Current jobs related to Healthcare Revenue Assurance Specialist - Baltimore, Maryland - Mercy Medical Center

  • Revenue Cycle Specialist

    4 weeks ago

    Baltimore, Maryland, United States Health Care For the Homeless Inc Full time

    Job Title: Revenue Cycle SpecialistWe are seeking a highly skilled Revenue Cycle Specialist to join our team at Health Care for the Homeless Inc. The successful candidate will be responsible for managing the revenue cycle process, ensuring accurate and timely claims processing, and maintaining strong relationships with payers.Key Responsibilities:Perform a...

  • Revenue Cycle Specialist

    1 month ago

    Baltimore, Maryland, United States Health Care for the Homeless Full time

    Revenue Cycle SpecialistWe are seeking a highly skilled Revenue Cycle Specialist to join our team at Health Care for the Homeless. As a key member of our revenue cycle team, you will be responsible for ensuring the accurate and timely processing of insurance claims, managing accounts receivable, and resolving denials and appeals.Key Responsibilities:Perform...

  • Quality Assurance Specialist

    4 weeks ago

    Baltimore, Maryland, United States Medstar Full time

    Job SummaryMedstar is seeking a highly skilled Quality Accreditation Specialist to join our team. The successful candidate will be responsible for managing quality assessment and improvement activities, regulatory compliance, staff education and competency for assigned clinical areas.Key ResponsibilitiesContribute to the effective management of the...

  • Quality Assurance Specialist

    2 weeks ago

    Baltimore, Maryland, United States Medvacon Life Sciences Full time

    Job Title: Quality Assurance SpecialistMedvacon Life Sciences is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will be responsible for ensuring the quality and compliance of our products.Key Responsibilities:Review and verify executed batch records of APIs, Drug Products, and secondary...

  • Revenue Analytics Director

    2 weeks ago

    Baltimore, Maryland, United States Johns Hopkins HealthCare Full time

    Job SummaryAs the Director of Revenue Analytics and Strategy, you will be responsible for leading the development and implementation of revenue management strategies, budgeting, forecasting, and compliance activities. You will report directly to the VP Revenue Management and Reimbursement and interact with senior managers, administrators, physicians, and...

  • Quality Assurance Specialist

    1 week ago

    Baltimore, Maryland, United States Medvacon Life Sciences Full time

    Job Title: Quality Assurance SpecialistMedvacon Life Sciences is seeking a highly skilled Quality Assurance Specialist to join our team. As a key member of our quality team, you will be responsible for ensuring the technical and final release of our products meets the highest standards of quality and regulatory compliance.Key Responsibilities:Review and...

  • Cybersecurity Information Assurance Specialist

    1 week ago

    Baltimore, Maryland, United States CHICKASAW NATION INDUSTRIES INC Full time

    Cybersecurity Information Assurance SpecialistJoin Chickasaw Nation Industries Inc. as a Cybersecurity Information Assurance Specialist and contribute to the success of our company. As a key member of our team, you will be responsible for ensuring the security and integrity of our information systems and networks.Key Responsibilities:Conduct thorough...

  • Senior Quality Assurance Specialist

    3 days ago

    Baltimore, Maryland, United States Booker DiMaio, LLC Full time

    Job Summary:We are seeking a highly skilled Senior Quality Assurance Specialist to join our team at Booker DiMaio, LLC. As a Senior Quality Assurance Specialist, you will be responsible for conducting quality review walkthroughs of business requirements documentation, acting as a senior Quality Assurance technical resource on project teams, and developing...

  • Revenue Cycle Accounts Receivable Specialist

    2 weeks ago

    Baltimore, Maryland, United States University Of Maryland Oral Full time

    Job SummaryWe are seeking a highly motivated and organized Revenue Cycle Accounts Receivable Specialist to join our team at the University of Maryland Oral. As a key member of our revenue cycle team, you will be responsible for reviewing and resolving patient accounts, ensuring timely payment, and maintaining accurate records.Key ResponsibilitiesReview and...

  • Healthcare IT Specialist

    2 weeks ago

    Baltimore, Maryland, United States OST INC Full time

    Job OverviewOST Inc. is seeking a skilled Healthcare IT Specialist to join our team. As a key member of our healthcare services group, you will play a critical role in the implementation and optimization of our electronic health record (EHR) system.Key ResponsibilitiesCollaborate with healthcare providers and staff to gather and document EHR system...

  • Quality Assurance Specialist

    2 weeks ago

    Baltimore, Maryland, United States Medvacon Life Sciences Full time

    Job OverviewMedvacon Life Sciences is seeking a highly skilled Quality Assurance Specialist to join our team. As a key member of our quality team, you will be responsible for ensuring the technical and final release of our products meets the highest standards of quality and compliance.Key ResponsibilitiesReview and verify executed batch records of APIs, Drug...

  • Cybersecurity Information Assurance Specialist

    4 days ago

    Baltimore, Maryland, United States CHICKASAW NATION INDUSTRIES INC Full time

    Cybersecurity Information Assurance SpecialistWe are seeking a highly skilled Cybersecurity Information Assurance Specialist to join our team at Chickasaw Nation Industries Inc. This role will be responsible for reviewing and evaluating the security posture of various DoD activities, ensuring compliance with National and DoD IT policy.Key...

  • AR Revenue Cycle Specialist II

    4 weeks ago

    Baltimore, Maryland, United States InsideHigherEd Full time

    Job SummaryWe are seeking a highly skilled AR Revenue Cycle Specialist II to join our team. As a key member of our revenue cycle operations team, you will be responsible for the collection of unpaid third-party claims and resolution of non-standard appeals. You will utilize various JHM applications and JHU/PBS billing applications to conduct on-line...

