manager, Fraud and Waste-Remote US in Glen Allen Virginia Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..

Performance Improvement Consultant - Healthcare Revenue Cycle Services Overview of ... which includes our customers, vendors, billing operations directors and senior level ... experience in front/middle and back-end healthcare revenue..

... looking for an experienced Senior Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares complex investigative and ... Qualifications Bachelor's degree or significant..

Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..

Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Glen Allen Virginia Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices ..

Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..

... Hospital, you come first. HCA Healthcare has committed up to $300 ... Plan with 10% off HCA Healthcare stocku003cbru003enu003c/liu003enu003cliu003eFamily support through fertility and ... policies regarding services, pricing, insurance..

We offer Licensed Therapists (LPC, LCSW, LMFT): Sign-On Bonus! Full-Time  W2 positions Strong Work/Life balance. Flexible Schedule, Set your own hours! On-Site & Hybrid Positions , offering both In-person & Remote ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..

We offer Psychiatrists: Sign-On Bonus! Full-Time or Part-Time W2 positions. Strong Work/Life balance. Out-Patient Practice. No nights, no hospital calls, no weekends.   Flexible work schedules, Set your own hours! On-Site & ..

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Glen Allen Virginia Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..

We offer Psychiatrists: Sign-On Bonus! Full-Time or Part-Time W2 positions. Strong Work/Life balance. Out-Patient Practice. No nights, no hospital calls, no weekends.   Flexible work schedules, Set your own hours! On-Site & ..

Job Information Humana Manager, Fraud and Waste-Remote US in Richmond Virginia Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..

We offer Licensed Therapists (LPC, LCSW, LMFT): Sign-On Bonus! Full-Time  W2 positions Strong Work/Life balance. Flexible Schedule, Set your own hours! On-Site & Hybrid Positions , offering both In-person & Remote ..