  • Quality Assurance Specialist

    1 week ago

    Baltimore, Maryland, United States Medvacon Life Sciences Full time

    Job OverviewMedvacon Life Sciences is seeking a highly skilled Quality Assurance Specialist to provide quality oversight for site manufacturing operations and quality control laboratory operations. The ideal candidate will have a strong understanding of cGMP regulations and quality processes, including material disposition, deviations, investigations, and...

  • Quality Assurance Specialist

    2 weeks ago

    Baltimore, Maryland, United States Medvacon Life Sciences Full time

    Job Title: Specialist, QA OTFMedvacon Life Sciences is seeking a highly skilled Specialist, QA OTF to provide Quality Assurance support for GMP Manufacturing of master/working cell banks, biological bulk drug substance, and finished drug product.Key Responsibilities:Provide dedicated QA quality floor oversight of GMP operations for the manufacture of...

  • Certified Medical Assistant

    2 weeks ago

    Baltimore, Maryland, United States Charter Global Full time

    Job Title: Quality Assurance SpecialistLocation: Charter GlobalDuration: 9+ Months ContractQualificationsWe are seeking a highly skilled Certified Medical Assistant with experience in quality assurance to join our team at Charter Global.Key qualifications include:Bachelor's degree in Nursing, Associates Degree in Nursing, or Diploma in Nursing5 years of...

  • Quality Assurance Specialist

    7 days ago

    Baltimore, Maryland, United States Aerotek Full time

    Aerotek is seeking a Quality Assurance Specialist to join their team in the Baltimore, MD area.The ideal candidate will have experience in production environments and mechanical testing, with a strong understanding of QA/QC procedures.Responsibilities will include:Performing mechanical testing and quality control checksOperating hand tools and power...

  • Quality Assurance Specialist II

    6 days ago

    Baltimore, Maryland, United States Three Point Solutions Full time

    Job Title: Quality Assurance Specialist IIJob Summary: We are seeking a highly skilled Quality Assurance Specialist II to join our team at Three Point Solutions. The successful candidate will be responsible for conducting thorough medical record reviews using proprietary tools and software, and will have extensive knowledge of HEDIS measures to accurately...

  • Revenue Cycle Accounts Receivable Specialist

    4 weeks ago

    Baltimore, Maryland, United States University Of Maryland Oral Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Revenue Cycle Accounts Receivable Specialist to join our team at the University of Maryland Oral. As a key member of our revenue cycle team, you will be responsible for reviewing and resolving aged patient accounts, ensuring timely payment, and maintaining accurate records.Key...

  • Pharmacy Technician Quality Assurance Specialist

    4 weeks ago

    Baltimore, Maryland, United States LifeBridge Health Full time

    Quality Assurance Pharmacy Technician - RetailWe are seeking a highly skilled Pharmacy Technician to join our team as a Quality Assurance Specialist. In this role, you will be responsible for ensuring compliance with third-party payer requirements and internal audits.Key Responsibilities:Perform pharmacy technician-related job duties to understand compliance...

Healthcare Revenue Assurance Specialist

2 months ago

Baltimore, Maryland, United States Mercy Medical Center Full time

Position Overview:

Mercy Medical Center, a recognized leader in healthcare excellence, is seeking a dedicated Revenue Integrity Analyst to join our esteemed team. We pride ourselves on being one of America's Most Trustworthy Companies and one of America's Best Midsize Employers. We welcome military veterans to apply and become part of our mission-driven organization.

Benefits of Joining Mercy:

  • Generous paid time off (PTO) and company holidays
  • Tuition reimbursement opportunities
  • 403(B) retirement plan with a competitive company match
  • Rewards and recognition programs for outstanding contributions
  • Comprehensive health, vision, and dental benefits
  • Employer-sponsored short and long-term disability coverage
  • Discounts on insurance and various services
  • Wellness resources, including mental health support
  • Exclusive employee discounts on popular brands and services

Key Responsibilities:

Charge Master Management:

  • Responsible for:
    • Maintaining and updating the hospital's charge master
    • Reviewing and analyzing necessary CPT updates in line with regulations
    • Ensuring compliance with revenue codes and rate centers
    • Assisting with pricing adjustments as required
    • Handling ad hoc requests as needed

Revenue Integrity Oversight:

  • Monitor and assist in reviewing revenue cycle work queues within the EPIC system.
  • Analyze billing discrepancies and denial trends to identify root causes.
  • Collaborate with the Revenue Integrity Team and other departments to implement corrective measures.
  • Address ad hoc requests as necessary.

Abstract Submission Support:

  • Assist in the submission of state-mandated abstract reports.
  • Coordinate with various departments to ensure data integrity.
  • Conduct abstract reconciliations and modifications as required, including:
    • Collaborating with IT for necessary data adjustments.
    • Participating in HSCRC meetings for data review.
    • Maintaining accurate reconciliation of abstract data.
    • Ensuring timely and accurate submissions on a monthly and quarterly basis.

Qualifications:

  • Bachelor's Degree from an accredited institution is required.
  • Demonstrated analytical skills and a strong desire to work in a dynamic environment.
  • Experience in healthcare is preferred.
  • Familiarity with EPIC systems is advantageous.

Equal Opportunity Statement:
Mercy Health Services is an Equal Opportunity Employer, committed to recruiting diverse talent for our organization.